SOMs_-_CZQZ_13-0553_Sanitary_Sewer_I-I_Deficiencies _Ph2.xlsx

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Repair Sanitary Sewer Deficiencies, Phase 2
Solicitation number
FA4855-15-B-0010
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Schedule of Material Submittals

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Sheet1

AF FORM 66 SCHEDULE OF MATERIALS SUBMITTALSPROJECT #PROJECT TITLESOLICITATION/CONTRACT NO.
CZQZ 130553Repair Sanitary Sewer I-I Def, PH2
TO BE COMPLETED BY PROJECT ENGINEERTO BE COMPLETED BY CONTRACT ADMINISTRATOR
NUMBER OF COPIES REQUIRED
LINE NUMBERITEM, DESCRIPTION OF ITEM, CONTRACT REFERENCE, TYPE OF SUBMITTALCERTIF OF COMPLIANCESHOP DRAWINGSSAMPLES / COLOR SELECTTEST RESULTSMANF'R RECOMMENDATIONSMANF'R. WARRANTYLICENSED APPLICATORMANUF'S TECHNICAL DATAINSPECTORS FILES ONLYOTHERREQUIRED SUBMISSION DATEDATE RECEIVED IN CONTRACTINGDATE TO CIVIL ENGINEERINGRETURN SUSPENSE DATEFOLLOW-UPCONTRACTOR NOTIFIED: Approval DateCONTRACTOR NOTIFIED: DisApproval DateCONTRACTOR RE-SUBMITTALFINAL APPROVALREMARKS
101 01 00 1.4 Fire Prevention Briefing Notification3NLT 15 days Prior to preconstruction meeting and As added during project
201 01 00 1.8 Utility Outage Request33NLT 14 days prior to Outage
301 01 00 1.2 AF Form 103 - Work Clearance Request333NLT 7 days prior to start of Work
401 01 00 1.5 As-builts3NLT 2 Weeks Ater Project Completion
501 33 00 1.1 Construction Progress Schedule35 days after NTP
601 35 26 1.3 Activity Hazard Analysis3NLT 15 Days Before Start of Work
701 35 26 1.13 Accident Notification3As Incident Occurs
801 35 26 1.13 Accident Report3As Incident Occurs
901 74 19 1.7 Records of Waste Materials3Upon Comletion of Construction
1002 41 00 2.2 Concrete for Pipe Plugs3NLT 15 Days Before Start of Work
1102 41 00 2.3 Flowable Fill3NLT 15 Days Before Start of Work
1202 41 00 2.4 Sand3NLT 15 Days Before Start of Work
1303 01 32 2.1 Epoxy Resin Binder3NLT 15 Days Before Start of Work
1403 01 32 2.1 Non-pressure Epoxy Grout3NLT 15 Days Before Start of Work
1503 30 00 2.3 Concrete Mix Design3NLT 30 Days Before Start of Work
1603 30 00 2.4 Fly Ash3NLT 15 Days Before Start of Work
1703 30 00 2.5 Reinforcing Steel3NLT 15 Days Before Start of Work
1803 30 00 1.6.4 Test Reports: Fly ash, Pozzolan, GBFS3NLT 15 Days Before Start of Work
1903 30 00 1.6.4 Test Results: Compressive Strength, Air Content, Slump3NLT than 5 Days after Testing
2031 23 00.00 20 1.3 Density Tests3NLT 5 Days After Testing
2131 23 00.00 20 2.1 Fill Material3NLT 15 Days Before Start of Work
2231 23 00.00 20 1.3 Shoring3NLT 15 Days Before Start of Work
2331 23 00.00 20 2.7 Warning and Identification Tape3NLT 15 Days Before Start of Work
2432 12 16 1.4 Aggregates3NLT 15 Days Before Start of Work
2532 12 16 1.4 Asphalt Cement Binder3NLT 15 Days Before Start of Work
2632 12 16 1.4 Contractor Quality Control3NLT 15 Days Before Start of Work
2732 12 16 1.4 Mix Design3NLT 30 Days Before Start of Work
2833 01 99 1.3 CIPP Liner Wet-out Procedures33NLT 15 Days Before Start of Work
2933 01 99 2.2 CIPP Liner/Resin33333NLT 15 Days Before Start of Work
3033 01 99 1.3 Quality Control Testing33NLT 15 Days After Liner Installation
3133 30 00 2.3 External Seal333NLT 15 Days Before Start of Work
3233 30 00 2.1 Pipeline Materials3NLT 15 Days Before Start of Work
3333 30 00 2.2 Portland Cement3NLT 15 Days Before Start of Work
3433 30 00 2.3 Precast Concrete Manhole3NLT 15 Days Before Start of Work
3533 30 00 2.3 Riser Rings33NLT 15 Days Before Start of Work
3633 30 00 1.3 Shop Drawings3NLT 15 Days Before Start of Work
3733 30 00 2.3 Frame and Cover3NLT 15 Days Before Start of Work
38CCTV Video File and Analysis Report33NLT 7 days After CCTV Completion
3901 57 00 Traffic Control Plan3NLT 14 Days Before Road Closure

FA4855-15-B-0010 23 FEB 15

ATTACHMENT 2

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