13--7920033_Specifications_Submittal_Log_20190219i.pdf

1.

number per submittal.

2. Enter submittal number and paragraph(s) in the appropriate box, one submittal number per form.

3. Keep all submittal numbers in sequence.

4. If this is a resubmittal, so state in the appropriate block with its previous submittal number.

5. Do not use the resubmittal's previous submittal number. Instead, use the next number in the

6. submittal sequence.

Code Description

AS As- Builts CA Calculations CC Certificate of Compliance ES Extra Stock FT Field Test MD Manufacturer's Data MI Manufacturer's Instructions NR Name/Factory Authorized Representative NT Notification OM Operations and Maintenance Manuals PC Pre-Construction PD Product Data PK Complete Package PP Work Plan/Procedure QA Quality Assurance RD Record SA Sample SD Shop Drawing SI Installed Sample/Mockup SV Survey TD Test Data WA Warranty

"Approved as Noted" means that the submittal is approved as subject to compliance with specific remarks on the transmittal form or on the submittal itself.

SUBMITTAL TRANSMITTAL INSTRUCTIONS

Enter the specification number in the appropropriate box, top right corner. Only one specifica

"Approved" means that the submittal has been approved as submitted and may be incorporated into the work.

"Disapproved" means that the submittal has not been approved as submitted and must be resubmitted into the work.

Contract No. SUBMITTAL NEW SUBMITTAL OR T.O. No.: NO. PREVIOUS SUBMITTAL NUMBER

CONTRACTOR: REVIEWED & APPROVED BY CONTRACTOR: DATE:

Paragraph Approved Number As Noted

Reviewers Comments:

TYPED NAME SIGNATURE DATE

REQUEST FOR SHOP DRAWING OR MATERIAL APPROVAL

SPECIFICATION SECTION

Description of Materials Type Approved Disapproved

Contractor Comments: Pusuant to Section 1300 of the Technical Specfications and FAR 52.236-21, through submission of this request the contractor certifies that the product/item offered is in compliance with the contract, except as follows:

(Specify variances)

DOT-USCG

FDCC (Pacific)

CM-05

Rev. 1/99

PROJECT TITLE: CONTRACT NO:

TASK ORDER NO:

Submitted

Due1

(# days after Notice of Award) Returned

Due2

(# days after receipt) 1 01 14 00 Work Restrictions 1.2.1 and 1.5.1 4, 5 List of Personnel working on project PC 15 2 01 14 00 Work Restrictions 1.2.2 and 1.5.2 4, 6 Vehicle List that will be associated with project PC 15 3 01 30 00 Administrative Requirements 1.2 and 1.4 7 Superintendent/Project Manager Qualifications PC 15 4 01 32 13.00 20 Progress Schedules 1.1. and 1.3 9 Construction Schedule PP 15 5 01 35 26 Governmental Safety Requirements 1.3.1 and 1.7 22, 25 Accident Prevention Plan to include Activity Hazard Analysis PC 30 6 01 35 26 Governmental Safety Requirements 1.3.2 and 1.9 22, 27 Accident Reports NT as required 7 01 35 26 Governmental Safety Requirements 1.3.3 22 Employee Licenses and Certificates to operate equipment PC 15 8 01 35 26 Governmental Safety Requirements 1.5.1.1 23 Designation of Safety Officer and alternate with their qualifications PC 15 9 01 45 00.00 40 Quality Control 1.3 and 2.1 30, 32 Quality Assurance (QA) and Quality Control (QC) Plan PC 30 10 01 50 00 ry Construction Facilities and Controls 1.2.1 and 1.3 33 Construction Site Plan PC 30 11 01 50 00 ry Construction Facilities and Controls 1.2.2 and 2.1 33 Plan to control both vehicle and personnel traffic during project PC 15 12 01 57 19 Temporary Environmental Controls 1.3.1.1 and 1.8 40, 44 Solid Waste management Permit PC 30 13 01 57 19 Temporary Environmental Controls 1.3.1.2 and 1.6 40, 42 Environmental Protection Plan PC 30 14 01 57 19 Temporary Environmental Controls 1.3.1.3 40 Stormwater Notice of Intent PC 30 15 01 57 19 Temporary Environmental Controls 1.3.2 and 3.5.3 40 and 46 Solid Waste Management Report PC 30

16 01 57 19 Temporary Environmental Controls 1.3.3.1 and 1.5.3 40, 41 Employee Training Records to show employees have knowledge of temporary envirionmental controls CC 15

17 01 57 19 Temporary Environmental Controls 1.3.3.2 40 Erosion and Sediment Control Inspector Qualifications CC 15 18 01 57 19 Temporary Environmental Controls 1.3.4.1 40 Stormwater Notice of Termination CC 90 19 01 57 19 Temporary Environmental Controls 1.3.4.2 and 3.5 40, 46 Waste Determination Documentation CC 90 20 01 57 19 Temporary Environmental Controls 1.3.4.3 40 Disposal Documentation for Hazardous and Regulated Waste CC 90 21 01 57 19 Temporary Environmental Controls 3.2 44 Stormwater Pollution Prevention Plan CC 30 22 01 74 00 Warranties 1.5.1 49 List of Warranties PD 90 23 01 78 00 Closeout 1.1 50 Manufacturer's Instructions CC 15 24 07 92 00 Joint Sealants 1.2.1.1 and 2.1 52, 53 Sealants (caulking) to be used on project PD 30 25 07 92 00 Joint Sealants 1.2.1.4 and 2.2 52, 54 Backstops to be used on project PD 30 26 09 90 00 Paints and Coatings 1.2.1.1 60 Information of Paint/Urethane Product to be used on project PD 30 27 09 90 00 Paints and Coatings 1.2.1.2 60 Environmental Paint Data (MSDS/SDS) PD 30 28 09 90 00 Paints and Coatings 1.2.2 60 Paint color samples/chips PD 15 29 09 90 00 Paints and Coatings 1.2.3 and 1.3 60, 61 Applicator's Qualifications PC 15 31 09 90 00 Paints and Coatings 1.2.4 60 Manufacturer's Application Instruction PD 15 32 09 90 00 Paints and Coatings 1.2.5 60 Preprinted cleaning and maintenance instructions PD 15 33 09 90 00 Paints and Coatings 3.1.1 66 Toxicity Characteristic Leaching Procedure (TCLP) and Total RCRA test for lead CC 45 34 09 90 00 Paints and Coatings 3.1.3 66 Information of Encapsulant to be used on project PD 15

ABOVE ITEMS ARE PRELIMINARY AND SUBJECT TO CHANGE UNTIL FINAL APPROVAL BY COR

Specification Paragraph

Dates

SUBMITTAL LOG

(DESCRIPTION)

Repaint Exterior Station Juneau

No.

Specification

Section Number Specification Section Title Specification

Page Submittal Description Code

Status

(APP, AAN,

REJ) Comments