Material_Submittal_(AF_Form_66).pdf
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- Repair Base Water Lines and Hydrants
- Solicitation number
- FA4418-19-R-A017
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FA4418-19-R-A022 Material Submittal Form
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SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 1 OF 11 PAGES
Repair Base water main and fire hydrants - AFB
01 14 00 SD-01 Preconstruction Submittals 1.2.1.1List of Contact Personnel
01 30 00 SD-01 Preconstruction Submittals
1.2 GView location map
1.3 GProgress and completion pictures
1.6.1 GResume for Superintendent
01 32 16.00 20 SD-01 Preconstruction Submittals
1.2 GQualifications
1.3 GProject schedule
1.4.1 GInitial Contract Progress Report
(AF IMT 3065)
1.4.2 GInitial Contract Progress
Schedule (AF IMT 3064) SD-07 Certificates
1.3.3 GProject Schedule Updates
1.4.1 GMonthly Contract Progress
Report (AF IMT 3065)
1.4.2 GMonthly Contract Progress
Schedule (AF IMT 3064) 01 33 00 SD-01 Preconstruction Submittals
1.7 GSubmittal Register
01 35 26 SD-01 Preconstruction Submittals
1.6 GAccident Prevention Plan (APP)
1.7 GActivity Hazard Analysis (AHA)
1.6.1 GCrane Critical Lift Plan
1.5.1.2 GCrane Operators
SUBMITTAL REGISTER
CONTRACT NO.
TITLE AND LOCATION CONTRACTOR
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
A C T I V I T Y
N O
T R A N S M I T T A L
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S P E C
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DESCRIPTION
ITEM SUBMITTED
P A R A G R A P H
C L A S S I F I C A T I O N
G O V T
O R
A E
R E V W
R SUBMIT
APPROVAL
NEEDED
BY
MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
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TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
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AUTH REMARKS
(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) (m) (n) (o) (p) (q) (r)
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 2 OF 11 PAGES
01 35 26 SD-06 Test Reports 1.11Notifications and Reports
1.11.2 GAccident Reports
1.11.3Crane Reports
SD-07 Certificates 1.8Confined Space Entry Permit 1.8Hot work permit 1.11.4License Certificates 1.13License Certificates
01 45 00.10 20 SD-01 Preconstruction Submittals
1.6 GQC Plan
01 50 00 SD-01 Preconstruction Submittals
1.3 GConstruction Site Plan
3.4.1 GTraffic Control Plan
SD-06 Test Reports 2.2.5Backflow Preventer Tests
SD-07 Certificates 1.4.1Backflow Tester 1.4Backflow Preventers
01 54 00 SD-03 Product Data
1.5.1 GAFFIRMATIVE PROCUREMENT
REPORTING FORM
1.6 GAFFIRMATIVE PROCUREMENT
REPORTING FORM
01 57 19 SD-01 Preconstruction Submittals
1.7.1 GPreconstruction Survey
SUBMITTAL REGISTER
CONTRACT NO.
TITLE AND LOCATION CONTRACTOR
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
A C T I V I T Y
N O
T R A N S M I T T A L
N O
S P E C
S E C T
DESCRIPTION
ITEM SUBMITTED
P A R A G R A P
A S S I F I C A T I O N
G O V T
O R
A E
R E V W
R SUBMIT
APPROVAL
NEEDED
BY
MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
MAILED
TO
CONTR/
DATE RCD
FRM APPR
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 3 OF 11 PAGES
01 57 19 1.7.6 GRegulatory Notifications
1.5 GEnvironmental Protection Plan
1.6Dirt and Dust Control Plan
SD-06 Test Reports 3.9.2Disposal Requirements 1.7.7Erosion and Sediment Control
Inspection Reports 3.4Erosion and Sediment Control
Inspection Reports 3.4Storm Water Inspection Reports for General Permit
1.7.8 GSolid Waste Disposal Report
SD-07 Certificates
1.7.5 GContractor 40 CFR Employee
Training Records SD-11 Closeout Submittals
3.4.2 GStorm Water Pollution Prevention
Plan compliance notebook
1.7.3Waste Determination Documentation
1.7.4Disposal Documentation for Hazardous and Regulated Waste
1.7.5Contractor 40 CFR Employee Training Records
1.7.8Solid Waste Disposal Report
SUBMITTAL REGISTER
CONTRACT NO.
TITLE AND LOCATION CONTRACTOR
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
A C T I V I T Y
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ITEM SUBMITTED
P A R A G R A P
A S S I F I C A T I O N
G O V T
O R
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NEEDED
BY
MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
MAILED
TO
CONTR/
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FRM APPR
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 4 OF 11 PAGES
01 57 19 3.7.2Hazardous Waste/Debris Management
1.7.6Regulatory Notifications 01 74 19 SD-01 Preconstruction Submittals
1.6 GWaste Management Plan
SD-11 Closeout Submittals
1.7 SRecords
01 78 00 SD-03 Product Data
1.5.1Warranty Management Plan 1.5.4Warranty Tags 1.4Spare Parts Data
SD-08 Manufacturer’s Instructions 3.9Preventative Maintenance 3.9Condition Monitoring (Predictive
Testing) 3.9Inspection 1.5.1Instructions
SD-10 Operation and Maintenance Data
3.7 GOperation and Maintenance
Manuals
SD-11 Closeout Submittals
3.1 GAs-Built Drawings
3.2.1 GRecord Drawings
3.3 GRecord Drawings
SUBMITTAL REGISTER
CONTRACT NO.
TITLE AND LOCATION CONTRACTOR
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
A C T I V I T Y
N O
T R A N S M I T T A L
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DESCRIPTION
ITEM SUBMITTED
P A R A G R A P
A S S I F I C A T I O N
G O V T
O R
A E
R E V W
R SUBMIT
APPROVAL
NEEDED
BY
MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
MAILED
TO
CONTR/
DATE RCD
FRM APPR
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 5 OF 11 PAGES
01 78 00 3.6.1As-Built Record of Equipment and Materials
3.4FINAL APPROVED SHOP
DRAWINGS
3.5CONSTRUCTION CONTRACT
SPECIFICATIONS
3.10 GInterim DD FORM 1354
3.10 GChecklist for DD FORM 1354
02 82 16.00 20 SD-03 Product Data
3.1.4 GLocal Exhaust Equipment
3.1.5 GVacuums
3.1.1.1 GRespirators
3.1.4 GPressure Differential Automatic
Recording Instrument
1.2.2 GAmended Water
1.3.8 GMaterial Safety Data Sheets
(Msds) for all materials
2.1 GEncapsulants
SD-06 Test Reports
1.5.5 GAir Sampling Results
1.5.6 GPressure Differential Recordings
For Local Exhaust System
3.3.3.2 GAsbestos Disposal Quantity
Report
3.2.5.2 GClearance Sampling
SD-07 Certificates
SUBMITTAL REGISTER
CONTRACT NO.
TITLE AND LOCATION CONTRACTOR
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A S S I F I C A T I O N
G O V T
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NEEDED
BY
MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
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FRM APPR
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 6 OF 11 PAGES
02 82 16.00 20 1.3.9 GAsbestos Hazard Abatement Plan
1.3.10 GTesting Laboratory
1.5.1 GPrivate Qualified Person
Documentation
1.5.4 GContractor's License
1.5.2 GCompetent Person
1.5.3 GWorker's License
1.3.11 GLandfill Approval
1.3.3 GEmployee Training
1.3.12 GMedical Certification
1.3.11 GWaste Shipment Records
1.3.6 GRespiratory Protection Program
1.3.11 GDelivery Tickets
3.1.5 GVacuums
3.1.2.3 GWater Filtration Equipment
3.1.5 GVentilation Systems
3.1 GEquipment Used To Contain
Airborne Asbestos Fibers
2.1 GEncapsulants
1.3.4Notifications
SD-11 Closeout Submittals
1.3.4 GNotifications
1.6.1 GRental Equipment
1.3.6.1 GRespirator Program Records
1.3.4 GPermits
31 00 00 SD-01 Preconstruction Submittals
SUBMITTAL REGISTER
CONTRACT NO.
TITLE AND LOCATION CONTRACTOR
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
A C T I V I T Y
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T R A N S M I T T A L
N O
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DESCRIPTION
ITEM SUBMITTED
P A R A G R A P
A S S I F I C A T I O N
G O V T
O R
A E
R E V W
R SUBMIT
APPROVAL
NEEDED
BY
MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
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FRM APPR
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 7 OF 11 PAGES
31 00 00 1.4.1.2 GDewatering Work Plan SD-03 Product Data
3.5 GUtilization of Excavated Materials
SD-06 Test Reports
3.11 GTesting;
2.1 GBorrow Site Testing;
SD-07 Certificates
3.11 GTesting;
31 32 11 SD-02 Shop Drawings
3.2.2 GLayout
3.2.4 GObstructions Below Ground
3.2.2 GErosion Control
2.5.3.1 GSeed Establishment Period;
3.6 GMaintenance Record
SD-03 Product Data
2.2.2 GGeosynthetic Binders
2.1 GRecycled Plastic
2.3.3 GWood Cellulose Fiber
2.3.4 GPaper Fiber
2.3.9 GMulch Control Netting and Filter
Fabric
2.3.10 GHydraulic Mulch
2.4 GGeotextile Fabrics
2.7 GAggregate
1.3 GEquipment
3.1.1 GFinished Grade
SUBMITTAL REGISTER
CONTRACT NO.
TITLE AND LOCATION CONTRACTOR
CONTRACTOR:
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CONTRACTOR
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A S S I F I C A T I O N
G O V T
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NEEDED
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NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
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FRM APPR
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 8 OF 11 PAGES
31 32 11 SD-04 Samples
1.6 GMaterials
SD-06 Test Reports
2.2.2 GGeosynthetic Binders
2.3.10 GHydraulic Mulch
2.4 GGeotextile Fabrics
2.7 GSand
2.7 GGravel
SD-07 Certificates
2.3 GMulch
2.3.10 GHydraulic Mulch
2.4 GGeotextile Fabrics
2.2.2 GGeosynthetic Binders
2.2.1 GSynthetic Soil Binders
1.5.1 GInstaller's Qualification
2.1 GRecycled Plastic
2.5.3 GSeed
2.3.8 GAsphalt Adhesive
2.3.11 GTackifier
2.3.6 GWood By-Products
2.3.3 GWood Cellulose Fiber
SD-10 Operation and Maintenance Data
3.6.2 GMaintenance Instructions
2.7 GAggregate
32 11 23 SD-03 Product Data
SUBMITTAL REGISTER
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TITLE AND LOCATION CONTRACTOR
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NEEDED
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NEEDED
BY
A C T I O N
C O D E
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OF
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DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
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SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 9 OF 11 PAGES
32 11 23 1.6Plant, Equipment, and Tools 1.7Waybills and Delivery Tickets
SD-06 Test Reports 1.4Sampling and Testing 1.4.2.4Field Density Tests
32 12 16 SD-03 Product Data 2.3Mix Design 3.10Contractor Quality Control 3.11Material Acceptance and Percent
Payment SD-04 Samples
2.2Asphalt Cement Binder 2.1Aggregates
SD-06 Test Reports 2.1Aggregates 3.10.3.10QC Monitoring
SD-07 Certificates 2.2Asphalt Cement Binder 3.6Testing Laboratory
32 16 13 SD-03 Product Data 2.1Concrete
SD-06 Test Reports 3.8Field Quality Control
32 92 19 SD-03 Product Data
2.5.3 GWood cellulose fiber mulch
2.4 GFertilizer
SUBMITTAL REGISTER
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ITEM SUBMITTED
P A R A G R A P
A S S I F I C A T I O N
G O V T
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APPROVAL
NEEDED
BY
MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
MAILED
TO
CONTR/
DATE RCD
FRM APPR
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 10 OF 11 PAGES
32 92 19 SD-06 Test Reports
2.2.3 GTopsoil composition tests
SD-07 Certificates
2.1 Gseed
SD-08 Manufacturer’s Instructions
2.7 GErosion Control Materials
33 11 00 SD-03 Product Data
2.2 GPipe, Fittings, Joints and
Couplings
2.3 GValves
2.3.2 GIndicator Posts
2.4.1 GHydrants
2.2.3 GPipe Anchorage
2.5.1 GTapping Sleeves
2.5.7 GFire Department Connections
SD-06 Test Reports 3.2.6Bacteriological Samples
SD-07 Certificates 2.2Pipe, Fittings, Joints and
Couplings 2.2.1.1Lining 2.2.2.1Lining for Fittings 2.3Valves 2.4.1Hydrants 3.2.6Disinfection Procedures
SD-08 Manufacturer’s Instructions
SUBMITTAL REGISTER
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ITEM SUBMITTED
P A R A G R A P
A S S I F I C A T I O N
G O V T
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NEEDED
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MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
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SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 11 OF 11 PAGES
33 11 00 3.2.1Manufacturer's Instructions
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NEEDED
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NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
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DATE RCD
FROM
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REVIEWER
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FROM OTH
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A C T I O N
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