2025_QAP_-_Pasadena_(Revised2)_FINAL.pdf

STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION

DLA FINAL MATERIALS CERTIFICATION

DOT LAPM 16-E (NEW 02/2025)

Americans with Disabilities Act (ADA) Notice: This document is available in alternative accessible formats. For more information, please contact the Forms Management Unit at (279) 234-2284, TTY 711, in writing at Forms Management Unit, 1120 N Street, MS-89, Sacramento, CA 95814, or by email at Forms.Management.Unit@dot.ca.gov.

DATE LOCAL PUBLIC AGENCY (LPA) FEDERAL PROJECT NUMBER

PROJECT NAME

MATERIALS CERTIFICATION

This is to certify that the results of the tests on acceptance samples show that both the materials used in the construction work and the construction operations controlled by sampling conform to the approved plans and specifications.

No exceptions to the plans and specifications were found.

Exceptions to the plans and specifications are explained in the following (or on attached sheet).

I agree that by providing my electronic signature for this form, I agree to conduct business transactions by electronic means and that my electronic signature is the legal binding equivalent to my handwritten signature. I hereby agree that my electronic signature represents my execution or authentication of this form, and my intent to be bound by it.

DISTRIBUTION: Original – LPA Project File Copy – DLAE

DATERESIDENT ENGINEER SIGNATURE

STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION

DLA FINAL MATERIALS CERTIFICATION

DOT LAPM 16-E (NEW 02/2025)

Americans with Disabilities Act (ADA) Notice: This document is available in alternative accessible formats. For more information, please contact the Forms Management Unit at (279) 234-2284, TTY 711, in writing at Forms Management Unit, 1120 N Street, MS-89, Sacramento, CA 95814, or by email at Forms.Management.Unit@dot.ca.gov.

Instructions

Any material represented by an acceptance test that does not meet the criteria contained in the plans and specifications is considered an exception. If there are exceptions, check the exceptions box and note all nonconforming materials on the form. Use additional sheets if necessary. The following list includes, but is not limited to, types of non-conforming materials that must be noted as exceptions on the form:

1. Materials accepted by applying a specified pay factor or deficiency adjustment, such as for hot mix asphalt concrete pavement or rapid strength concrete.

2. Materials out of “operating range” but within “contract compliance” for which a specified payment deduction was made.

3. Materials not in compliance with the as-bid contract plans or specifications for which a contract change order was approved to accept the material.

4. Materials that require certificates of compliance but one or more have not been submitted.

Sampling and Testing Frequency

January 2018

Sampling and Testing Frequency Table for projects OFF the SHS

(a) Exact tonnage of sample location to be determined by Random Sampling Plans

(b) Compaction determined by Neclear Density Device. Core testing required if compaction fails the neclear test (c) Correlation between core densities and nuclear device required only if compaction fails the nuclear test

(d) Report the average of 3 tested briquettes from a single split source

(e) Use CT 309 to determine maximum theoretical density in lieu of CT 367 calculated maximum theoretical density

(f) No testing required unless warranted by concern ; sample and store until completion of project

Sample for Local Agency QAPs

Sampling and Testing Frequency Table for projects OFF the SHS.

HOT MIX ASPHALT (HMA) / ASPHALT CONCRETE (AC)

Quality Characteristic Test Method Minimum Sampling and Testing Frequency Location/Time of Sampling

Aggregate Gradation (Sieve) CT 202 1 Per 1000 Tons or Part Thereof ; Minimum 1 per day during production/placement of at least 300 tons per day.

At Plant Per CT 125 (a)

Sand Equivalent CT 217 Asphalt Binder Content CT 382 Loose Mix Behind Paver Per CT 125

In‐Place Density and Relative Compaction (Nuclear )

Nuclear (b) 1 Per 1000 Tons or Part Thereof ; Minimum 1 per day during production/placement of at least 300 tons per day. (b)

Random Locations Per CT 375 (c CT 375 or ASTM D2950 (c

Theoretical Maximum Specific Gravity and Density (Rice)

CT 309

1 Per Day During Production/Placement of At Least 300 Tons Per Day

Loose Mix Behind Paver Per CT 125 HMA Moisture Content CT 226 or CT 370 Stabilometer Value (d) CT 366

Asphalt Binder Sample per Section 92 Sample 1 min. per day for production over 300 tons per day; See

(f) regarding testing.

At Plant Per CT 125

Smoothness 12‐foot Straightedge As necessary to confirm contract compliance. Final Pavement Surface

Attachment No. 1

SUBGRADE (DISTURBED BASEMENT SOIL) OR EMBANKMENT

Quality Characteristic Test Method Minimum Sampling and Testing Frequency Location/Time of Sampling

Maximum Density and Relative Compaction

CT 216/CT 231

1 Min. Test per 5000 sq ft under vehicle traveled way and shoulder

1 Min. Test Per 300 linear foot under sidewalk

Random locations as determined by the Engineer in place after compaction.

AGGREGATE BASES AND SUBBASES, IMPORTED BORROW

Quality Characteristic Test Method Minimum Sampling and Testing Frequency Location/Time of Sampling Sieve Analysis CT 202

1 Min. Test Per Material Source Sample from site stockpile/plant prior to placement. R‐Value CT 301 Sand Equivalent CT 217

1 Min. Test per 5000 sq ft

Random locations as determined by

STRUCTURE BACKFILL, SELECT BACKFILL

Sieve Analysis CT 202 1 Min. Test Per Material Source

Sample from site stockpile/plant prior to placement

R‐Value CT 301 Sand Equivalent CT 217

1 Min. Test Per 2 Vertical Lifts of Placement

Random locations as determined by

PORTLAND CEMENT CONCRETE (PCC) ‐ STRUCTURAL AND SIGNAL/LIGHTING FOUNDATIONS

COARSE AGGREGATE

Sieve Analysis CT 202

1 min. test per 500 cu yds and per each material source ; 1 min. test on smaller projects; If bridge, 1 min. set per separate pour per abutment/pier/deck.

Sample from site stockpile/plant prior to placement Cleanness Value CT 227

FINE AGGREGATE

Sieve Analysis CT 202

1 min. test per 500 cu yds and per each material source ; 1 min. test on smaller projects; If bridge, 1 min. set per separate pour per

Sample from site stockpile/plant prior to placement Sand Equivalent CT 217

WET MIX

Slump/Penetration CT 533 2 per day

Sample from truck/work site Cylinders CT 539/540 1 min. set of 3 per day; If bridge, 1 min. set per separate pour of

Exhibit 16-Z2 Local Assistance Procedures Manual Acceptance Testing Result Summary Log

Exhibit 16-Z2 Acceptance Testing Results Summary Log

Project Name: __________________________________________________________

Test Method Name: ___________________ Test Method Number: ___________________ Contract Number: _______________________________________________________

Test

Number Date Sampled Name of Sampler or Tester Production Test Results Remarks

Tester Certification on file? Location (Stations, depths, etc) Production Quantity

Represented Required Result Actual Result Pass/Fail Include action taken for any failing test result;

note test number of any retest.

Attachment No. 2

Materials Requiring a Certificate of Compliance per Caltrans Standard Specifications

* For those materials requiring additional information on or with the COC, see specification. Page 1 of 9 October 2024

Materials Requiring a Certificate of Compliance per Caltrans Standard Specifications

Caltrans 2024 Standard Specifications

Material Additional Info and/or Attachments Required*

6-1.04 BUY AMERICA

6-1.04B Crumb rubber COC

6-1.04C Steel and iron materials COC + cert. mill test reports

6-1.07B Telecommunications and Video Surveillance Equipment COC

11-2 WELDING QUALITY CONTROL

11-2.03D Welding COC

11-3 WELDING FOR OVERHEAD SIGN STRUCTURES, STANDARDS, AND POLES

11-3.303 Welding COC

12-3 TEMPORARY TRAFFIC CONTROL DEVICES

12-3.03A(3) Plastic Traffic Drums COC

12-3.20A(3) Temporary Barrier System COC

12-3.23A(3) Impact Attenuator COC

12-3.32A(3) Portable CMS COC

12-3.33A(2) Portable Signal System COC

13-2 WATER POLLUTION CONTROL PROGRAM

13-9 TEMPORARY CONCRETE WASHOUTS

13-9.01C Fabric bags for gravel-filled bags COC

Plastic liner COC

13-10 TEMPORARY LINEAR SEDIMENT BARRIERS

13-10.01C Fiber rolls COC

Silt fence fabrics COC

Sediment filter bags COC

Foam barriers COC

Fabric for gravel-filled bags COC

Compost Socks COC

16-2.03 TEMPORARY HIGH-VISIBILITY FENCES

16-2.03A(3) High-visibility fabric COC

18 DUST PALLIATIVES

18-1.01C Dust suppressant COC

Dust control binders COC

Fibers COC

20 LANDSCAPE

20-2 IRRIGATION

Attachment No. 3A

* For those materials requiring additional information on or with the COC, see specification. Page 2 of 9 October 2024

Caltrans 2024 Standard Specifications

Material Additional Info and/or Attachments Required*

20-2.08A(3) Polyethylene pipe COC

Plastic pipe supply line COC

20-3 PLANTING

20-3.01A(3)(c) Sod COC

Soil amendment COC

Plant tubes COC

20-5 LANDSCAPE ELEMENTS

20-5.03A(1)(c) Filter fabric COC + product data

20-5.03D(1)(c) Solidifying emulsion COC + product data & samples

20-5.04A(3) Wood mulch COC + sample & authorization

21-2 EROSION CONTROL WORK

21-2.01C(1) Straw COC

Weed-free straw COC + cert. of quarantine

Fiber COC

RECP COC

Fasteners COC

Hydraulically applied erosion control materials Submit records

21-2.01C(2) Compost Submit reports

21-2.01C(3) Seed Submit reports

21-2.01C(4) Tackifier COC + SDS + Reports

Bonded fiber matrix COC + SDS + Reports

21-2.01C(5) Fiber Reinforced Matrix COC + Manufacturer information

24 STABILIZED SOILS

24-1.01C(1) Stabilizing agent COC + sample

24-3 CEMENT STABILIZED SOIL

24-3.01C Cement COC + sample

30-4 FULL DEPTH RECYCLING - CEMENT

30-4.01C(2) Cement COC

30-5 PARTIAL DEPTH RECYCLING

30-5.01C(3) Recycling agent COC + SDS + test results

Cement COC + SDS

Other Additives COC + SDS

* For those materials requiring additional information on or with the COC, see specification. Page 3 of 9 October 2024

Caltrans 2024Standard Specifications

Material Additional Info and/or Attachments Required*

36-2 BASE BOND BREAKER

36-2.01C Base bond breaker COC

37 SEAL COATS

37-1.01C Asphalt binder COC + test results

Asphalt emulsion COC + test results

37-2 CHIP SEALS

37-2.04A(3) Asphalt rubber binder ingredients COC + test results+ Submittals

37-3 SLURRY SEALS AND MICRO-SURFACINGS

37-3.01A(3) Asphaltic emulsion COC + samples & test results

Polymer modified asphaltic emulsion COC + samples & test results

Micro-surfacing emulsion COC + sample & test results

37-5 PARKING AREA SEALS

37-5.01C Parking area seal material COC + sample & test results

37-6 CRACK TREATMENTS

37-6.01C Crack treatment materials COC or sample & test results

39-2 HOT MIX ASPHALT

39-2.01A(3)(f) Liquid antistrip COC + sample & production data

39-2.03A(3)(c) Crumb rubber modifier COC + test results

Asphalt modifier COC + test results

39-2.03B(3)(c) Crumb rubber modifier COC + test results

39-2.05A(1)(c) Asphaltic emulsion COC + test results+sample

40 CONCRETE PAVEMENT

40-1.01C(2) Tie bars COC

Splice couplers for threaded bars COC

Dowel bars COC

Tie bar baskets COC

Dowel bar baskets COC

Joint filler COC

Epoxy-powder coating COC

41 EXISTING CONCRETE PAVEMENT

41-1.01C Fast-setting concrete COC + SDS & instructions

Polyester resin binder COC + SDS & instructions

Bonding agent COC + SDS & instructions

* For those materials requiring additional information on or with the COC, see specification. Page 4 of 9 October 2024

Caltrans 2024 Standard Specifications

Material Additional Info and/or Attachments Required*

41-5 JOINT SEALS

41-5.01C Liquid joint sealant COC + SDS & instructions

Backer rods COC + SDS & instructions

Compression joint seal COC + SDS & instructions

Lubricant adhesives COC + SDS & instructions

41-10 DRILL AND BOND BARS

41-10.01C Tie bars COC

Dowel bars COC

Dowel bar lubricant COC

Chemical adhesive COC

Epoxy powder coating COC

47-6 ALTERNATIVE EARTH RETAINING SYSTEMS

47-6.01C(3) Alternative earth retaining system COC

48-2 FALSEWORK

48-2.01C(1) Structural composite lumber COC + submittals

Timber COC + submittals

48-4 TEMPORARY DECKING

48-4.01C Temporary decking materials COC

49-2 DRIVEN PILING

49-2.02A(3)(d) Steel pipe piles COC + tests & mill reports

49-2.03A(3) Structural shape steel piling COC + test reports

51 CONCRETE STRUCTURES

51-1.01C(3) Bonding materials COC or sample & authorization

51-1.01C(5) Chemical adhesive COC + SDS + Instructions

51-2 JOINTS

51-2.01A(3) Acetal copolymer material for snowplow deflectors COC

51-2.02B(1)(c) Joint seals, backer rods, and primer COC + SDS + Instructions

51-2.02C(1)(c) Elastomeric joint seal COC + test reports

Lubricant-adhesive COC + test reports

51-2.02D(1)(c) Joint seal materials COC + authorization

51-2.02E(1)(c)(iii) Joint seal assembly materials COC

51-2.02F(1)(c)(iv) Material used in the joint seals COC + test reports

51-2.04A(3) Waterstop material COC + a statement

* For those materials requiring additional information on or with the COC, see specification. Page 5 of 9 October 2024

Caltrans 2024 Standard Specifications

Material Additional Info and/or Attachments Required*

51-3 BEARINGS

51-3.02A(3)(c)(ii) Plain elastomeric bearing pads COC + test reports

51-3.02A(3)(c)(iii) Steel-reinforced elastomeric bearing pads COC + test reports

51-3.03A(3)(a) Materials used in PTFE bearings COC + test reports + statement

51-4 PRECAST CONCRETE MEMBERS

51-4.01C(1) Concrete box culvert COC

52 REINFORCEMENT

52-1.01C(3) Reinforcement (rebar) COC + mill test report

52-2 EPOXY-COATED REINFORCEMENT

52-2.02A(3)(c) Epoxy-coated reinforcement COC + submittals

Patching material COC + a statement

52-2.023A(3)(c) Epoxy-coated reinforcement COC + submittals

Patching material COC + a statement

52-5.01C(2)(b) Headed bar reinforcement COC + test samples

52-5.01C(4) Headed bar reinforcement COC + test reports

52-6 SPLICING

52-6.01C(3)(b) Service and butt splice samples COC + samples

52-6.01C(5) Service or butt splice material COC + submittals

54 WATERPROOFING

54-3 PREFORMED MEMBRANE WATERPROOFING

54-3.01C Preformed membrane sheet COC + report

54-5 DECK SEAL

54-5.01C Preformed membrane sheet COC + report

55 STEEL STRUCTURES

55-1.01c(1) Steel materials used COC + Test reports

57-2 WOOD STRUCTURES

57-2.01A(3) Timber and lumber COC + report

Glued laminated timbers/decking COC

57-3 PLASTIC LUMBER STRUCTURES

57-3.01C(1) Plastic lumber COC + test report & sample

58-2 MASONRY BLOCK

58-2.01C(7) CMUs COC

Aggregate for grout COC

Grout COC

* For those materials requiring additional information on or with the COC, see specification. Page 6 of 9 October 2024

Caltrans 2024 Standard Specifications

Material Additional Info and/or Attachments Required*

59 STRUCTURAL STEEL COATINGS

59-1.01C Blast cleaning material COC + SDS

59-5 THERMAL SPRAY COAT STRUCTURAL STEEL

59-5.01C(1) Wire feedstock COC

60-3.04B POLYESTER CONCRETE OVERLAYS

60-3.04B(1)(c) Methacrylate resins COC + samples & test report

Polyester resins COC + samples & test report

Aggregates COC + samples & test report 60-3.05B(1)(c) Filler material and bonding agents COC + samples

61-2 CULVERT AND DRAINAGE PIPE JOINTS

61-2.01C Joint systems COC + test results & reports

Couplers COC + test results & reports

62 STORMWATER TREATMENT

62-1.01C Source material COC

62-3.01C Source material COC

64 PLASTIC PIPE

64-1.01C Plastic pipe COC + report

65-2 REINFORCED CONCRETE PIPE

65-2.01C RCP, direct design method COC + report

66 CORRUGATED METAL PIPE

66-1.01C Corrugated steel materials COC

Corrugated aluminum materials COC

67-3 METAL LINE PLATE PIPE

67-2.01C Structural metal plate pipe, arches, and pipe arches COC + Instructions

67-3.01C Metal liner plate pipe COC + mill test reports

68 SUBSURFACE DRAINS

68-1.01C Subsurface drain COC

68-2 UNDERDRAINS

68-2.01C Pipe COC

Tubing COC

Fittings COC

68-7 GEOCOMPOSITE DRAIN SYSTEMS

68-7.01C Geocomposite drain COC + flow capability graph

68-8.01C(1) Prefabricated vertical drain COC+ Test samples

* For those materials requiring additional information on or with the COC, see specification. Page 7 of 9 October 2024

Caltrans 2024 Standard Specifications

Material Additional Info and/or Attachments Required*

69 OVERSIDE DRAINS

69-1.01C Steel COC

Aluminum COC

Plastic COC

70-6 GRATED LINE DRAINS

70-6.01C Grated line drains COC + Report

71-3.09 MACHINE SPIRAL WOUND PVC PIPELINERS

71-3.09A(1)(c) Each reel of PVC strip COC + Report

72-16 GABIONS

72-16.01C Gabion basket COC

PVC coating COC

74 PUMPING EQUIPMENT AND CONTROLS

74-2.01C(3) Impeller balancing and drainage pump tests COC + Report

75-3 MISCELLANEOUS BRIDGE METAL

75-3.01C(1) Anchorage devices COC

75-3.01C(2) BRIDGE DECK DRAINAGE SYSTEM

75-3.01C(2) Fiberglass pipe and fittings COC + Test results

80-3 CHAIN LINK FENCES

80-3.01C Protective coating system COC

Posts and braces COC + Report

81 MISCELLANEOUS TRAFFIC CONTROL DEVICES

81-2 DELINEATORS

81-2.01C Metal target plates COC

Enamel coating COC

81-3 PAVEMENT MARKERS

81-3.01C Pavement markers COC

82 SIGNS AND MARKERS

82-2 SIGN PANELS

82-2.01C Aluminum sheeting COC

Retroreflective sheeting COC

Color imaging methods and film COC

Protective overlay film COC

* For those materials requiring additional information on or with the COC, see specification. Page 8 of 9 October 2024

Caltrans 2024 Standard Specifications

Material Additional Info and/or Attachments Required*

82-5 MARKERS

82-5.01C Metal target plates COC

Enamel coating COC

Retroreflective sheeting COC

83-2 METAL RAILINGS AND BARRIERS

83-2.08A(3) Tubular railing components COC + Shop drawings

83-3 CONCRETE BARRIERS

83-3.01C Type 60K portable concrete barrier COC or test reports

84-2 TRAFFIC STRIPES AND PAVEMENT MARKINGS

84-2.01C Stripe material COC + SDS + Instructions

Primer COC + SDS + Instructions

Glass beads COC + SDS + Instructions

Thermoplastic COC + SDS + test results

DIVISION X ELECTRICAL WORK

86-1.01C(6) Signal heads COC + test data

86-1.01C(8) Visors COC + test data

87-2 LIGHTING SYSTEMS

87-2.01C High mast lighting luminaires COC + test data

90 CONCRETE

90-1.01C(3) Cementitious materials COC

Blended cement COC + SCM weight

90-1.01C(4) Admixture COC + authorization

90-1.01C(5) Curing compound COC + test samples

90-1.01C(12) Cast-In-Place structural concrete material COC

90-1.01C(13) Polymer Fibers COC + Instructions

90-2 MINOR CONCRETE

90-2.01C Minor concrete COC + weighmaster cert

90-3 RAPID STRENGTH CONCRETE

90-3.01C(3) Aggregate COC + weighmaster cert

Cementitious materials COC + weighmaster cert

Admixtures COC + weighmaster cert

90-4 PRECAST CONCRETE

90-4.01C(2) and 90-4.01D(2)(a)

Cementitious materials COC + app. signature

Precast members (each) COC + app. signature

Curing compound COC + test samples

* For those materials requiring additional information on or with the COC, see specification. Page 9 of 9 October 2024

Caltrans 2024 Standard Specifications

Material Additional Info and/or Attachments Required*

94 ASPHALTIC EMULSIONS

94-1.01C Asphaltic emulsion COC + reports

95 EPOXY

95-1.01C Epoxy COC

96 GEOSYNTHETICS

95-1.01C(1) Geosynthetic COC + test samples

Materials Requiring a Certificate of Compliance per the Greenbook

Greenbook 2024 Materials Requiring a Certificate of Compliance or Certified Test Reports

Material Section # Section Title Additional Comments

1 Any material or assembled material if required by the Engineer

4-5 Certificate of Compliance General Requirements from 2024 edition of Greenbook

2 Scales and Metering Equipment 4-7 Weighing Equipment Engineer to "approve" prior to operation.

4 Fly Ash 201-1.2.7.3 Fly Ash Specific language/info required on the COC.

Must also submit test data upon request.

5 Pozzolans 201-1.2.7.4 Class N Pozzolans Specific language/info required on the COC.

Must also submit test data upon request.

6 Fiber Reinforcement for fiber reinforced concrete or air placed concrete, method B

201-2.3 Fiber Reinforcement

7 Joint Sealant, Type E 201-3.9 Test Report and Certification Specific language/info required on certified test reports upon request

8 Sheet Curing Materials 201--4.3 Test Report and Certification Must submit certified test report upon request.

9 Paving Asphalt 203-1.3 Test Report and Certification Specific language/info required on certified test reports.

10 Liquid Asphalt 203-2.2 Test Report and Certification Specific language/info required on certified test reports.

11 Microsurfacing Emulsion (MSE) 203-3.4.6 Microsurfacing Emulsion (MSE) A COC for each shipment of MSE delivered to the work site

12 Emulsified Asphalt 203-3.5 Certificate of Compliance Must also submit test data upon request

13 Asphalt Rubber Hot Mix (ARHM) 203-11.2 Materials Must also submit test reports with the COC.

14 Crumb Rubber Modifier (CRM) 203-11.2.3.1 General (Crumb Rubber Modifier) Specific language/info required on the COC.

16 Tire Rubber Modified Asphalt Concrete

(TRMAC)

203-14-2.1 Tire Rubber Modified Paving Asphalt Specific Language/info required on the COC.

17 Polymer Modified Asphalt Concrete

(PMAC)

203-16.2.1 Polymer Modified Paving Asphalt Specific Language/info required on the COC.

18 Treatment with Preservatives 204-2.4 Quality Control Specific language/info required on the COC.

Structural Steel, Rivets, Bolts, Pins and Anchor Bolts 206-1.1.2 Certification Specific language/info required on certified test reports.

20 Gray Iron and Ductile Iron Castings 206-3.4.2.1

206-3.7

General (Tensile Testing)

Acceptance

Must also submit test reports with the COC.

December 2024

Attachment No. 3B

21 Gray Cast Iron Castings 206-3.4.2.2

206-3.7

Gray Cast Iron Castings

Acceptance

Specific language/info required on the COC and must submit certified test results.

23 Ductile Iron Castings 206-3.4.2.3

206-3.7

Ductile Iron Castings

Acceptance

Specific language/info required on the COC and must submit certified test results.

24 Composite Manhole Frames and Covers 206-7.11 Acceptance Specific language/info required on the COC and must submit certified test results.

25 Reinforced Concrete Pipe (RCP) 207-2.9 Basis for Acceptance, General Specific language/info required on the COC.

26 Vitrified Clay Pipe (VCP) 207-8.5.1 Testing Requirement, General Specific language/info required on the COC.

27 Corrugated Steel Pipe, pipe arches. 207-11.2.1 General (Materials)

28 Structural Steel Products Plate Pipe Arches and Pipe Arches

207-12.2.1 General (Materials) Specific language/info required on the COC.

29 Structural Aluminum Plate Pipe Arches and Pipe Arches

207-14.2.1 General (Materials) Specific language/info required on the COC.

30 PVC Gravity Pipe 207-17.4.1 General (Test Requirements) Specific Language/info required on the CO, shall include the test result data.

31 Polyethylene(PE) Solid Wall Gravity Pipe 207-19.2 Material Composition The Engineer may require a COC and test results.

32 Profile Polypropylene Pipe with Smooth Interior, With Bell and Spigot Joints

207-25.6.1 General (Man. Facility Testing)

33 Materials used in Sewers 211-2 Chemical Resistance (Pickle Jar) Test Specific language/info required on the COC.

34 Hand Held Viscometer Test 211-4.2 Calibration Specific language/info required on the COC.

35 Water and Sewer System Valves and Appurtenances

212-1.1 Submittal Package (Supporting Information)

36 Engineering Geosynthetics 213-1 General (Engineering Geosynthetics) Specific language/info required on the COC.

37 Traffic Striping, Curb and Pavement Markings, and Pavement Markers

214-2 Test Reports and Certificate of Compliance

Specific language/info required on certified test reports OR

COC

38 Precast Reinforced Concrete Manholes

(PRCMH)

215-8 Basis of Acceptance Specific language/info required on the COC.

39 Precast Reinforced Concrete Box (PRCB) 216-8 Basis of Acceptance Specific language/info required on the COC.

40 Lime-Treated Soil 301-5-2.1 Lime

41 Slurry Seal Surfacing 302-4-2.1 General (Mix Designs)

42 Asphalt Concrete Pavement 302-5.2.3

302-5.3.2

Tack Coat

Certificate of Compliance

43 Concrete Structures, Placing Reinforcement

303-1.7.2 Splicing All Radiographs shall be submitted to the Engineer with Radiographic report and COC

44 Plastic Liner Installation 311-1.10 Quality Assurance Tests

45 Deformed/Re-formed HDPE Pipe Liner 500-5.7.2 Material Composition COC and test results required

46 Folded and Re-Formed PVC pipe Liner 500-5.10.2

500-5.10.3

Material Acceptance (Type A)

Material Acceptance (Type B)

47 Manholes and Structure Rehabilitation 502-2 Submittals

48 Lining Systems 502-5.1.2.2 Integral Locking PVC Liner

49 Segmented PVC Lining System 502-5.2.1 General

50 Fiberglass Standards 700-3.3.4 Fiberglass Standards Specific language/info required on the COC and test reports.

51 Conductors for Series Circuits, 5000V 700-4.2.2 Conductors for Series Circuits

52 Conductors and Cable 700-5.3.1 General (Conductors and Cable)

53 Lamp Receptable Conductors 700-5.5.7 Electrical Components COC Required if required information is not marked on the insulation.

54 Circular Light Emitting Diode (LED) Signal Modules

700-5.5.11.8 Certificate of Compliance

55 LED Pedestrian Signal Section “Upraised Hand” Module

700-5.6.6.7 Certificate of Compliance

56 Soil Fertilizing and Conditioning Materials 800-1.2.1 General Submit COC when required by the Engineer