Exhibit C - Quality Assurance Program (QAP)2024Manual~1.pdf

City of Long Beach QAP April 17, 2024

CITY OF

LONG BEACH

Public Works Department

411 w. Ccean Blvd., 5•· Floor. Long Beach, CA 90802

(562) 570 6383 FAX (562) 570 6012

QUALITY ASSURANCE PROGRAM (QAP)

AGENCY: City of Long Beach

The purpose of this program is to provide assurance that the materials incorporated into the construction projects are in conformance with the contract specifications. This program should be updated every five years or more frequent if there are changes of the testing frequencies, sample types or to the test methods themselves. This OAP of the City of Long Beach is based on Caltrans Local Procedure Manual (LAPM) dated January of 2024.

Chapter 16 of this LAPM has the "Quality Assurance Program (OAP) Manual for Use by Local Agencies" and the City of Long Beach (CoLB) has followed the requirements of the guidelines stated in this manual. This program also meets the requirements of Code of Federal Regulations Chapter 23 CFR 637 that govern Transportation Quality Assurance Program. This OAP will make the distinction between projects on and off the National Highway System (NHS). For projects on the NHS, applicable Federal Highway Administration (FHWA) regulations will also govern.

DEFINITION OF TERMS

Acceptance Testing (AT)- Sampling and testing , or inspection, to determine the degree of compliance with contract requirements. This is quality assurance testing and inspection by the local agency.

Agency - City of Long Beach (CoLB)

Independent Assurance Program (IAP) - Verification that qualified testers and laboratories are correctly performing AT.

Local Assistance Procedures Manual (LAPM) - Caltrans Local Assistance Procedure Manual (LAPM) is updated in January of each year by Caltrans. The latest update was made in January 2024.

National Highway System (NHS)- National Highway System

Qualit Assurance QA - For this document, the definition provided by the Code of Federal Regulations 23 637B) is used. All those planned and systematic actions necessary to provide confidence that a product or service will satisfy given requirements for quality.

Quality Assurance Program (QAP}- A sampling and testing program that will provide assurance that the materials and workmanship incorporated into the construction project are in conformance with the contract specifications. The main elements of a QAP are the AT, and IAP.

Quality Control (QC) - For this document, the definition provided by the Code of Federal Regulations (23 CFR 637B) is used. All contractor/vendor operational techniques and activities that are performed or conducted to fulfill the contract requirements.

Quality Management Plan (QMP) - Per Caltrans directive CPD 08-5, when an agency other than Caltrans advertises, awards, and administers a project that is within the Caltrans right- of way, a QMP must be submitted by the agency for approval by Caltrans prior to issuance of the encroachment permit for that specific project.

Resident/ Project Engineer (RE) - Used in the same context as described within the Caltrans Construction Manual, except, the resident / project engineer works for the Agency, not Caltrans. Resident/Project engineer performs jobsite verification sampling, testing and inspection of the contractor's operations.

Source Inspection - AT of manufactured and prefabricated materials at locations other than the job site, generally at the manufactured location.

Source Inspection Quality Management Plan (SIQMP) - A Quality Management Plan specific to Quality Assurance Source Inspection. Caltrans Directive CPD 08-5 requires the implementing agency to prepare a separate Source Inspection Quality Management Plan (SIQMP). The State Materials Engineer (MR), or authorized delegate (Quality Assurance and Source Inspection Senior Engineer), must approve the SIQMP prior to issuance of the encroachment permit for construction.

Certificate of Compliance (COG) - A Materials Certificate of Compliance is a signed document issued by a supplier or manufacturer of materials, indicating that the supplied materials meet specified requirements, standards, or regulations.

MATERIALS LABORATORY

City of Long Beach (CoLB) will use a private consultant certified materials laboratory to perform acceptance testing (AT) 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 Materials Engineer shall certify the results of all tests performed by laboratory personnel under the Engineer's supervision. The materials laboratory shall contain certified and calibrated test equipment capable of performing the tests conforming to the provisions of this QAP.

The materials laboratory that is issued must possess a current certificate of qualification, and the Agency shall have documentation that the laboratory complies with the following procedures:

1. Correlation Testing Program - The materials laboratory shall be a participant in one or more of the following testing programs:

✓ AASHTO Materials Reference Laboratory (AMRL)

✓ Cement and Concrete Reference Laboratory CCRL)

✓ Caltrans' Reference Samples Program (RSP)

✓ Caltrans Corroboration Program (CSP)

2. Certification of Personnel - The materials laboratory shall employ personnel who are certified by one or more of the following:

✓ Caltrans District Materials Engineer/ Independent Assurance Engineer

✓ Nationally recognized non-Caltrans organizations such as the American Concrete

Institute, Asphalt National Institute of Certification of Engineering Technologies, etc.

✓ Other recognized organizations approved by the State of California and/or recognized by local governments or private associations.

Laboratory and Testing Equipment- The materials laboratory shall only use laboratory and testing equipment that is in good working order. All such equipment shall be calibrated at least once each year. All testing equipment must be calibrated by impartial means using devices of accuracy traceable to the National Institute of Standards and Technology. A decal shall be firmly affixed to each piece of equipment showing the date of the last calibration. All testing equipment calibration decals shall be checked as part of the IAP.

Certification of the laboratory by Caltrans or other relevant national agencies approved by Caltrans will be required; all laboratories providing testing services for projects in the Agency (CoLB) area must possess a current certificate of qualifications.

ACCEPTANCE TESTING /AT)

AT will be performed by a materials laboratory certified to perform the required tests. The tests results will be used to ensure that all materials incorporated into the project, including acceptance of unprocessed and processed aggregate, are following the contract specifications.

Test data and summary logs: Logs of all testing shall be maintained. If failing test results occur, sufficient additional acceptance sampling and testing shall be performed such that the failing tests numbers are linked to the retest numbers showing compliance of the results.

Testing methods will be in accordance with the California Test Methods (CTM) or a national recognized standard (i.e., AASHTO, ASTM, etc.) as specified in the contract

Page4 specifications. The requirements for specific acceptance testing will meet construction contract specifications.

Sample locations and frequencies may be in accordance with the contract specifications.

If not so specified in the contract specifications, samples shall be taken at the locations and frequencies as shown in Attachment #1 (Appendix D, "Acceptance Sampling and Testing Frequencies" of the Construction Manual). Attachment #4 show various test data summary logs that will be maintained. Summary log will have information that will allow to find information details on the testing date, location, technician, type of tests, compliance requirement results, actual results, retesting status on failing tests, and additional notes.

Mix Design Approval and Checking: Mix design submitted by the Contractor will be reviewed and verified for contract compliance. Concrete and HMA Pavement mix designs submitted for work within Caltrans' right-of-way will be forwarded to Caltrans for approval (after complete review and verification by the Agency).

For HMA pavement Job Mix Formula (JMF), forms CEM 3511 (submittal), CEM 3512 (Contractor testing results), and CEM 3513 (JMF Verification testing results) will be used.

HMA Production Startup Evaluation Form (CEM 3703) will be used to input all required data.

CERTIFICATION OF SAMPLING AND TESTING PERSONNEL

All samplers and testers, including project, laboratory, and consultant personnel, must possess a current certificate of proficiency for the tests performed. A copy of the certificate must be in the project files. It is important that samplers as well as testers are certified to ensure the integrity of the sample and that the sample was taken at the right time, from the right location, using the correct method, and is properly labeled.

The Joint Training and Certification Program (JTCP) was established by Caltrans, LPAs, and industry to make the certification process more efficient and to obtain consistent, reliable quality testing. The JTCP offers training and certification in hot mix asphalt, soils and aggregates, and Portland cement concrete.

For CTMs not covered by the JTCP, Caltrans will still provide certification. When test methods not covered by the JTCP or Caltrans are used, certifications must be obtained from other acceptable organizations such as ACI, or the agency/testing consultant may need to hire a second lab to perform IA. The process for qualifying sampling and testing personnel should be detailed in the LPA's Independent Assurance Program of the QAP.

IA sampling and testing is not to be used for determining quality and acceptability of material incorporated into the job. Such tests are used only for the purpose of determining the reliability of testing personnel.

INDEPENDENT ASSURANCE PROGRAM (IAPI

IAP shall be provided by personnel from the Agency's certified materials laboratory, or consultant's certified materials laboratory. IAP will be used to verify that sampling and testing procedures are being performed properly and that all testing equipment is in good condition and properly calibrated.

IAP personnel shall be certified in all required testing procedures, as part of IAP, and shall not be involved in any aspect of AT.

IAP shall be performed on every type of materials test required for the project. Proficiency tests shall be performed on Sieve Analysis, Sand Equivalent, and Cleanness Value tests.

All other types of IAPs shall be witness tests.

Poor correlation between acceptance tester's results and IAP's results may indicate probable deficiencies with the acceptance sampling and testing procedures. In cases of unresolved discrepancies, a complete review of AT shall be performed by IAP personnel, or an independent materials laboratory chosen by the Agency. IAP samples and tests are not to be used for determining compliance with contract requirements.

Compliance with contract requirements is determined only by assurance testing (AT).

REPORTING ACCEPTANCE TESTING RESULTS

The following are time periods for reporting material test results to the Project Engineer:

✓ When aggregate is sampled at material plants, test results for Sieve Analysis (CT202), Sand Equivalent (CT217) and Cleanness Value (CT227) should be submitted to the Project Engineer. At the job site, test results for compaction and maximum density should be submitted to the Project Engineer within 24 hours after sampling.

✓ When soils and aggregates are sampled at the job site:

1. Test results for Sieve Analysis, Sand Equivalent and Cleanness Value should be submitted to the Project Engineer within 72 hours after sampling.

2. Test results for "R" Value and asphalt concrete extraction should be submitted to the Resident Engineer within 96 hours after sampling.

When sampling products such as Portland Cement Concrete (PCC), cement-treated base (CTB), hot mix asphalt (HMA), and other such materials; the time of such sampling shall be varied with respect to the time of the day as far as possible, to avoid a predictable sampling routine. The reporting of AT results, if not performed by the Project Engineer's staff, shall be done on an expedited basis such as by fax or telephone.

Acceptance test results must be submitted to the resident engineer and filed in the proper category of the LAPM referred filing system.

City of Long Beach OAP

TESTING OF MANUFACTURED MATERIALS

To get encroachment permit from Caltrans 9for projects within Caltrans' right-of-way), the Agency (CoLB) will prepare a Source Inspection Quality Management Plan (SIQMP) per the guidelines outlined by the Caltrans "Source Inspection Guideline for Local Agencies (SIGLA) and submit to Caltrans OSM for approval.

The City of Long Beach (CoLB) wi ll submit a "Source Inspection Request" (see Attach~m~ent#2t(c:xrribit 16-W~orthe~LAPMf for inspection ana te sting of manufactured and prefabricated materials by their materials laboratory. A list of materials that can be typically accepted based on certificates of compliance during construction is found in Attachment #3 (Exhibit 16-T1 of LAPM). All certificates of compliance shall conform to the requirements of the contract specifications ; the certificate of compliance will clearly state the product, production date, manufacturer, specifications requirements met, lot number, date of the certificate, representation of quantity, and project EA number; the goal is to assure tracing of product quality and manufacturer.

Caltrans no longer provides source inspection services for projects of local agencies.

Caltrans may provide source inspection for projects on the SHS if terms are detailed in a cooperative agreement or encroachment permit.

For Federal-aid projects on the National Highway System (NHS), Caltrans will assist in certifying the materials laboratory, and the acceptance samplers and testers.

SIQMP IMPLEMENTATION:

For NHS projects, the Agency (CoLB) will submit the SIQMP to the Caltrans Oversight Structural Materials Representative (OSMR) for the project and include a copy to the Caltrans Project Manager or Oversight Engineer for the project. The following link contains the latest OSM contact information.

fhttp://www.dot.ca.gov/hq/esc/Translab/OSM/smdocuments/StructuralMaterialsRepresent atives.pdf)

For non-NHS projects the SIQMP will be submitted to CoLB Project Manager/Agency OSMR.

For NHS projects, the OSMR will review the SIQMP. To expedite the review and approval of the SIQMP, OSM will require the most current Plans and Specifications for the project be submitted along with the cooperative agreement. Once approved in writing, the SIQMP will be the guiding document for management of materials that are fabricated or produced outside of the jobsite.

Caltrans OSM will perform independent quality assurance (IQA) through periodic audits to ensure that the approved acceptance activities outlined in the SIQMP are followed.

OSM will communicate the IQA audit findings through periodic status reports submitted to the Oversight Engineer. These reports are based on an evaluation of the CoLB's adherence to the SIQMP. They will describe and track any SIQMP deviations. Upon completion of the source inspection activities and resolution of all outstanding IQA findings, OSM will provide a written letter stating that the project is following the approved SIQMP.

For Federal-aid projects on the National Highway System (NHS), Caltrans will assist in certifying the materials laboratory, and the acceptance samplers and testers. For Federal- aid projects off the NHS, Caltrans may be able to assist in certifying the materials laboratory, and the acceptance samplers and testers.

MATERIALS CERTIFICATION

Upon completion of a Federal-aid project, the registered engineer shall complete a "Materials Certificate." The Agency (CoLB) shall include a "Materials Certificate" in the Report of Expenditures submitted to the Caltrans District Director, Attention: District Local Assistance Engineer. A copy of the "Materials Certificate" shall also be included in the Agency's construction records. The Project Engineer in charge of the construction function for CoLB shall sign the certificate. All materials incorporated into the work which did not conform to specifications must be explained and justified on the "Materials Certification", including changes by virtue of contract change orders. See Attachment #5 for an example (Exhibit 17-G of the LAPM). A copy of the Materials Certificate will be submitted to Caltrans' DLAE also.

BUY AMERICA REQUIREMENTS:

The FHWA's Buy America policies, per 23CFR 635.410 and Section 70914 of the Build America, Buy America Act, require a domestic manufacturing process for all steel or iron products that are permanently incorporated in a Federal-aid highway construction project. Construction provisions incorporates the FHWA Buy America requirements; it is mandatory to comply with these requirements and have documents accordingly.

Contractors must provide a signed certification statement regarding the manufacture of the iron and steel products to meet Buy America requirements. Each certification should reference the steel heat number or other tracing methods, including statement showing the location of fabrication plant and information about the original mill work. The location of the final step where a product is coated with paint, or galvanized, shall conform to the Buy America provisions.

RECORDS

All material records of samples and tests, material releases and certificates of compliance for the construction project shall be incorporated into the Project Engineer's project file. If a Federal-aid project:

✓ The files shall be organized as described in Section 16.3 "Maintaining Project Records" of the Local Assistance Procedures Manual (LAPM); LAPM follows Caltrans

City of Long Beach OAP

Construction Manual filing category requirements. See Attachment #6 (Section 16.3 "Project Records" of the Local Assistance Procedures Manual , 2021 ).

✓ The complete project file be available at a specific location at the Agency for inspection by Caltrans and Federal Highway Administration (FHWA) personnel.

✓ The project files shall be available for at least three years following the date of final project voucher.

✓ The use of a "Log Summary," as shown in Attachment 16Z2 of the LAPM Manual, facilitates reviews of material sampling and testing by Caltrans and FHWA, and assists the Project Engineer in tracking the frequency of testing.

✓ Project files will be maintained and available for at least three years.

When two or more projects are being furnished identical materials simultaneously from the same plant, it is not necessary to take separate samples or perform separate tests for each project; however, copies of the test reports are to be provided for each of the projects to complete the records.

QAP Attachments:

J"/'-4 l t_~.,__._

Attachment #1 - (Appendix D, "Acceptance Sampling an Caltrans Construction Manual 2020) requencies" per

Attachment #2 - (Exhibit 16-W of the LAPM - Source Inspection Request)

Attachment #3 - (Exhibit 16-T1 of the LAPM - Certificate of Compliance Acceptance)

Attachment #4 - (Exhibit 16-Z2 of LAPM - Acceptance Testing Sample Log)

Attachment #5 - (Exhibit 17-G of LAPM, Jan 2024 - Materials Certificate)

Attachment #6 - (Document Filing Categories per Caltrans Construction Manual as referred in LAPM)

Local Assistance Procedures ~•!nnual Atta.chment #1- City of long Beach QAP • 05/10/2024

Exhibit 16-R Sampling and Testing Frequency Table for projects OFF the SHS

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 Slmplinc and Testlrc Frequ.ncy

Aggregate Gradation (Sieve} CT 202

Sand Equivale nt CT 217 1 Per 1000 Tons or Part Thereof; Minimum 1 per day during

Asphalt Binder Content CT 382 production/placement of at least 300 tons per day.

In-Place Density and Relative Nuclear (b) 1 Per 1000 Tons or Part Thereof; Minimum 1 per day during

Compaction (Nuclear l CT 375 or ASTM D29S0 (c production/placement of at least 300 tons per day. (b)

Theoretic.al Maximum Specific Gravity T309 and DensHy (R ice)

1 Per Day During Productlon/Plac.?ment of At Least 300 Tons Per Day HMA Moistu re Content CT226 or CT 370

~tabilometer Value (d) CT366

Asphalt Binder Samp!e per Section 92 Sample l min. per day for production over 300 tons per day; See

(f) regarding testing.

!Smoothness 12-foot Straightedge As necessary to confirm contract compliance.

(a) Exact tonnage of sample location to be determfned by Random SampllngPlans

(b) Compaction determined by Neclear Density Device. Core testing ri!qulred if compaction fails the neclear test

(c) Correlation between core densities and nuclear device required only if compaction falls the nuclear te!.t

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

(e} Use CT 309 to determine maximum theoretical density in lieu of CT 367 calrulated maximum theoretical density

(f) No testing required unless warranted by concern ; sample and store until completion of project fal11b11 16-R Snmpllng nntl Tu ring Frrqu<-nry

LocatlonfTim• of Se mp line

At Plant Per CT 125 (a)

Loose Mrx Behind Paver Per CT 125

Random Locations Per CT 375 (c

Loow Mix Behind Paver Per CT 125

At Plant Per CT 125

Final Pavement Surface

J:muary lUl K Pai,;; l of J

Local Assistanci: Procedurl!s :OvlanuaJ

Sl!JBGRAElE (DISTURBED BASEMENT SOIL) OR EMBANKMENT Qualrty Characteristic. Test Method Minimum Sampling a nd Testing Frequency

Maximum Density and Relative

Compaction CT 216/CT 231 1 Min. Test per 5000 sq ft under vehicle traveled way and shoulder l Min, Tes t Per 300 lfnear foot under sidewalk

AGGREGATE BASES AND SUBBASES, IMPORTED BORROW

QualityChancterhtk Test Method Minimum Sampling and Testing Frequency

Sle>Je Analysis CT202

R-Value CT301 l Min. Test Per Material Source

Sand Equivalent CT 217

Maitimum Density and Re lative

Compaction CT 216/CT 231 1 Mi n. Test per 5000 sq rt

SlRUCTURE 8-ACKFILL, SELECT BACKFILL Q.uality Characteristic Test Method Minimum Sampling and Testing Frequency

Sieve Analysis CT 202

R-Value CT301 1 Min. Test Per Material Source

Sand Equivalent CT217

Maximum Density and Relative

Compaction CT 216/CT 231 1 Min. Test Per 2 Vertie.al lifts of Placement

E."11b11 16-R Sampling nnd Tt'sfing Frrqutncy

Locnlon/Time of Sampling

Ra ndom locations as determined by the Engineer In place after compaction.

I location/Ttme of Sampling

Sample from site stockpile/plant p rior to placement.

Random locations as determined by the Engine er in place after compactio n.

locltion/Ttm• of S.mplinc

Sample from site stockpile/plant prior to placement

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

J~muary 2018 Pagt 2 or J

Local Assistanc~ Proctdures ).,fonual E.'<l11b1t 16-R SnmpHn~ nnd Tu tin~ Frrqurnr,.·

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

):OARSEAGGREGATE

Qu1Dty Choracteristlc Test Mothod

Sieve Analysis CT 202

Cleanness Value CT 227

FINEAGGREGA'fE Qualty Charad erlstlc: Test Method

Sieve Analysis CT 202

Sand Equivalent CT217

WETMI~

Quilty Chlraderkt k: Test Method

Slump/Penetration CTS33

Cylinders CT 539/540

1 min. test per SOC 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.

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.

Minimum Sampling and Testin, Froquancy

2 per day

1 min. set of 3 per day; If bridge, 1 min. set per separate pour of abutment/pier/deck.

Sample from site stockpile/plant prior to placement

Sample from site stockpile/plant prior to placement

Loc:at lonmme of Samplina

Sample from truck/work site

J :mu:u; · lUlK Pag; J or J

Attachment 12 - City ofLong Beach QAP - 5/10/2024 Local Assistance Procedures Manual EXHIBIT 16-W

Source Inspection Request to TransLab

SAMPLE COVER MEMO

SOURCE INSPECTION REQUEST

FROM LOCAL AGENCY'S RESIDENT ENGINEER TO CAL TRANS' OFFICE OF MATERIALS

ENGINEERJNG AND TESTING SERVICES

(Prepared by Applicant on Applicant Letterhead)

To: Office of Materials Engineering & Testing Date: __________ _ Services, MS #5 California Department of Transportation 5900 Folsom Blvd.

Sacramento, CA 95819

EA: ______________ _

ProjcctNumbcr.'------------- Project Description: _____________________________ _

Subject: ~--------------~

We are requesting that Cal trans provide Source Inspection (reimbursed) services for the above-mentioned project. We requested and received prior authorization for this service from our district Local Assistance Engineer, as noted by the attached approval memo from District Local Assistance Engineer.

Please find the following documents enclosed as required:

I. Completed CEM-3 IO 1

2. One set of PS&E

Any question you might have about the materials, to he inspected, should be directed to: _____________ , at _______ _

(Applicant Representative Name)

(Title)

(Local agency, name & address)

LPP 05--03

Page 16-111

November 23, 2005

Attachment #3 - City of Long Beach OAP - 5110/2024

Local Assistance Procedures Manual Exhibit 16-T1 Materials Reguiring a Certificate of Compliance per Caltrans Standard Specifications

Exhibit 16-T1 : Materials Requiring a Certificate of Compliance per Caltrans Standard Specifications

Caltrans 2018 Standard Material Specifications

6-1.04 BUY AMERICA

6-1.04B Crumb rubber

6-1.04C Steel and iron materials

11-2WELDING QUALITY CONTROL

11-2.03D Welding

12-3 TEMP. TRAFFIC CONTROL DEVICES

12-3.03A(3) Plastic t raffic drums

12-3.20A(3) Type K temporary railing

12-3. 23A(3) Attenuator

12-3.32A(3) Portable CMS

13-2 WATER POLLUTION CONTROL PROGRAM

13-9 TEMP. CONCRETE WASHOUTS

13-9.01C Fabric bags for gravel-f illed bags

Plastic liner

13-10 TEMP. LINEAR SEDIMENT BARRIERS

13-10.01C Fiber rolls

Silt fence fabrics

Sediment filter bags

Foam barriers

Fabric for gravel-filled bags

16-2.03 TEMP. HIGH-VISIBILITY FENCES

16-2.03A(3) High-visibility fabric

18 DUST PALLIATIVES

18-1.01C Dust suppressant

Dust control binders

Fibers

20 LANDSCAPE

20-2 IRRIGATION

20-2.08A(3) Polyethylene pipe

Plastic pipe supply line

• For those materials requiring additional information on or with the COC, see specification.

Additional Info and/or Attachments Required• coc COC + cert. mill test reports coc coc coc coc coc coc coc coc coc coc coc coc coc coc coc coc coc coc

January 2021

Materials Requiring a Certificate of Compliance per Caltrans standard SpecWlcatlons

Caltrans 2018 Standard MaterJal specifications

20-3 PLANTING

20-2.08A(3) Sod

Soil amendment

20-5 LANDSCAPE ELEMENTS

20-5.03A(1)(c) Filter fabric

20-5.03D(1)(c) Solidifying emulsion

20-5.04A(3) Wood mulch

21-2 EROSION CONTROL WORK

21-2.010(1) Straw

Weed-free straw

Fiber

RECP

Fasteners

Hydraulically applied erosion control materials

21-2.010(2) Compost

21-2.010(3) Seed

21-2.010(4) Tackifier

Bonded fiber matrix

24 STABILIZED SOILS

24-1.010(1) Stabilizing agent

24-3 CEMENT STABILIZED SOIL

24-3.01C Cement

36-2 BASE BOND BREAKER

36-2.01C Base bond breaker

37 BITUMINOUS SEALS

37-1.01C Asphalt binder

Asphalt emulsion

37-3 SLURRY SEALS AND MICRO-SURFACINGS

37-3.01A(3) Asphaltic emulsion

Polymer modified asphaltlc emulsion

Micro-surfacing emulsion

37-2.04 ASPHALT RUBBER BINDER CHIP SEALS

37-2.04A(3) Asphalt rubber binder ingredients

* For those materials requiring additional information on or with the COG, see specification.

Additional Info and/or Attachments Required*

COG

COG

COG + product data

COG + product data & samples

COG + sample & authorization

COG

COG + cert. of quarantine

COG

COG

COG

Submit records

Submit reports

Submit reports

COG

COG

COC + sample

COG+ sample

COG

COC + test results

COG + test results

COC + samples & test results

COG + samples & test results

COG + sample & test results

COG+ permits & submittals

Page2of8

Local Assistance Procedures Manual Exhlblt16-T1 Materials Requiring a Certificate of Compliance per Caltrans Standard Specifications

Caltrans 201 B Standard Material Specifications

37-5 PARKING AREA SEALS

37-5.01C Parking area seal material

37-6 CRACK TREATMENTS

37-6.01C Crack treatment materials

39-2 HOT MIX ASPHALT

39-2.01A(3)(ij Liquid antlstrip

39-2.03A(3)(o) Crumb rubber modifier

Asphalt modifier

39-2.05A(1)(o) Asphaltic emulslon

40 CONCRETE PAVEMENT

40-1.01C(2) Tie bars

Spl!ce couplers for threaded bars

Dowel bars

Tie bar baskets

Joint filler

Epoxy-powder coating

41 EXISTING CONCRETE PAVEMENT

41-5 JOINT SEALS

41-5.01C Liquid joint sealant

Backer rods

Compression joint seal

Lubricant adhesives

41-10 DRILL AND BOND BARS

41-10.01C Tie bars

Dowel bars

Dowel bar lubricant

Chemical adhesive

Epoxy pOV\fder coating

48-2 FALSEWORK

48-2.01C(1) Structural composite lumber

49-2 DRIVEN PILING

49-2.02A(3)(d) Steel pipe piles

49-2.03A(3) Structural shape steel piling

* For those materials requiring additional information on or with the COG, see specification.

Addltlonal Info and/or Attachments Required*

COC + sample & test results

GOG or sample & test results

COG+ sample & production data

COG+ test results

COG+ test results

COG + test results

CDC

CDC

coc

COG

CDC

CDC

CDC + SOS & instructions

CDC + SOS & instructions

COG+ SOS & instructions

COG+ SOS & instructions

COG

COG

CDC

COG

CDC

CDC + submittals

COG + tests & mill reports

COC + test reports

Page 3 of8

Materials Requiring a Certificate of Compliance per Caltrans Standard SpecWications

Caltrans 2018 Standard Material Additional Info and/or specifications Attachments Required*

51 CONCRETE STRUCTURES

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

51-2JOINTS

51-2.01A(3) Polyethylene material for snowplow deflectors COG

51-2.02B(1J(c) Sealant COG + test reports & _samples

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

Lubricant-adhesive COG + test reports

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

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

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

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

51-3 BEARINGS

51-3.02A(3)(c) Elastomer for bearing pads COG + test reports

51-4 PRECAST CONCRETE MEMBERS

51-4.01C(1) Concrete box culvert coc

52 REINFORCEMENT

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

52-2 EPOXY-COATED REINFORCEMENT

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

Patching material COG+ a statement

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

52-6 SPLICING

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

54 WATERPROOFING

54-3 PREFORMED MEMBRANE WATERPROOFING

54-3.01C Preformed membrane sheet COG+ report

54-5 DECK SEAL

54-5.01C Preformed membrane sheet COG+ report

57-2 WOOD STRUCTURES

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

Glued laminated timbers/decking coc

57-3 PLASTIC LUMBER STRUCTURES

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

" For those materials requiring additional information on or with the COG, see specification. Page 4of8

Local Assistance Procedures Manual Exhibit 1 S.. T1

Caltrans 2018 Standard Material Additional Info andfor Specifications Attachments Required*

58-2 MASONRY BLOCK

58-2.01C(7) CMUs CDC

Aggregate for grout CDC

Grout CDC

59 STRUCTURAL STEEL COATINGS

59-1.01C Blast cleaning material COC+ SOS

59-5 THERMAL SPRAY COAT STRUCTURAL STEEL

59-5.01C(1) Wire feedstock CDC

60-3.04B POL VESTER CONCRETE OVER LA VS

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

Polyester resins COG + samples & test report

Aggregates COC + samples & test report

61-2 CULVERT AND DRAINAGE PIPE JOINTS

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

Couplers CDC

64 PLASTIC PIPE

64-1.01C Plastic pipe COG+ report

65-2 REINFORCED CONCRETE PIPE

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

66 CORRUGATED MET AL Pl PE

58-1.01C Corrugated steel materials CDC

Corrugated aluminum materials CDC

67-3 METAL LINE PLATE PIPE

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

68 SUBSURFACE DRAINS

68-1.01C Subsurface drain CDC

68-2 UNDERDRAINS

68-2.01C Pipe CDC

Tubing CDC

Fittings CDC

68-7 GEOCOMPOSITE DRAIN SYSTEMS

68-7.01C Geocomposite drain COG+ flow capability graph

* For those materials requiring additional information on or with the COG, see specification. Page5of8

Caltrans 2018 Standard Material speclncatlons

69 OVERSIDE DRAINS

69-1.01C Steel pipe piles

Aluminum

Plastic

70-6 GRATED LINE DRAINS

70-6.01C Grated llne drains

71-3,09 MACHINE SPIRAL WOUND PVC PIPELINERS

71-3.09A(1)(c) Reel of PVC strip

72-16 GABIONS

72-16.01C Gabion basket

PVC coating

75-3 MISCELLANEOUS BRIDGE METAL

75-3.01C(1) Anchorage devices

76-3.010(2) BRIDGE DECK DRAINAGE SYSTEM

75-3.01C(2) Fiberglass pipe and fittings

80-3 CHAIN LINK FENCES

80-3.01C Protective coating system

Posts and braces

81 MISCELLANEOUS TRAFFIC CONTROL DEVICES

81-2 DELINEATORS

81-201C Metal target plates

Enamel coating

81-3 PAVEMENT MARKERS

81-3.01C Pavement markers

82 SIGNS AND MARKERS

82-2 SIGN PANELS

82-2.D1C Aluminum sheeting

Retroreflective sheeting

Screened-process colors

Non reflective, opaque, black film

Protective overlay film

* For those materials requiring additional information on or with the COG, see specification.

Additional Info and/or Attachments Required*

COG

COG

COG

COC + docu. & inspec. report

COC+ report

COG

COC + identify

COG

COG

coc COC + test results

COG

coc

COG

COG

CDC

COG

COG

COG

Page6of8

Materials Requiring a Certificate of Compliance per Caltrans standard Spec~ications

Caltrans 2018 Standard Material specifications

82-5 MARKERS

82-5.01C Metal target plates

Enamel coating

Retroref/ective sheeting

83-3CONCRETE BARRIERS

83-3.01C Type 60K portable concrete barrier

, 84-2 TRAFFIC STRIPES AND PAVEMENT MARKINGS

84-2.01C Thermoplastic

Paint

Glass beads

Thermoplastic primer

DIVISION X ELECTRICAL WORK

00-1.01C(6) Signal heads

Visors

87-2 LIGHTING SYSTEMS

87-2.01C High mast lighting luminaires

90CONCRETE

90-1.01C(3) Cementitious materials

Blended cement

90-1.01C(4) Admixture

90-1.01C(5) Curing compound

90-2 MINOR CONCRETE

00-2.01C Minor concrete

90-3 RAPID STRENGTH CONCRETE

90-3.01C(3) Aggregate

Cementitious materials

Admixtures

90-4 PRECAST CONCRETE

90-4.01C(2) and Cementitious materials

90-4.010(2)(a) Precast members (each)

Curing compound

94 ASPHAL TIC EMULSIONS

94-1.01C Aspha\tic emulsion

* For those materials requiring additional information on or with the COC, see specification.

Additional Info and/or Attachments Required" coc coc coc

COC or test reports

COC + autho., SDS & data sheet

COG+ autho., SOS & data sheet

COC + autho., SOS & data sheet

COG + test results

COC + test data

COG + test data

COG + test data

COG + app. signature

COC + app. signature

COC + authorization

COC + test samples

COC + waighmaster cert

COG + certified weight

COG+ certified weight

COC + certified weight

COG+ app. signature

COC + app. signature

COG + test samples

COG + reports

Page7of8

Local Assistance Procedures Manual

Caltrans 2018 Standard Specifications

9s.1.01c Epoxy

Exhibit 16--T1 Materials Requiring a Certificate of Compliance per Caltrans Standard Specifications

Material Additional Info and/or Attachments Required*

95 EPOXY

CDC

96 GEOSYNTHETICS

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

* For those materials requiring additional information on or with the COC, see specification. Page 8 of8

Attachment #4- City of Long Beach QAP - 5/10/ 2024

Exhibit 16-ZZ Acceptance Testing Results Summary Log

Test Method Name: ______ _

N.mto1Sfmpla Of TH!tf

Test Method Number: ______ _

Produulon r/ -'1:d.,l(l,'..,-0.,J ~:v ~"e'ief':t'~ t,,d""°-.t.._.lt1'"1!,.~ 11 .. ,-,ti

Mt•IUl"""""•"MYNII• ..

Attachment #5 - Clty of Long Beaoh OAP - 51\0/2024

Local Assistance Procedures Manual

Exhibit 17-G: Materials Certificate

MATERIALS CERTIFICATE

Date:

Federal-Aid Project Number:

CITY/COUNTY LETTERHEAD

(Sarn:>le)

Caltrans File Category 61: ---------- Job Stamp:

Subject: Materials Certification

This is to certify that:

Exhibit 17-G Matertals Certificate

The results of the tests on acceptance sarn:>les indicate that the materials incorporated in the construction work and the construction operations controlled by sarn:>ling and testing were in conforrrly with the approved plans and specifications .

Exceptions to the plans and specifications are explained on the back of this memorandum (or on attached sheet).

No exceptions to the plans and specifications were found.

Signature of local agency engineer in responsible charge of project and title

Distribution: (For all projects) 1) Local agency Project Fies (original)

2) DLAE (1 copy in Report of Expenditures) (For projects on the NHS) 3) FHWA (1 copy)

Page1of 1 January 2022

Attachment #6 - City of Long Beach QAP - 5/10/2024

5-102B Indexing

Use a category index, similar to the sample shown at the end of this section, or an index of categories that is supplied with the labels, for each project. Post the index in a prominent location.

When the location of a category is separate from the main file, indicate its location on the index under the appropriate heading.

5-102C Description of Categories

The following discussion describes the documents that should be included in each category and , for some categories, a recommended order of the documents in the categories:

Category 1 Project Personnel

Include all personnel-related records in this category. Suggested subcategories are listed below. On smaller projects, some of the listed subcategories may be combined when the amount of detail shown is not warranted.

• Form CEM-0101, "Resident Engineer's Report of Assignment"

• Attendance Report

• Overtime Records

• Overtime Requests and Authorizations

• Absence Requests

• Personnel Transfer Records

• Personnel Roster

• Travel Expense Claims and Records

• Individual Personnel File (emergency telephone numbers, experience or training records, among other things)

Category 2 Project Office Equipment and Supplies

In this category, file those documents re lating to equipment and supplies. Include records of equipment and supplies that have been received or returned. The subcategories listed below outline the scope of this category.

• Equipment Inventory

• Shipping Records (related shipping and receiving records should be stapled together)

• Receiving Records

• Transfer Requests

• Local Requests

• Automotive Records

Cal~ornia Department of Transportation • Construction Manual . July 2019

Project Records and Reports Page 5-1 .27

Cash Expenditure Vouchers

Purchase Orders

Bills of Lading

Category 3 Equipment and Personnel Cast Reports

In this category, file construction engineering cost reports. Suggested subcategories are:

PRSM (task management) reports

Equipment cost reports

Category 4 Service Contracts

In this category, file documents related to the project office utilities and services. File requests for service with all correspondence relating to project office service contracts in an appropriate subcategory. File the receiving records for bills for utilities and services In a "date received" sequence.

It is recommended that a separate subcategory be used for each company or each service agreement. File purchase orders for supplies in Category 2, "Project Office Equipment and Supplies."

The subcategories that may be included in this category are as follows:

Rent

Electricity

Gas

Telephone

Drinking water

Overnight mail and shipping service

Additional service agreements, as required

Do not confuse this category with Category 16, "Utility Agreements," Category 17, "Utility Work Performed,'' or a subcategory of Category 52, "Charges to Total Contract Allotment." These are part of the project's construction operations.

Category 4 includes only those transactions connected with the resident engineer's office.

Category 5 General Correspondence

In this category, file letters that do not relate to any other category or subcategory in use. File correspondence concerning a subject that directly relates to some other category In that category. For example, file correspondence developed in connection with a change order in the change order category file.

File correspondence in any subcategory in chronological order.

California Department of Transportation. Construction Manual. July 2019 Project Records and Reports

When the volume of correspondence builds up, segregate and divide it into more detailed subject subcategories. When appropriate, transfer correspondence from Category 5 to a more specific category. For example, a property owner may object to certain conditions on the project. After considerable correspondence, the resident engineer writes a change order to solve the problem. At this point, the resident engineer should transfer all of the correspondence related to the change order to the change order category file.

A letter might cover subjects in multiple categories. When the letter relates directly to two subjects, file a copy in each category or cross-reference to the location of the original. Cross-referencing need be only a note describing the letter filed in a different category.

The following are examples of subcategories in Category 5. The number of subcategories will depend on the volume of correspondence. Show all subcategories in the index.

Request for information (RFI) and responses

Request for clarification (RFC) and responses

To district office

From district office

To Project Development

From Project Development

To Maintenance

From Maintenance

To Traffic

From Traffic

To contractor (letters, transmittals, faxes, memos, email)

From contractor (letters, transmittals, faxes, memos, email)

Property owners

Utility companies

Form CEM-0501, "Relief From Maintenance"

Any additional subcategories that may be required depending on the volume of the correspondence

Category 6 Safety FIie project documents relating directly to safety in this category. Suggested subcategories are:

Employee safety

• Form CEM-0601, "Construction Safety Report"

California Department of Transportation • Construction Manual , July 2019

Project Records and Reports Page 5~1.29

Form CEM-0602, "Project Safety Program Statement"

Contract Documents Relating to Safety

Correspondence with the Division of Occupational Safety and Health (Cal/OSHA)

Form CEM-0606, "Construction Safety Checklist"

A copy of the contractor's lnjuIy and Illness Prevention Program

A copy of the contractor's Code of Safe Pracfioes in use for the project

Category 7 Public Re/afons File the various documents covering the subject of public relations in this category.

Category 8 Construction Surveys

Use this category for filing all survey documents that do not directly or solely relate to another category.

File Form DPD-3013, "Request for Construction Staking," in this category. Create subcategories for requests on which staking has been completed and those on which staking has not been completed. Cross-file staking requests that include restaking charges in Category 54, "Deductions from Payment to Contractor."

Category 9 Welding

In this category, file documents relative to welding in accordance with Instructions in Section 180, 'Welding," of the Bridge Construction Records and Procedures manual.

Category 10 Extra Category Number

Use this extra category number for project documents that do not fit in currently established categories. When used, enter the name of the category on the index sheet.

Category 11 lnformafion Furnished at Start of Project

In this category, file documents related to planning, design, contract funding, advertising, and opening bids. Do not file documents in this category that apply solely or directly to other established categories. Create subcategories as necessary because of the volume of documents:

Project Report

Preliminary Report

Project Expenditure Authorization (including Supplemental Allotments)

Detail Estimate of Project Cost

Notice of Award of Contract

Bid Summary Sheets

Federal Detail Estimate

California Department of Transportation • Construction Manual , July 2019 Page 5-1.30 Project Records and Reports

Executed Contract, Special Provisions, and Plans

Notice of Approval of the Contract

Environmental Permits

Encroachment Permits and Cooperative Agreements

Bidder Inquiry Information

Category 12 Contractor

Use this category to file the documents that the contractor is required to submit. Do not use it for general correspondence or documents appropriate to another specific category. The following subcategories suggest the scope of the category:

Contractor's organization, including the designation of the contractor's authorized representative as required by Section 5-1.16, "Representative," of the Standard Speciflcauons

Contractor's equipment list

Contractor's borrow agreements

List of subcontractors and other project documents concerning subcontracting

Shop plans, if not flied under a more appropriate category

Falsework plans

Insurance documents, as required in Section 7-1.05, "Indemnification," and Section 7-1.06, "Insurance," of the Standard Speciflcaffons

Category 13 Signs and Striping

In this category, file all documents related to signing, delineation, and handling public traffic during construction. Suggested subcategories are:

Layout of Construction Signs

Detour Design, Striping, and Signing

Traffic Striping Diagrams

Category 14 Photo Records

File routine photos and their identification in this category. File photos relating to claims in Category 62, "Disputes." It is a good practice to take photos on a monthly basis to document the work during construction. Maintain video recordings and digital photo files in an organized manner. Note the location of these items in this category file.

Suggested subcategories are:

Before Construction

During Construction

After Construction

California Department of Transportation , Construction Manual • July 2019 Project Records and Reports Page 5-1.31

Category 15 Accidents

In this category, file documents related to accidents. Subcategories may include:

Caltrans Employee Accident and Injury Reports

Caltrans Vehicle Accident Reports

California Highway Patrol Accident Reports

Local Police Accident Reports

Records and Investigations of Public Traffic Accidents

Records and Investigations of Contractor Accidents

Category 16 Ufflity Agreements

In this category, file documents that relate to work to be done to utility facilities in connection with the project.

Create subcategories for the various utility companies. Set up second-level subcategories when required by the number of documents. The following are examples of subcategories within this category:

16.1.1 PG&E Co.-Agreements

16.1.2 PG&E Co.-Relocations

16.1.3 PG&E Co.-Encroachment Permit

16.2AT&T Co.

16.3 Southern Pacific RR Co.

Category 17 Ull/ity Work Performed

In this category, file daily reports and other records of utility facility work. Create the same primary subcategories as those used in Category 16.

Create second level subcategories when required by the number of documents and the amount of work. For example, where the work would develop daily reports and receiving records of only one utility relocation, these documents could be kept in one subcategory In chronological order. When the same utility company has more than one relocation, a more detailed breakdown is advisable.

Category 18 Agreements

In this category, file agreements (except utility agreements) with third parties or other state or county agencies. The number and levels of subcategories will depend upon the agreements and the nature and extent of the work involved. A 11st of suggested subcategories follows:

Right-of-Way Agreements-Without Obligations

Right-of-Way Agreement-With Obligations

Forest Service Agreements

California Department of Transportation, Construction Manual, July 2019

Page 5-1.32 Project Records and Reports

Borrow Agreements (between Caltrans and owner)

Disposal Agreements (between Caltrans and owner)

Service Agreements (these are utility service agreements such as for highway lighting)

Disposal Permits

Records of Royalty Payments

Encroachment Permits

File an encroachment permit relating to a utility facility agreement under Category 16, "Utility Agreements." File an encroachment permit relating to a right-of-way agreement in this category.

Where there are several right-of-way agreements requiring some degree of control, such as right-of-way agreements with obligations, maintain a summary to show the status of these agreements. An example of the status summary headings:

The agreement number

The location of wo~, to be performed

A brief description of work to be done and by whom

When the work is completed

The change order number if the required work Is being done by change order

Category 19 Hazardous Waste and Hazardous Materials File any information regarding the discovery and removal of hazardous waste in this category.

To comply with the record retention requirements of the ADL Agreement, the resident engineer must retain AOL-related records as follows:

File all AOL-related correspondence, reports, data, and records in Category 19, "Hazardous Waste and Hazardous Materials" of the project records.

File all AOL-related documents included with the resident engineer pending file in Category 19.

Category 20 Water Po/luff on Control Plan or Stormwater Po/luff on Prevention Plan FIie all correspondence regarding water pollution control plans (WPCP) or stormwater pollution prevention plans (SWPPP) in this category. A 11st of suggested subcategories:

Authorized WPCP or SWPPP

Amendments to WPCP or SWPPP

Notification of Construction

Correspondence

Inspections by Contractor

California Department of Transportation. Construction Manual, July2019 Project Records and Reports Page 5-1.33

Inspections by Caltrans

Notices of Noncompliance

Annual Certification of Compliance

Notice of Completion of Construction

Category 21 Construction or Maintenance Zone Enhanced Enforcement Program File documents relating directly to the Construction Zone Enhanced Enforcement Program (COZEEP) in this category. Suggested subcategories are shown below:

Form CEM-2103, "COZEEP/MAZEEP Cancellation Fonm"

Form CEM-2102, "COZEEP/MAZEEP Task Order'

Form CEM-2101, "COZEEP Daily Report"

Category 22 Traffic Management Information

Use this category to file information related to traffic management. Possible subcategories include:

Contractor lane closure requests

Lane closure requests submitted to the transportation management center

Authorized lane closures

Contractor contingency plans

Traffic count data

Category 23 Temporary Pedestrian Access Routes Use this category…