Repair_Sanitary_Sewer_Outfall_AF_Form_66.pdf
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AF Form 66
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FORM66.xls
SCHEDULE OF MATERIAL SUBMITTALS
SOLICITATION/CONTRACT NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
Written Notification, Utility Outages, para 1.7.3
4 c GA
Written Notification, Sewer Outages, para 1.7.5
4 c GA
Traffic Control Plan, para 1.7.9
4 c GA
DD Form 1354, para 1.10
4 e
As built Drawings, para 1.14
4 e GA
Work Requests, para 1.21 4 Min. 3 days prior c
GA
FFP CIPP System Description, para 2.4
4 b GA
8 Assembly, para 2.5 4 b GA
10 Resin, para 2.5.6 4 b GA
11 Materials, para 2.5.7 4 b GA
Manufacturing Certificate, para 2.5.8
4 b GA
13 Catalyst, para 2.5.9 4 b GA
Sanitary Sewer Manholes Precast, para 2.6
4 b GA
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
CE
RT
IF
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MA
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FA
CT
UR
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'S W
AR
RA
NT
Y
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
PROJECT NUMBER: JCGU 09-1004 & JCGU09-1005
SA
MP
LE
S
PROJECT TITLE: Repair Sanitary Sewer Outfalls
FINAL
APPROVAL
MA
NU
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REQUIRED
SUBMISSION
DATE
SCHEDULE OF MATERIAL SUBMITTALS
SOLICITATION/CONTRACT NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
CE
RT
IF
IC
AT
IO
N
OF
C
OM
PL
IA
NC
E
OP
ER
AT
IN
G
IN
ST
RU
CT
IO
NS
SH
OP
D
RA
W
IN
GS
MA
NU
FA
CT
UR
ER
'S W
AR
RA
NT
Y
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
PROJECT NUMBER: JCGU 09-1004 & JCGU09-1005
SA
MP
LE
S
PROJECT TITLE: Repair Sanitary Sewer Outfalls
FINAL
APPROVAL
MA
NU
FA
CT
UR
ER
'S R
EC
OM
ME
ND
AT
IO
NS
CO
LO
R
SE
LE
CT
IO
N
SE
E
P
AR
A
ON
C
OP
IE
S
OT
HE
RS
A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
15 Preparation, para 3.1
Bypassing Existing Sewage Flows, para 3.1.3
4 d GA
Pre-TV Inspection, para 3.1.4
4 d GA
Installation of CIPP Liner, para 3.2
4 b GA
20 Curing Logs, para 3.6 4 e GA
Field Quality Control, para 3.10
Testing of CIPP, para 3.11
Testing of Installed FFP, para 3.14
4 e GA
Testing of Installed CIPP, para 3.15
4 e GA
Post-TV Inspection, para 3.13
4 e GA
Repair CIPP, para 3.14
Repair of FFP Defects, para 3.15
4 e GA
SCHEDULE OF MATERIAL SUBMITTALS
SOLICITATION/CONTRACT NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
CE
RT
IF
IC
AT
IO
N
OF
C
OM
PL
IA
NC
E
OP
ER
AT
IN
G
IN
ST
RU
CT
IO
NS
SH
OP
D
RA
W
IN
GS
MA
NU
FA
CT
UR
ER
'S W
AR
RA
NT
Y
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
PROJECT NUMBER: JCGU 09-1004 & JCGU09-1005
SA
MP
LE
S
PROJECT TITLE: Repair Sanitary Sewer Outfalls
FINAL
APPROVAL
MA
NU
FA
CT
UR
ER
'S R
EC
OM
ME
ND
AT
IO
NS
CO
LO
R
SE
LE
CT
IO
N
SE
E
P
AR
A
ON
C
OP
IE
S
OT
HE
RS
A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
Closeout Activities, para 3.17
Post Inspection Documentation, para 3.21.1
4 e GA
BCE Work Request, para 4.1.1
4 c GA
Hazardous Waste Manifest, para 5.3
4 c GA
30 Pesticides, para 5.8 4 c GA
Drinking Water, para 5.10
4 c GA
Solid Waste Disposal Report, para 5.12.1
4 c GA
AF Form 66
(a) As soon as possible but no later than 7 calendar days from NTP.
(b) Within 21 calendar days of NTP.
(c ) Prior to Use.
(d) Within 60 calendar days of NTP.
(e ) Final Inspection.
Sheet1
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