TSA Cert form.pdf
PDF 89 KB Posted
- Attached to
- Trail Surface Aggregate and 2A Limestone
- Solicitation number
- 6100055565
- Issued by
- Warren County, Harveys Lake Borough, Pennsylvania
About this file
This document is a Trail Surface Aggregate Certification for the Trail Maintenance Program. It outlines the specifications and quality requirements for trail surface aggregate to be used in projects. The aggregate must be derived from natural stone formations and meet specific standards for gradation, abrasion resistance, pH, and plasticity index. The certification form includes details such as the parent stone type, tonnage represented, project location, and test results for L.A. Abrasion, Plasticity Index, and Optimum Moisture. The document also specifies that the aggregate must be delivered at the optimum moisture content and that tarps must be used to cover the loads during transport.
The certification form requires the authorizing agent's signature and a notary public's verification, except for Penn-DOT certified Aggregate Technicians. This document serves to confirm that the aggregate shipped to the job site meets all the Trail Surface Aggregate specifications and quality requirements for the Trail Maintenance Program.
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| 01- Terms and Conditions.pdf | ||
| 03- Project Map.pdf | ||
| Small Business Procurement Initiative_11-2020.pdf | ||
| Reciprocal Limitations Act Form.doc | DOC document | |
| 02- Statement of Work.pdf | ||
| Worker Protection and Investment Form.docx | DOCX document |
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Text version
Trail Surface Aggregate Certification Trail Maintenance Program
10/2013
Gradation for This Lot % Passing pH:______
Date: _____________________________
Sworn and subscribed before me
This day____________________________________ Notary Public
My commission expires: _________________________________
Company: _______________________________________________________________________________
Plant Location: ___________________________________________________________________________
Parent Stone Type: _______________________________________________________________________
Tonnage Represented: ____________________________________________________________________
Project: _________________________________________________________________________________
L.A. Abrasion: _________ Plasticity Index: __________
This record is to certify that the agggregate shipped to the above-referenced job site meets all TSA specifications and quality requirements.
Authoring Agent Signature:
Optimum Moisture %: __________
12-20
% Passing
55-75
#16 35-50
Print Name of Authorizing Agent:
#200
1/2"
3/8"
#4
#8
Note: The authorizing agent or responsible party should sign their name and print their name below their signature. If the signatory is a Penn-DOT certified Aggregate Technician add the certification number on title line and no notary is required.
Specification Range
96-100
Sieve Size
Title of Authorizing Agent:
75-90
Trail Surface Aggregate Specifications Trail Maintenance Program
All Trail Surface Aggregate (TSA) is to be derived from natural stone formations. Stone is defined as rock that has been crushed; rock is defined as consolidated mineral matter. All components of the aggregate mix are to be derived from crushed rock material that meets specifications below for abrasion resistance, pH and freedom from contaminants.
Minus #200 fine composition:
The fines passing the #200 sieve must be rock material. No clay or silt soil may be added. Limestone material passing the #200 sieve may be used to make up a deficit in the distribution of sandstone aggregate rock, and vice versa. All added material passing the #200 sieve must be derived from rock material that conforms to program specifications. Lime kiln dust and cement kiln dust may be added to DSA to account for up to 50% of the fines passing the #200 sieve. The amount of particles passing the #200 sieve shall be determined using the washing procedures specified in PTM No. 100.
Size:
The required amounts and allowed ranges, determined by % weight, for various size particles are shown on page 1 of the certification.
LA Abrasion:
The acceptable limit as measured by weight loss is “less than 40% loss”. Los Angeles Abrasion test, AASHTO T-96 [ASTM C 131] shall be used to determine this property. Existing data obtained from tests made for and approved by PennDOT will be accepted.
pH:
Aggregate must be in the range of pH 6 to pH 12.45 as measured by EPA 9045C.
Optimum Moisture:
Material is to be delivered and placed at optimum moisture content +/- 1% as determined for that particular source. The optimum percentage moisture is to be determined using Proctor Test ASTM D698, Standard.
Plasticity Index:
Material must not exceed Plasticity Index (PI) rating of 6. The laboratory test required for these results is the ASTM D4318 – Standard Test Method for Liquid Limit, Plastic Limit, and Plasticity Index of Soils.
Transportation:
Tarps are to be used to cover 100% of the load’s exposed surface from the time of loading until immediately before dumping. This requirement includes standing time waiting to dump.
Sheet1
File details come from the government source that posted it. Updated .