Ann M. Stillman Director

County Government Center 555 County Center, 5th Floor Redwood City, CA 94063 650-363-4100 T 650-361-8220 F www.smcgov.org

COUNTY OF SAN MATEO

QUALITY ASSURANCE PROGRAM

(QAP)

JULY 2025

APPROVED BY:

Ann M. Stillman Date Director of Public Works County of San Mateo

RCE No. C47882, Expires 12/31/2027

This Quality Assurance Program provides quality assurance guidelines for materials used in Federal-aid projects within the County of San Mateo.

This Quality Assurance Program cancels and supersedes the County’s previously submitted Quality Assurance Program (dated July 20, 2020).

2/23/2026

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County of San Mateo

QUALITY ASSURANCE PROGRAM (QAP)

The purpose of this program is to provide assurance that materials incorporated into construction projects are in conformance with the contract specifications. This program should be updated every five years, or more frequently, if there are changes of the testing frequencies or to the tests themselves.

Table of Contents

I. DEFINITION OF TERMS

II. MATERIALS ACCEPTANCE PROGRAM

FIELD SAMPLING AND ACCEPTANCE TESTING:

General:

Acceptance Test Methods:

Acceptance Testing Laboratory:

Sampling and Testing Locations and Frequencies:

Reporting Acceptance Test Results:

Acceptance Testing Summary Logs

MANUFACTURER’S CERTIFICATE OF COMPLIANCE

General

List of Materials Accepted by Certificate of Compliance

SOURCE INSPECTION AND TESTING

ACCEPTANCE OF MINOR QUANTITIES WITHOUT TESTING

(VISUAL INSPECTION):

General:

Approximate quantities of materials that may be accepted by visual inspection:

III. INDEPENDENT ASSURANCE (IA) PROGRAM

GENERAL

LABORATORY QUALIFICATIONS

TESTER CERTIFICATION

EQUIPMENT CERTIFICATION/ CALIBRATION

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IV. CERTIFICATION OF PROJECT MATERIALS

V. PROJECT QAP RECORDS

VI. ATTACHMENTS

Attachment #1: Acceptance Sampling and Testing Frequencies

Attachment #2: Test Results Summary Log

Attachment #3: ..... List of Materials Accepted by Certificate of Compliance (2018 and 2024 Specs)

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I. DEFINITION OF TERMS

• Acceptance Testing (AT) – Testing of project materials to determine compliance with the contract specification criteria.

• Certificate of Compliance – A signed document from the materials manufacturer committing that that the delivered goods meet the contract specifications.

• Independent Assurance Program (IAP) – Activities that are an unbiased and independent evaluation of all the sampling and testing procedures used in the acceptance program.

• Material Acceptance Program – Sampling, testing, inspection, and certification of project materials to determine compliance with the contract specifications.

Materials shall be accepted by one or more of the following methods, as allowed for in this document and the contract specifications: Acceptance testing, Manufacturer’s Certificate of Compliance, Source Inspection, or field inspection.

• Quality Assurance Program (QAP) – A sampling, testing, and inspection program to provide assurance that the materials and workmanship incorporated into the project conform to the contract specifications. The main elements of a QAP are the Materials Acceptance Program and the Independent Assurance Sampling and Testing Program.

• Source Inspection – Sampling, testing and/ or inspection of manufactured or prefabricated structural materials at a location other than the job site, generally at the manufactured location.

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II. MATERIALS ACCEPTANCE PROGRAM

Material incorporated into the work shall be accepted by one or more of the following methods, as specified in the contract specifications and this document:

A. Field Sampling and Acceptance Testing B. Source Inspection and Testing C. Manufacturer’s Certificate of Compliance (with attachments if required) D. Visual Inspection (for minor quantities)

FIELD SAMPLING AND ACCEPTANCE TESTING:

General:

• Acceptance sampling and testing shall be performed by certified materials personnel.

• Acceptance testing will be performed utilizing accredited materials laboratories and properly calibrated equipment.

• Certifications and accreditations shall be specific to the tests being performed.

• A materials testing results log shall be maintained for any test method performed more than once on a project.

• Test results for materials incorporated into the work shall be in compliance with the contract specifications.

• Actions taken regarding material with failing test results will be fully documented, including details documenting remove/replace, rework/ retest, and deduction/ CCO.

• Justification shall be provided for any failing material allowed to remain in place.

Acceptance Test Methods:

The test methods used shall be as specified in the contract documents.

For a material specified to comply with a property shown in the following table, the Agency tests under the corresponding test shown:

Test Property California Test (CT) Relative Compaction CT 216 or 231 Sand Equivalent CT 217 Resistance Value (R-value) CT 301 Grading (sieve analysis) CT 202 Durability Index CT 229 Cleanness Value CT 227

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Acceptance Testing Laboratory:

• The County of San Mateo (County) will use a private consultant materials laboratory to perform Acceptance Testing on Federal-aid and other designated projects.

• The materials laboratory shall be under the responsible management of a California registered Engineer with experience in sampling, inspection and testing of construction materials.

• The Engineer shall certify the results of all tests performed by laboratory personnel under the Engineer’s supervision.

• The laboratory shall be properly qualified.

• The laboratory testing personnel shall be appropriately certified.

• Testing equipment shall be properly calibrated.

• Laboratories shall comply with Section III, Independent Assurance Program, of this document.

Sampling and Testing Locations and Frequencies:

• Sample and testing locations and frequencies shall be in accordance with the contract specifications.

• If not specified in the contract documents, sampling and testing locations and frequencies shall be as shown in Attachment No. 1, “Acceptance Sampling and Testing Frequencies.”

• When sampling products such as Portland Cement Concrete, cement treated base, hot mix asphalt, or similar materials: sampling shall be varied with respect to the time of the day, insofar as possible, in order to avoid a predictable sampling routine.

Reporting Acceptance Test Results:

• The Laboratory shall report test results to the Resident Engineer (RE) as soon as possible by either email or by telephone.

• Copies of complete material test result reports, including data and calculation sheets, shall be provided to the Resident Engineer in accordance with the following timetable.

Timetable for Providing Full Test Results to the Resident Engineer

If the material is sampled … and the test is performed is … submit results to the RE within … at the material plant Sieve Analysis, or

24 hours Sand Equivalent (SE), or Cleanness Value (CV) at the job site

Compaction and/ or maximum density 24 hours

Sieve Analysis, or Sand Equivalent (SE), or Cleanness Value (CV)

72 hours

R value, or 96 hours Asphalt extraction

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Acceptance Testing Summary Logs

• The Resident Engineer shall maintain a testing summary log for each test method performed more than once on the project (CT 217, CT 202, etc.) and for each salient feature (structure backfill, subgrade, etc.).

Attachment 2, “Test Result Summary Log” shall be used.

• These logs shall be used by the Resident Engineer to track the following:

Sampling is performed at the required frequencies Acceptance tests are performed at the required frequencies Tester certifications are current and on file Failing tests (if any) are mitigated and documented.

MANUFACTURER’S CERTIFICATE OF COMPLIANCE

General

• Various manufactured materials may be accepted for incorporation into the work without sampling or testing, based on the following:

Visual examination of material is performed Supplier has furnished similar material with a history of having met specifications Manufacturer certification that materials comply with contract specifications The products, materials, or assemblies do not involve structural integrity or safety to the public

• Where required by the contract specifications, the contractor must submit a certificate of compliance and comply with Buy America certification requirements as applicable.

• Where required by the contract, the contractor must attach test data or other documents to the certificate of compliance.

• The RE may perform sampling and testing on such materials at any time.

• Certificates of compliance must:

Be submitted by the Contractor before the material is incorporated into the work.

Accompany the material to the job site.

Identify the lot (or heat) number for each lot delivered.

Include the contract number.

Include test data and other documents when required.

State that the material complies with the contract specifications; and Be signed by the producer of the material.

List of Materials Accepted by Certificate of Compliance

• The County of San Mateo currently uses 2018, 2024, 2025 and the latest adopted

Caltrans Standard Specifications on all projects.

• In accordance with 2018, 2024, 2025 and the latest adopted Caltrans Standard

Specifications, the materials listed in Attachment #3 may be accepted by Certificate of Compliance.

• This list may be supplemented or amended by the contract Special Provisions

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SOURCE INSPECTION AND TESTING

• Some manufactured or pre-manufactured structural materials will be inspected or tested prior to arrival at the jobsite, generally at the manufacturer’s location (a.k.a. source inspected.)

• Structural items categorized as “catastrophic consequences of failure” or “significant safety concern” may be source inspected. Materials that might be sourced inspected include, but are not limited to, the following items: structural steel, precast pre-stressed concrete girders and pilings, reinforced concrete pipe (RCP) greater than 60”, joint seals, bearing pads, lighting and signal poles, sign structures and electrical items.

• The Resident Engineer may reject source inspected material at the job site if deemed not acceptable, including:

Material damaged in shipment or installation:

Defective material (source inspection is usually a random sampling and 100% of the material may not have been checked.)

• The County of San Mateo will use a private consultant materials laboratory to perform source inspection and testing.

ACCEPTANCE OF MINOR QUANTITIES WITHOUT TESTING

(VISUAL INSPECTION):

General:

• Relatively minor quantities of construction materials may be accepted without testing,

• The following 3 conditions must be met:

1. Visual examination of the material is performed.

2. The manufacturer or supplier has recently furnished similar materials found to be satisfactory using normal sampling and testing requirements.

3. The manufacturer (or supplier in the case of hot mix asphalt or concrete) provides certification and the material furnished complies with the contract specifications.

Approximate quantities of materials that may be accepted by visual inspection:

• Aggregates, other than for use in Portland Cement Concrete--not to exceed:

100 tons per day, nor 500 tons per project

• Bituminous mixtures (for example Hot Mix Asphalt) --not to exceed:

50 tons per day If project total is less than 500 tons, sample at Engineer’s discretion

• Bituminous material (for example Liquid Asphalt) --not to exceed:

100 gallons per project

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III. INDEPENDENT ASSURANCE (IA) PROGRAM

GENERAL

• The IA Program shall verify that:

Sampling and Testing procedures are being performed correctly All Acceptance Testing (AT) performed on the project uses a qualified laboratory and certified testing personnel, All testing equipment is in good working condition and is properly calibrated.

• A complete review of AT shall be performed by IA program personnel, or at an independent materials laboratory selected by the County, when unresolved discrepancies related to poor correlation between acceptance tester’s results and other test results occur.

• The IA program duties, including certification of testers and qualification of lab, shall be executed by:

Local Agency designated IA staff (this person shall not perform any AT) Caltrans (for CT test methods only) Consultant (shall be different from AT Consultant)

• IA shall be performed on every type of materials test required for the project.

• IA samples and tests shall not be used for determining compliance with contract requirements.

LABORATORY QUALIFICATIONS

• The Acceptance Testing (AT) materials laboratory shall participate and comply with one or more of the following Correlation Testing Programs:

a. AASHTO Materials Reference Laboratory (AMRL)

b. Cement and Concrete Reference Laboratory (CCRL)

c. Caltrans’ Reference Samples Program (RSP)

• The Acceptance Testing (AT) qualification shall occur annually.

• A copy of the current laboratory qualification shall be kept in the project records.

TESTER CERTIFICATION

• Sampling and testing personnel shall be certified for a maximum of two years by one or more of the following Personnel Certification Programs:

☒ CT Materials Engineer and/or CT METS IA Representative (for CT tests only) ☒ American Concrete Institute ☐ National Institute of Certification of Engineering Technologies ☐ Other nationally recognized organizations _________________________ ☒ The agencies designated and qualified IA Person ☒ A qualified consultant laboratory

• Proficiency tests shall be performed for testers to be certified on Sieve Analysis, Sand

Equivalent, and Cleanness Value tests; all other types are witness tests.

• A copy of each tester’s current and applicable certifications shall be kept in the project files.

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EQUIPMENT CERTIFICATION/ CALIBRATION

• Laboratory testing equipment shall be:

Capable of performing required tests Be in good working order Be calibrated at least once each year Be calibrated by impartial means using devises of accuracy traceable to the National

Institute of Standards and Technology Have a decal firmly affixed to each piece of equipment showing:

o Equipment Identification Number o Calibration Date o Calibration Expiration/Due o Calibrator Name/Company Name

IV. CERTIFICATION OF PROJECT MATERIALS

• The Resident Engineer shall complete and sign the LAPM Exhibit 17-G, “Materials

Certificate” of the Local Assistance Procedures Manual (LAPM), upon completion of a federal-aid project

• The form shall explain and justify all materials incorporated into the work which did not conform to specifications, including changes by virtue of contract change orders

• The form shall be filed in the project records

• The form shall be included in the Report of Expenditures submitted to the Caltrans District

Local Assistance Engineer.

V. PROJECT QAP RECORDS

• Each project shall have the following quality assurance documents on file, organized, and indexed in the following categories:

Copy of the Quality Assurance Plan Certificates of Proficiency-Testers and Samplers (Exhibit 16-D TL-0111) Certificates of Qualification for Testing Laboratory (TL-0113) Notice of Materials to be Used (Exhibit. 16-I) Acceptance Testing Summary Logs and Tests Results (See Attachment #2 for an example

Log Summary Sheet.)

Certificates of Compliance, including Buy America Certifications Source Inspection Records and Reports Materials Certification (Exhibit 17-G)

• All project records shall be available in a single location for inspection by auditors and reviewers:

At any time during the project For three years following the date of the final project voucher

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VI. ATTACHMENTS

Attachment #1: Acceptance Sampling and Testing Frequencies Attachment #2: Test Results Summary Log Attachment #3: List of Materials Accepted by Certificate of Compliance

Attachment 1: SAMPLING AND TESTING FREQUENCY TABLE

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

Quality/

Characteristic

Typical Test Method

Minimum Sampling and Testing Frequency

Location/ Time of Sampling

Aggregate Gradation (Sieve)

CT 202

1 per 1000 Tons of HMA 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 & Relative Compaction

(Nuclear)

Nuclear (b) 1 per 1000 Tons of HMA 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 & Density

CT 309

1 per day during production/ placement of at least 300 tons of HMA 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

Minimum Sample 1 per day for production over 300 tons of HMA per day; See (f) regarding testing.

At Plant per CT 125

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

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

(b) Compaction determined by Nuclear Density Device. Coring testing required if compaction fails the nuclear 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.

SUBGRADE (DISTURBED BASEMENT SOIL) OR EMBANKMENT

Maximum Density & Relative Compaction CT 216/CT 231

Minimum 1 Test per 5000 sq. ft. under vehicle traveled way and shoulder; Minimum 1 Test per 300 linear foot under sidewalk.

After Compaction, random locations as determined by the Engineer.

AGGREGATE BASES & SUBBASES; IMPORTED BORROW

Sieve Analysis CT 202

Minimum 1 Test per Material Source. Sample from site stockpile/ plant prior to placement. R-Value CT 301

Sand Equivalent CT 217

Maximum Density & Relative Compaction CT 216/CT 231 Minimum 1 Test per 5000 sq. ft. After Compaction, random locations as determined by

STRUCTURE BACKFILL; SELECT BACKFILL

Sieve Analysis CT 202

Minimum 1 Test per Material Source. Sample from site stockpile/ plant prior to placement. R-Value CT 301

Sand Equivalent CT 217

Maximum Density & Relative Compaction CT 216/CT 231 Minimum 1 Test per 2 Vertical Lifts of Placement. After Compaction, random locations as determined by

PORTLAND CEMENT CONCRETE (PCC) – STRUCTURAL & SIGNAL/ LIGHTING FOUNDATIONS

COARSE AGGREGATE

Sieve Analysis CT 202 Minimum 1 Test per 500 cubic yards and per each material source; minimum 1 Test on smaller projects; For Bridge Projects, minimum 1 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 Minimum 1 Test per 500 cubic yards and per each material source; minimum 1 Test on smaller projects; For Bridge Projects, minimum 1 set per separate pour per abutment/ pier/ deck.

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 minimum set of 3 per day; For Bridge Projects, minimum 1 set per separate pour per abutment/ pier/ deck.

CEMENT/FLY ASH

Alkali Content AASHTO T105/M295 Minimum of one 8-lb. sample per job Sample from conveyor belt at concrete plant.

CEMENT TREATED BASES

Moisture Content CT 226 1 per 500 cu yd but at least one per day of placement. Random locations as determined by the Engineer.

Cement Content CT 338 1 per 1000 cu yd but at least one per day of placement. Random locations as determined by the Engineer.

Relative Compaction CT 312/CT 231 1 per 2000 sq yd but at least one per day of placement.

After Compaction, random locations as determined by

UNTREATED AND TREATED SOILS AND AGGREGATES: POLYESTER CONCRETE OVERLAY

Maximum Density & Relative Compaction CT 231/CT 552

Minimum 3 Tests for a test area equal to or less than 1,000 sq yd. For areas larger than 1,000 sq yd, a minimum of 5 tests are required.

After placement, random locations per CT 231, and as determined by the Engineer.

GEOTEXTILE FABRIC (PLACED UNDER AC/HMA)

Grab Breaking Load ASTM D4632/

AASHTO M288

Minimum of one sample, 3 feet x full width of roll, for each lot. Unroll at least 1 circumference before sampling.

SLURRY SEALS

SLURRY SEAL

Abrasion

ISSA TB-100 (1)

/CT 125 for sampling procedure

½ Gallon, clean, plastic jug with screw-on lid, minimum one sample per job. Transport tanker

AGGREGATE FOR SLURRY SEAL

Aggregate Quality/ Los Angeles Rattler Test

CT 211 50 pound sample, once sample per job. Stockpile

Percentage of Crushed Particles CT 205 50 pound sample, once sample per job. Stockpile

Film Stripping CT 302 50 pound sample, once sample per job. Stockpile

(1) ISSA = International Slurry Seal Association. Section 37 of 2018 CalTrans Standard Specifications cites these test methods.

AGGREGATE FOR SLURRY SEAL

(Continued)

Durability Index CT 229 50 pound sample, once sample per job. Stockpile

Sieve Analysis CT 202, CT 105 30 pound sample, once sample per day. Stockpile

Sand Equivalent CT 217 30 pound sample, once sample per day. Stockpile

STEEL

STEEL REBAR

Tensile strength and bend capability.

ASTM A615, A370

AASHTO T244

This item may be accepted using a Certificate of Compliance. When a Certificate of Compliance is not used or when the quality of the product is questionable, sample 2 rebars per job. Samples are to be 30” long, except #14 & # 18 bars which are to be 40” long.

Job Site

Project Name:

Contract Number:

Tester Cert.on File Location (Station, Offset, depth, etc.)

Quantity

Represented

Minimum

Specification Actual Result

Pass or

Fail sample: 5/15/2025 Jones Sta. 1+00, 30' L ≥ 90 % 93% Pass

Test Method Name

& Number:

Remarks

Include any action taken for failing test result, note test number for any retest.

ATTACHMENT 2

TEST RESULT SUMMARY LOG

San Mateo County

Department of Public Works

Name of Tester/

Company Test

Number

Date

Sampled

Production Test Results

California Department of Transportation Construction Manual July 2023

Page 6-2.26 Acceptance of Manufactured or Fabricated Materials and Products

Table 6-2.3. Materials Accepted by Certificate of Compliance (1 of 12)

Material/Product Remarks (Including Requirements for Additional Backup Information Required with Certificate of Compliance)

Alternative earth retaining systems

Must state that the supplied material complies with the index criteria for the system at the time of prequalification.

Asphalt

Certificates of compliance must include the following:

1. Name and location of the supplier.

2. Grade of the asphalt.

3. The date and time of shipment.

4. A unique shipment number, such as a bill of lading number or manifest number.

5. A statement confirming that the transport vehicle was checked before loading and was found acceptable for the asphalt shipped.

6. The following wording: “(Supplier name) hereby certifies that the asphalt product accompanying this certification was produced in accordance with the California Department of Transportation's Certification Program for Suppliers of Asphalt, and that this product complies in all respects with the requirements of the applicable specifications for the asphalt product identified on this document.

I hereby certify by my signature that I have the authority to represent the supplier providing the accompanying asphalt product.”

Asphaltic emulsion

Certificate of compliance must include the following:

1. Shipment number and shipment date.

2. Source refinery, consignee, and destination.

3. Type and description of material with specific gravity and quantity.

4. Contract or purchase order number.

5. Signature by the manufacturer of the material and a statement that the material complies with the contract.

Asbestos cement pipe

Asbestos sheet packing

Asphalt modifier Test results required with each truckload.

Asphalt rubber joint sealant A certified test report of the results for the required tests performed within 12 months before the proposed use.

Backer rods Must include manufacturer’s statement of compatibility with the joint sealant to be used.

Barbed wire

ATTACHMENT 3: List of Materials Accepted by Certificate of Compliance

Acceptance of Manufactured or Fabricated Materials and Products Page 6-2.27

Table 6-2.3. Materials Accepted by Certificate of Compliance (2 of 12)

Material/Product Remarks (Including Requirements for Additional Backup Information Required with Certificate of Compliance)

Blast cleaning material

Bonding agent for repairing spalled surface area

Submittal of certificate of compliance required for contracts of less than 60 working days.

Bonding material

Brick

Cable-type restrainers

Lock nuts

Certificate of compliance must be submitted with a copy of each required test report.

Cast iron pipe

Cast iron maintenance access rings and covers

Chemical adhesive for bonding tie bars and dowel bars in concrete pavement

Chemical adhesive for structures

Certificate of compliance must state compliance with ICBO AC58 (see Note 1) and Caltrans. Augmentation/Revisions to

ICBO AC58.

Concrete

Admixture

Certificate of compliance from the manufacturer must certify that the admixture furnished is the same as that previously authorized for the Authorized Materials List.

Concrete

Cementitious material

Certificate of compliance must include the source name and location.

If the cementitious material is delivered directly to the job site, the certificate of compliance must be signed by the cementitious material supplier.

If the cementitious material is used in ready-mixed concrete, the certificate of compliance must be signed by the concrete manufacturer.

If blended cement is used, the certificate of compliance must include a statement signed by the blended cement supplier that shows the actual percentage of supplementary cementitious material, by weight, in the blend.

Concrete

Curing compound

Certificate of compliance must include:

1. Test results for the tests specified in Section 90-1.01D(6), “Curing Compound,” of the Standard Specifications.

2. Certification that the material was tested within 12 months before use.

Page 6-2.28 Acceptance of Manufactured or Fabricated Materials and Products

Table 6-2.3. Materials Accepted by Certificate of Compliance (3 of 12)

Material/Product Remarks (Including Requirements for Additional Backup Information Required with Certificate of Compliance)

Concrete

Minor concrete

Before placing minor concrete from a source not previously used on the contract, a certificate of compliance stating that the minor concrete to be furnished complies with the contract requirements, including the specified minimum cementitious material content.

Ceramic tile

Chain link fencing and railing Certificate required for protective coating system.

Concrete anchorage devices

Concrete pipe

Circular reinforced direct design method, less than 60 inches in diameter

Certificate of compliance must:

1. Be signed by the manufacturer's quality control representative.

2. State that all materials and work quality comply with the specifications and authorized shop drawings.

Copper pipe

Corrugated metal pipe

Crack sealant

Certificate of compliance must include:

1. Manufacturer's name

2. Production location

3. Product brand or trade name

4. Product designation

5. Batch or lot number

6. Crack treatment material type

7. Contractor or subcontractor name

8. Contract number

9. Lot size

10. Shipment date

11. Manufacturer's signature

Crash cushions

Crumb rubber modifier Test results required with each truckload.

Culvert markers

Delineators

Certificate of compliance required for:

• Metal target plates

• Enamel coating

• Retroreflective sheeting

Acceptance of Manufactured or Fabricated Materials and Products Page 6-2.29

Table 6-2.3. Materials Accepted by Certificate of Compliance (4 of 12)

Material/Product Remarks (Including Requirements for Additional Backup Information Required with Certificate of Compliance)

Dowel bar baskets

Drop inlet grates and frames

Drain tile

Drip irrigation line

Elastomeric bearing pads

Plain

Certified test results for the elastomer.

METS samples and tests bearing pads.

Elastomeric bearing pads

Steel-reinforced

Certified test results.

METS samples and tests bearing pads.

Electrical

Battery backup system

Certificates of compliance are required for:

• External cabinet

• Batteries

Electrical

Conductor

Conduit (galvanized and plastic)

Equipment

Pull boxes (concrete and plastic)

Service cabinets

Epoxy

Epoxy powder coating for dowel bars and tie bars

METS samples and tests epoxy coating.

Erosion control

Certificate of compliance is required for:

• Straw

• Fiber

• Rolled erosion control product

• Fasteners

Page 6-2.30 Acceptance of Manufactured or Fabricated Materials and Products

Table 6-2.3. Materials Accepted by Certificate of Compliance (5 of 12)

Material/Product Remarks (Including Requirements for Additional Backup Information Required with Certificate of Compliance)

Erosion control (continued)

Certificate of compliance with attachments is required for:

• Tackifier

• Bonded fiber matrix

Polymer-stabilized fiber matrix

Certificates of compliance attachments include:

1. Safety data sheet

2. Product label

3. List of applicable, nonvisible pollutant indicators for soil amendment and stabilization products as shown in Table 5-1., "Pollutant Testing Guidance Table" in the Caltrans Construction Site Monitoring Program Guidance Manual

4. Report of acute and chronic toxicity tests on aquatic organisms conforming to Environmental Protection Agency (EPA) methods

5. List of ingredients, including chemical formulation

6. Properties of polyacrylamide in tackifier including: (1) percentage purity by weight, (2) percentage active content, (3) average molecular weight, and (4) charge density

Expansion joint filler

Fiberglass pipe Certificate of compliance must be submitted with laboratory test results.

Filler material for repairing spalled surface areas

Submittal of certificate of compliance required for contracts of less than 60 working days.

Gabions If polyvinyl chloride (PVC) coating is shown, a suitable ultraviolet resistant additive must be blended with the PVC and the additive must be shown on the certificate of compliance.

Geocomposite drain Certificate of compliance must certify that the drain produces the specified flow rate. The certificate must be accompanied by a flow capability graph for the geocomposite drain showing flow rates and the externally applied pressures and hydraulic gradients.

Verification must be by an authorized laboratory for the flow capability graph.

Geosynthetics Test sample representing each lot and minimum average roll value.

Acceptance of Manufactured or Fabricated Materials and Products Page 6-2.31

Table 6-2.3. Materials Accepted by Certificate of Compliance (6 of 12)

Material/Product Remarks (Including Requirements for Additional Backup Information Required with Certificate of Compliance)

Glass beads Certificate of compliance by lot or batch and test data from an independent laboratory.

Glue laminated timbers and decking

Guide markers

Irrigation hose

Irrigation pipe Certificate of compliance required for:

• Polyethylene pipe

Plastic pipe supply line for pipe with wall thickness of the bell less than the specified minimum wall thickness of the pipe

Joint filler material

Joint seals (Type A and

AL)

Certified test report for each batch of sealant.

Joint seal (Type B) Certificate of compliance required for:

• Elastomeric joint seal

• Lubricant-adhesive

Certificate of compliance must be submitted with certified test report for each lot of elastomeric joint seal and lubricant-adhesive.

Test reports must include the seal movement range, the manufacturer's minimum uncompressed width, and test results.

METS samples and tests joint seal.

Joint seal

Alternative joint seal assemblies

For alternative joint seal assemblies, a certificate of compliance must be submitted for each shipment of joint seal materials. The certificate must state that the materials and fabrication involved comply with the specifications and the data submitted in obtaining the authorization for the alternative joint seal assembly.

METS samples and tests joint seal assemblies.

Joint seal

Joint seal assemblies METS samples and tests joint seal assemblies.

Lime Certificate of compliance must include a statement certifying the lime furnished is the same as on the Authorized Materials List.

Page 6-2.32 Acceptance of Manufactured or Fabricated Materials and Products

Table 6-2.3. Materials Accepted by Certificate of Compliance (7 of 12)

Material/Product Remarks (Including Requirements for Additional Backup Information Required with Certificate of Compliance)

Machine spiral wound PVC pipeliners

Certificate of compliance for each reel of PVC strip must include:

1. Name of manufacturer

2. Plant location

3. Date of manufacture and shift

4. Cell classification

5. Unit mass

6. Average pipeliner stiffness and profile type

Markers

Certificate of compliance required for:

• Metal target plates

• Enamel coating

• Retroreflective sheeting

Masonry block

Certificate of compliance required for:

• Concrete masonry units

• Aggregate for grout

• Grout

Micro surfacing emulsion

Mulch

Open steel flooring and grating

Overside drains Certificate of compliance based on steel materials, aluminum materials or plastic materials.

Parking area seal material

Pavement markers

Plastic lumber Certificate of compliance for each shipment of plastic lumber, that must be accompanied by a laboratory test report.

Plastic traffic drums

Plastic pipe for drainage

Certificate of compliance must include average pipe stiffness, resin material cell classification, and date of manufacture.

For corrugated polyethylene pipe, manufacturer’s copy of plant audits and test results from the National Transportation Products Evaluation Program for the current cycle of testing for each pipe diameter furnished.

Acceptance of Manufactured or Fabricated Materials and Products Page 6-2.33

Table 6-2.3. Materials Accepted by Certificate of Compliance (8 of 12)

Material/Product Remarks (Including Requirements for Additional Backup Information

Required with Certificate of Compliance)

Portable changeable message sign

Precast concrete

Cementitious material used in precast concrete products

Certificate of compliance must be signed by the precast concrete product manufacturer.

Precast concrete

Box culverts

Certificate of compliance must be signed by the manufacturer's quality control representative for each shipment.

Precast concrete members Certificate of compliance is for materials incorporated in the work, and for testing and inspections that have been performed.

Precast raised traffic bars

Preformed compression seal for concrete pavement

Preformed membrane sheet Must include type of sheet and the conditioner or primer application rates.

PTFE bearing materials (see

Note 2)

Rapid strength concrete

Certificate of compliance is required for each delivery of aggregate, cementitious material, and admixtures used for calibration tests.

The certificate of compliance must state that the source of the materials used for the calibration tests is the same source as to be used for the planned work.

Reinforcement

You may request that the contractor submits with certificate of compliance:

1. Copy of the certified mill test report for each heat and size of reinforcing steel showing physical and chemical analysis.

2. Two copies of a list of all reinforcement before starting reinforcement placement.

Reinforcement

Epoxy-coated

Certificate of compliance for each shipment of epoxy-coated reinforcement must be submitted with:

1. Certification that the coated reinforcement complies with American

Society for Testing and Materials (ASTM) A 775/A 775M for bar reinforcement or ASTM A 884/A 884M, Class A, Type 1, for wire reinforcement.

2. All certifications specified in ASTM A 775/A 775M for bar reinforcement or ASTM A 884/A 884M for wire reinforcement.

METS samples and tests epoxy coating.

Page 6-2.34 Acceptance of Manufactured or Fabricated Materials and Products

Table 6-2.3. Materials Accepted by Certificate of Compliance (9 of 12)

Material/Product Remarks (Including Requirements for Additional Backup Information Required with Certificate of Compliance)

Reinforcement

Epoxy-coated prefabricated reinforcement

Certificate of compliance for each shipment of epoxy-coated prefabricated reinforcement must be submitted with:

1. Certification that the coated reinforcement complies with ASTM A 934/A 934M for bar reinforcement or ASTM A 884/A 884M Class A, Type 2 for wire reinforcement.

2. All certifications specified in ASTM A 934/A 934M for bar reinforcement or ASTM A 884/A 884M for wire reinforcement.

METS samples and tests epoxy coating.

Reinforcement

Epoxy-coating patching materials

Certificate of compliance for the patching material must include certification that the patching material is compatible with the epoxy powder to be used.

Reinforcement

Headed bar

Certificate of compliance for each shipment of headed bar reinforcement must be submitted with:

1. Mill test reports for the:

a. Bar reinforcement

b. Head material

2. Production test reports

3. Daily production logs METS samples and tests headed bar.

Reinforcement

Splice material

Certificate of compliance for each shipment of splice material must be submitted with:

1. Type or series identification of the splice material, including tracking information for traceability.

2. Grade and size number of reinforcement to be spliced.

3. Statement that the splice material complies with the type of mechanical splice on the Authorized Materials List.

4. For resistance-butt-welded material:

a. Heat number

b. Lot number

c. Mill certificates

METS samples and tests reinforcement splices.

Sheet metal

Acceptance of Manufactured or Fabricated Materials and Products Page 6-2.35

Table 6-2.3. Materials Accepted by Certificate of Compliance (10 of 12)

Material/Product Remarks (Including Requirements for Additional Backup Information Required with Certificate of Compliance)

Sign panels

Certificates of compliance required for:

• Aluminum sheeting

• Retroreflective sheeting

• Screened-process colors

• Nonreflective, opaque, black film

• Protective-overlay film

Silicone joint sealant A certified test report of the results for the required tests performed within 12 months before the proposed use.

Slotted edge drain

Snow poles

Snow plow deflectors polyethylene material

Soil amendment

Steel crib wall

Steel pipe piles

The certificate of compliance must be signed by the plant's quality control representative. The quality control representative must be on record with Structural Materials. Certificate of compliance must include:

1. Statement that all materials incorporated in the work and all required tests and inspections of this work have been performed as described.

2. Certified mill test reports for each heat number of steel used in pipe piles being furnished.

3. Test reports for tensile, chemical, and any specified nondestructive test must be based on test samples taken from the base metal, steel, coil, or from the manufactured or fabricated piles.

4. Calculated carbon equivalent. The carbon equivalent may be shown on the mill test report.

Structural plate culverts

Certificate of compliance required for:

• Structural metal plate pipe

• Arches

• Pipe arches

Metal liner plate pipe

Page 6-2.36 Acceptance of Manufactured or Fabricated Materials and Products

Table 6-2.3. Materials Accepted by Certificate of Compliance (11 of 12)

Material/Product Remarks (Including Requirements for Additional Backup Information Required with Certificate of Compliance)

Structural shape steel piles Certificate of compliance must include a statement that all materials incorporated in the work and all required tests and inspections of this work have been performed as described.

Structural composite lumber used in falsework

Structural steel thermal spray coat

Wire feedstock

Styrofoam filler

Subsurface drain

Temporary concrete washout

Certificate of compliance required for:

• Gravel-filled bag

• Plastic liner

Temporary fence [Type environmentally sensitive area (ESA)]

Certificate of compliance required for:

• High visibility fabric

• Safety caps for metal posts

Temporary linear sediment barrier

Certificate of compliance required for:

• Fiber roll

• Safety cap for metal posts

• Silt fence fabric

• Sediment filter bag

• Foam barrier

• Gravel-filled bag fabric

Temporary railing (Type K)

Thermoplastic traffic stripes and pavement markings

Certificate of compliance by lot of batch and test data report from an independent laboratory.

Obtain a minimum 1-foot length of stripe test sample.

Tie bars METS samples and tests epoxy coating.

Tie bar baskets METS samples and tests epoxy coating.

Timber products (treated and untreated)

Certificate of compliance for timber and lumber must state the species of the material to be shipped and include a certified grading report. If treated, certified treating report.

Threaded tie bar splice couplers

Acceptance of Manufactured or Fabricated Materials and Products Page 6-2.37

Table 6-2.3. Materials Accepted by Certificate of Compliance (12 of 12)

Material/Product Remarks (Including Requirements for Additional Backup Information Required with Certificate of Compliance)

Turf sod

Two-component paint traffic stripes and pavement markings

Certificate of compliance by lot or batch. Obtain a 50-foot test section before application of paint.

Underdrains

Certificate of compliance required for:

• Type of pipe

• Tubing

• Fitting

Waterproofing fabric

Waterstop Certificate of compliance for waterstop material must state compliance with paragraph 6 of Army Corps of Engineers CRD-C 572.

Welded wire fabric

Wire mesh fencing

Wood Structures

Certificate of compliance for timber and lumber stating the species of the material to be shipped and including a certified grading report. If timber is treated, include a certified treating report.

Certificate of compliance for glued laminated timbers and decking.

Notes

Note 1: International Conference of Building Officials Adhesive Anchors in Cracked and Uncracked Masonry Elements (ICBO AC58)

Note 2: polytetrafluoroethylene (PTFE) https://dot.ca.gov/programs/engineering-services/