Atch 3 AF Form 66 (19-CATH) -21NOV19.pdf
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PROJECT NUMBER SOLICITATION/CONTRACT NUMBER
SCHEDULE OF MATERIAL SUBMITTALS
TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NUMBER OF COPIES REQUIRED
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REMARKS
APPROVED DISAPPROVED
1 EAL Documentation Sec 8.2
1 Upon Award
2 AF Form 103- Dig Permit Sec 10 1
14 Days Prior to
Excavation
All Permits (Local, State, and Federal) NPDES, ROW, or Other Sec 5.1
4 Upon Award
4 Material Safety Data Sheets Sec 21.4 4 Upon Award
5 Hazardous Materials Sec 21.4 4 Upon Award
6 Storage Plan (If Required) Sec 6.8 4 Upon Award
7 Project Schedule Sec 6.3 4
15 Days After
Award
8 Anodes Sec 16.4 4 4 4 4
21 Days After
Award
9 Anode Lead Wire Sec 16.5 4 4 4 4
21 Days After
Award
10 Backfill Sec 16.2 4 4 4
21 Days After
Award
11 Anode Centralizers Sec 16.6 4 4 4 4
21 Days After
Award
12 Vent Pipe Sec 16.1 4 4 4 4
21 Days After
Award
13 48V/30A Rectifier Sec 15 4 4 4 4 4 4
21 Days After
Award
14 18V-16A Rectifier Sec 15 4 4 4 4 4
15 #4 Cable 4 4 4 4 21 Days
After Award
16 As-Built Drawings For Each Site Sec 6.14 4 30 Prior to
CO
AF Form 66, OCT 89 PREVIOUS EDITION WILL BE USED See Specifications for Frequency
PROJECT TITLE
Maintain Cathodic Protection at 8 MMIII Sites19-CATH
1155024450C Typewritten Text
FA461320R0004
1155024450C Typewritten Text 21 Days After Award
PROJECT NUMBER SOLICITATION/CONTRACT NUMBER
SCHEDULE OF MATERIAL SUBMITTALS
TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NUMBER OF COPIES REQUIRED
LI
N
E N
U M
B
ER
ITEM OR DESCRIPTION OF ITEM,
CONTRACT REFERENCE, TYPE OF
SUBMITTAL
C
ER
TI
FI
C A
TI
O
N O
F C
O M
PL
IA
N C
E
SH
O
P D
R A
W
IN
G S
SA
M
PL
ES
C O
LO
R
S
EL
EC
TI
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TU
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REMARKS
APPROVED DISAPPROVED
16 Anode Resistance Test Sec 18.1 4 4 5 Days After
Test
17 Anode Current Output Test Sec 18.2 4 4 5 Days After
Test
18 Drilling Logs Sec 17.1 4 4 5 Days After Test
19 Structure/Soil Test Sec 18.3 4 4 5 Days After
Test
Cathodic Protection Performance Survey Sec 18.4
4 4 30 Days Prior DO Close Out
AF Form 66, OCT 89 PREVIOUS EDITION WILL BE USED See Specifications for Frequency
PROJECT TITLE
19-CATH Maintain Cathodic Protection at 8 MMIII Sites
| Sheet 1 |
| Sheet 2 |
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