Driving Surface Aggregate Certification Form.pdf
PDF 234 KB Posted
- Attached to
- DSA Old Shingle Road Forest District 7
- Solicitation number
- 6100047725
- Issued by
- Union County, Harveys Lake Borough, Pennsylvania
About this file
This document is a Driving Surface Aggregate Certification Form for the Dirt and Gravel Road Maintenance Program. The form certifies that the aggregate shipped to a project site meets all specifications and quality requirements set forth by the Pennsylvania Department of Conservation and Natural Resources (DCNR). The key details include the sieve size gradation, LA Abrasion limit, pH range, optimum moisture content, and plasticity index requirements for the driving surface aggregate. The form must be signed by an authorized agent, and if the signatory is a PennDOT-certified Aggregate Technician, no notary is required. The document also outlines the transportation requirements, specifying that tarps must be used to cover 100% of the load's exposed surface from the time of loading until immediately before dumping.
The document provides the driving surface aggregate specifications, including that the material must be derived from natural stone formations, with no clay or silt soil added, and that lime kiln dust and cement kiln dust may be added to account for up to 50% of the fines passing the #200 sieve. The aggregate must meet the specified requirements for size, LA Abrasion, pH, optimum moisture, and plasticity index in order to be approved for use in the Dirt and Gravel Road Maintenance Program.
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| 03- Project Map.pdf | ||
| Small Business Procurement Initiative_11-2018 Attachment.pdf | ||
| 01- Terms and Conditions.pdf |
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Text version
Driving Surface Aggregate Certification Dirt and Gravel Road Maintenance Program
Company:
Plant Location:
Parent Stone Type:
Tonnage Represented:
Project:
This record is to certify that the aggregate shipped to the above-referenced job site meets all DCNR specifications and quality requirements.
Sieve Size Specification Range Gradation for This Lot % Passing % Passing
1.5" 100
0.75" 65-95
#4 30-65
#16 15-30
#200 10-15 pH: L.A. Abrasion: Plasticity Index: Optimum Moisture %:
Authoring Agent Signature: Date:
Print Name of Authorizing Agent:
Title of Authorizing Agent:
Note: The authorizing agent or responsible party should sign their name and print their name below their signature. If the signatory is a Penn-DOT certified Aggregate Technician add the certification number on title line and no notary is required.
Sworn and subscribed before me
This day Notary Public
My commission expires:
1/2019
C4 - DCNR DSA Certification and Spec
C4 - DCNR DSA Certification and Spec
Driving Surface Aggregate Specifications Dirt and Gravel Road Maintenance Program
Note that “Driving Surface Aggregate” is approved by PennDOT for State purchasing in Publication 447 (MS-0450-0004)
All Driving Surface Aggregate (DSA) is to be derived from natural stone formations. Stone is defined as rock that has been crushed; rock is defined as consolidated mineral matter. All components of the aggregate mix are to be derived from crushed rock material that meets program specification for abrasion resistance, pH and freedom from contaminants.
Minus #200 fine composition:
The fines passing the #200 sieve must be rock material. No clay or silt soil may be added. Limestone material passing the #200 sieve may be used to make up a deficit in the distribution of sandstone aggregate rock, and vice versa. All added material passing the #200 sieve must be derived from rock material that conforms to program specifications. Lime kiln dust and cement kiln dust may be added to DSA to account for up to 50% of the fines passing the #200 sieve. The amount of particles passing the #200 sieve shall be determined using the washing procedures specified in PTM No. 100.
Size:
The required amounts and allowed ranges, determined by % weight, for various size particles are shown on page 1 of the certification.
LA Abrasion:
The acceptable limit as measured by weight loss is “less than 40% loss”. Los Angeles Abrasion test, AASHTO T-96 [ASTM C 131] shall be used to determine this property. Existing data obtained from tests made for and approved by PennDOT will be accepted.
pH:
Aggregate must be in the range of pH 6 to pH 12.45 as measured by EPA 9045C.
Optimum Moisture:
Material is to be delivered and placed at optimum moisture content, or up to 2% below that value, as determined for that particular source. The optimum percentage moisture is to be determined using Proctor Test ASTM D698, procedure C, Standard.
Plasticity Index:
Material must not exceed Plasticity Index (PI) rating of 6. The laboratory test required for these results is the ASTM D4318 – Standard Test Method for Liquid Limit, Plastic Limit, and Plasticity Index of Soils.
Transportation:
Tarps are to be used to cover 100% of the load’s exposed surface from the time of loading until immediately before dumping. This requirement includes standing time waiting to dump.
| Driving Surface Aggregate Certification |
| Driving Surface Aggregate Specifications |
| Minus #200 fine composition: |
| Size: |
| LA Abrasion: |
| pH: |
| Optimum Moisture: |
| Plasticity Index: |
| Transportation: |
| Company: |
| Plant Location: |
| Parent Stone Type: |
| Tonnage Represented: |
| Project: |
| pH: |
| LA Abrasion: |
| Plasticity Index: |
| Optimum Moisture: |
| Date: |
| Print Name of Authorizing Agent: |
| Title of Authorizing Agent: |
| passing 1: |
| 5": |
| passing 0: |
| 75": |
| passing #4: |
| passing #16: |
| passing #200: |
| date: |
File details come from the government source that posted it. Updated .