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Home My WebLink AboutResolution No. 09-C041L RESOLUTION NO. 09-C41 P. A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF AZUSA, CALIFORNIA, APPROVING THE CITY OF AZUSA QUALITY ASSURANCE PROGRAM, WHICH IS A REQUIREMENT OF THE CALIFORNIA DEPARTMENT OF TRANSPORTATION. WHEREAS, the California Department of Transportation (Caltrans) requires all entities receiving federal funding for projects to have a Quality Assurance Program in place prior to receiving any -federal funds administered by Caltrans; and WHEREAS, staff has prepared a Quality Assurance Program that meets all requirements. NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF AZUSA, CALIFORNIA, DOES HEREBY RESOLVE AS FOLLOWS: SECTION 1. The City approves the Quality Assurance Program. SECTION 2. The City Clerk shall certify the adoption of this resolution. PASSED, APPROVED and ADOPTED this I" day of June, 2009. Jose h R. Rocha, Mayor I HEREBY CERTIFY that the foregoing Resolution No. 09-C41 was duly adopted by the City Council of the City of Azusa at a regular meeting held on the l" day of June, 2009, by the following vote of the Council: AYES: COUNCILMEMBERS: GONZALES, CARRILLO, MACIAS, HANKS, ROCHA NOES: COUNCILMEMBERS: NONE ABSENT: COUNCILMEMBERS: NONE ABSTAIN• COUNCILMEMBERS: NONE Vera Mendoza, City Clerk CITY OF AZUSA ENGINEERING DIVISION 213 E. FOOTHILL BLVD AZUSA, CA 91702 QUALITY ASSURANCE PROGRAM The purpose of this program is to provide assurance that the materials incorporated into the construction projects are in conformance with the contract specifications. This program should be updated every five years or more frequently if there are changes of the testing frequencies or to the tests themselves. To accomplish this purpose, the following terms and definitions will be used: DEFINITION OF TERMS • Acceptance Testing (ATS — Sampling and testing, or inspection, to determine the degree of compliance with contract requirements. • Independent Assurance Pro am (IAP) — Verification that AT is being performed correctly by qualified testers and laboratories. • Quality Assurance Program (OAP) — A sampling and testing program that will provide assurance that the materials and workmanship incorporated into the construction project are in conformance with the contract specifications. The main elements of a QAP are the AT, and IAP. • Source Inspection — AT of manufactured and prefabricated materials at locations other than the job site, generally at the manufactured location. MATERIALS LABORATORY The City of Azusa will use a private materials laboratory to perform AT on Federal -aid and other designated projects. The materials laboratory shall be under the responsible management of a California registered Engineer with experience in sampling, inspection and testing of construction materials. The Engineer shall certify the results of all tests performed by the laboratory personnel under the Engineer's supervision. The materials laboratory shall contain certified test equipment capable of performing the tests conforming to the provisions of this QAP. The materials laboratory used shall provide documentation that the laboratory complies with the following procedures: 1. Correlation Testing Program — The materials laboratory shall be a participant in one or more of the following testing programs: Page 1 of 21 CITY OF AZUSA • • QUALITY ASSURANCE PROGRAM, NNE 1, 2009 a. AASHTO Materials Reference Laboratory (AMRL) b. Cement and Concrete Reference Laboratory (CCRL) c. Caltrans' Reference Samples Program (RSP) Certification of Personnel — The materials laboratory shall employ personnel who are certified by one or more of the following: a. Caltrans District Materials Engineer b. Nationally recognized non -Caltrans organizations such as the American Concrete Institute, Asphalt, National Institute of Certification of Engineering Technologies, etc. c. Other recognized organizations approved by the State of California and/or recognized by local governments or private associations. 3. Laboratory and Testing Equipment — The materials laboratory shall only use laboratory and testing equipment that is in good working order. All such equipment shall be calibrated at least once each year. All testing equipment must be calibrated by impartial means using devices of accuracy traceable to the National Institute of Standards and Technology. A decal shall be firmly affixed to each piece of equipment showing the date of the last calibration. All testing equipment calibration decals shall be checked as part of the IAP. ACCEPTANCE TESTING (AT) AT will be performed by a materials laboratory certified to perform the required tests. The tests results will be used to ensure that all materials incorporated into the project are in compliance with the contract specifications. Testing methods will be in accordance with the CT Methods or a national recognized standard (i.e., AASHTO, ASTM, etc.) as specified in the contract specifications. Sample locations and frequencies may be in accordance with the contract specifications. If not so specified in the contact specifications, sample shall be taken at the locations and frequencies as shown in Attachment #1 (Appendix D, "Acceptance Sampling and Testing Frequencies" of the Caltrans QAP Manual) INDEPENDENT ASSURANCE PROGRAM QAP) IAP shall be provided by personnel from Caltrans or the City of Azusa's private materials laboratory. IAP will be used to verify that sampling and testing procedures are being performed properly and that all testing equipment is in good condition and properly calibrated. IAP personnel shall be certified in all required testing procedures, as part of IAP, and shall not be involved in any aspect of AT. IAP shall be performed on every type of materials test required for the project. Proficiency tests shall be performed on Sieve Analysis, Sand Equivalent and Cleanness Value tests. All other types of IAP shall be witness tests. Page 2 of 21 CITY OF AZUSA '' i r PROGRAM,QUALITY ASSURANCE zus Poor correlation between acceptance tester's results and other test results may indicate probable deficiencies with the acceptance sampling and testing procedures. In cases of unresolved discrepancies, a complete review of AT shall be performed by IAP personnel, or an independent materials laboratory chosen by the Agency. IAP samples and tests are not to be used for determining compliance with contract requirements. Compliance with contract requirements is determined only by AT. REPORTING ACCEPTANCE TESTING RESULTS The following are time periods for reporting material test results to the City Engineer: • When the aggregate is sampled at material plants, test results for Sieve Analysis, Sand Equivalent and Cleanness Value should be submitted to the City Engineer within 24 hours after sampling. • When materials are sampled at the job site, test results for compaction and maximum density should be submitted to the City Engineer within 24 hours after sampling. • When soils and aggregates are sampled at the job site: (1) Test results for Sieve Analysis, Sand Equivalent and Cleanness Value should be submitted to the City Engineer within 72 hours after sampling. (2) Test results for "R" Value and asphalt concrete extraction should be submitted to the City Engineer within 96 hours after sampling. When sampling products such as Portland Cement Concrete (PCC), cement -treated base (CTB), hot mix asphalt (HMA), and other such materials; the time of such sampling shall be varied with respect to the time of the day insofar as possible, in order to avoid a predictable sampling routine. The reporting of AT results, if not performed by the City Engineer's staff, shall be done on an expedited basis such as by e-mail, fax, or telephone. TESTING MANUFACTURED MATERIALS During the Design phase of the project, the Project Engineer may submit a "Source Inspection Request", see Attachment #2 (Exhibit 16-V of the LAPM) to the City, consultant, or Caltrans for inspection and testing of manufactured and prefabricated materials by their materials laboratory. A list of materials that can be typically accepted on the basis of certificates of compliance during construction is found in Attachment #3 (Appendix F of the Caltrans QAP .Manual). All certificates of compliance shall conform to the requirements of the contract specifications, for examples see Attachment #4 (Appendix J of the Caltrans QAP Manual). Should the City request Caltrans to conduct the source inspection, and the request is accepted, all sampling, testing, and acceptance of manufactured and prefabricated materials will be performed by Caltrans' Office of Materials Engineering and Testing Services. Page 3 of 21 CITY OF AZUSA • • QUALITY ASSURANCE PROGRAM, JUNE 1, 2009 For federal -aid projects on the National Highway System (NHS), Caltrans will assist in certifying the materials laboratory, and the acceptance samplers and testers. For Federal -aid projects off the NHS, Caltrans may be able to assist in certifying the materials laboratory, and the acceptance samplers and testers. PROJECT CERTIFICATION Upon completion of a Federal -aid project, a "Materials Certificate" shall be completed by the City Engineer. The City shall include a "Materials Certificate" in the Report of Expenditures submitted to the Caltrans District Director, Attention: District Local Assistance Engineer. A copy of the "Materials Certificate" shall also be included in the City's construction records. The City Engineer shall sign the certificate. All materials incorporated into the work which did not conform to specifications must be explained and justified on the "Materials Certification", including changes by virtue of contract change orders. See Attachment #5 for an example (Appendix K of the Caltrans QAP Manual). RECORDS All material records of samples and tests, material releases and certificates of compliance for the construction project shall be incorporated into the project file. If a Federal -aid project: The files shall be organized as described in Section 16.8 "Project Files" of the Local Assistance Procedures Manual. It is recommended that the complete project file be available at a single location for inspection by Caltrans and Federal Highway Administration (FHWA) personnel. The project files shall be available for at least three years following the date of final project voucher. The use of a "Log Summary", as shown in Attachment 46 (Appendix H of the Caltrans QAP Manual), facilitates reviews of material sampling and testing by Caltrans and FHWA, and assists the City Engineer in tracking the frequency of testing When two or more projects are being furnished identical materials simultaneously from the same plant, it is not necessary to take separate samples or perform separate tests for each project; however, copies of the test reports are to be provided for each of the projects to complete the records. Approved: Carl E. Hassel, P.E., City Engineer Date R.C.E No. 52349, Expires 12/31/10 Page 4 of 21 Appendix D - Acceptance Sampling and Testing Frequencies Note: it may be desirable to sample and store some materials. If warranted, testing can be performed at a later date. Portland Cement(llydrealic Cement) Mattrlah to be Sampled or T"Ied Samplesiu sampangrrestinpa rrnluercy Typical Test Alnhodg Description a Cmmnenu Cementilymb 8 -lb. sample If possible, take a least one sample perjob, esen if AS114 D75, Standard for sampling hydraulic cement or (Sampling only) the material is awxpwd based on a Certificate of 0494 fyasb. (Sampling & Complinnce. CT 125 Tating) AASHrO '1'127, Water Tako otwo-gawtsmnple If the water is cleaa with an record ofchlorida or M85, M293 If testing appears warranted, lust for Ctanent 81b. sample If the pruducs is aaelned hastrl m a Cmd6cnte AS71o1 CI09 1 f testing appears warranted, fabricate six (Testing Only) (with fining) and sealed of Compliance, testing is not required. Ifthe product CI' 515 2-m. mortar cubes using the Portland (or lid. Sampkat the point is wtacwpted using a Certificate ofcanplimw, AASHTO bydmalic venxm).Test for compressive of use. test at least once perjoh TICG strength, Portland Cement Concrete (Ilydraulic Cement Concrete) p\tnwrials to be Sampktl or Tested Sample Sire Snmplingffera", Fregnency 1)pical lest Metlun(c Tkarription or Comments Aggregate for Ilydray. 50 -Ib. sample Take oro aggregate sample foremb 1000 w. yd. of ASTM D75 Sample aggregate from belt or hopper Inc Cement Concrow PCCNCC conerete.'rest m least one saniple per Gr 125 (mtdmr pari) (Sampling & job. AASHTO M6, Tating) T2, M80 Water Tako otwo-gawtsmnple If the water is cleaa with an record ofchlorida or CT 405, Cr If testing appears warranted, lust for (Sampling&'resting) using a clean plastiejug Wears greater than 10/y no testing is required. if 422, chlorides and sulfates. (with fining) and sealed the water is dirty do not use it Test only when the CT 417 lid. Sampkat the point chlorideotsulfatesamsuspeottlwbegremerthen AASWO R23 of use. 1%. r n It ItO M Ij • Appendix D (continued) Pori land Cement Concrete (Ilydroulic Cement Concrete) - Continued Materiatstobe Sample Sire - SamplingfrestingFraluency TypiealTest Description of Comments Sampled or En a cf) U5 _ PTethotis a Tested H n > Air Entraining Take a one -quart sample If the product is accepted based on u ASTM 0233 If testing appears warranted, test for Admixtures using aclean, lined Certificate ofCompiiance, testing is not AASHTO M154, sulfates and chlorides Admixtures with (Sampling & can or plastic bottle, if required. Take one sample per job. Prior T157, 0260 sulfates and chlorides greater than 1% Testing) liquid. If powder, take a to sampling, check with Caltrans (METS) should not be used 2,5 Ib. sample for acceptable brands and dosage rates. Water 1f liquid, taken t -qt. if the product is accepted based on a ASTM C494 If resting appear§ warranted, test for Reducers or Set sample using a clean Certificate of Compliance, no testing is AASHTO M194 sulfates mid chlorides. Admixtures Retarders plastic can. If powder, required. If not, test once perjob. Prior to with sulfates and chlorides greater than (Sampling& takea 2.5 lb. sample. using this product, please check. with I% should not be used. Testing) Caltrans (METS) for acceptable brands amd dosage rates. Freshly -Mixed Approx. I501b. (or I cu. When tests are required, take at least one ASTM 0172, This describes a method to sample Concrete ft.) near mixer discharge. sample for each 500 to 1000 cu. yd. of C685 freshly -mixed concrete. (Sampling) PCCHCC. CT 539 AASHTO T 141, M157 Freshly -Mixed Approx. 150 Ib/ (or I cu. On projects with 500 cu. yd, or more, test AS'1•M C143 This test determines the slump of the Concrete RJ near mixer discharge. at least me sample per job. AASHTO TI 19 freshly -mixed concrete, (Testing Freshly-Mixed Approx. 150 1bi (or I cu. On projects with 500 cu. yd., or more, test ASTM C360 This test determines the ball Concrete fl.) near mixer discharge at least one sample per job. CT 533 penetration of the freshly -mixed (Testing) concrete. Freshly -Mixed Approx. 150 lb/ (or I cu. On projects with 500 cu, yd., or more, test ASTM C231 This test determines the air content Concrete ft.) near mixer discharge at least one sample per job. CT 504 of freshly -mixed concrete (pressure (resting) AASHTOT152 method). Freshly -Mixed Approx, 150 Ib/ (or I cu. On projects with 500 cu. yd., or more, test ASTM 0138 This test determines the unit weight of Concrete ft.) near mixer discharge at least one sample perjob. CT 518 freshly mixed concrete. (Testing) AASHTO T 121 • ,O n a� O y �a En a cf) U5 a H n > O H 0 ti Z (Do a N O • Appendix D (continued) Portland Cement Concrete ('Hydrau lic Cement Concrete) — Continued Materials to be Sampled or Tested Sample Size Sampling/Testing Frequency Typical Test Methods Description or Comments Freshly -Mixed Approx. 150 Ib!(or I en. ft:) Fabricate at least two concrete cylinders ASTM C39 This test is used to fabricate 6'x 12" Concrete near mixerdischarge per project. Test for compressive strength CT S21 Concrete Cylinders. Compr255iv'e (Testing) One 50 -Ib. sample atleast once for each 500 to 1,000 cu. yd. AASHTO T22 strengths are determined, Yvhen (Sampling) ofstructuml concrete. CT 125 needed. Freshly -Mixed Approximately 210 Ib. of One sampleset far every 500 to 1,000 cu. ASTM C78 This test is used to determine the Concrete concrete are needed to yd. of concrete, CT 31 flexural strength of simple concrete (Testing) fabricate three concrete tors of materials. Test at least one AASHTO T97 & beams in third -point loading Fine Aggregates berms. sample per project. T?3 bituminous mixes, cement treated Soils and Aggregates Materials to be Samplesire Sampling/Testing Frequency Typical Test Description fir Comments Sampled or Nlelhotls Tested Aggregate One 50 -Ib. sample Take one sample for every 500 to 1,000 ASTM D75 This test describes the procedures to (Sampling) tons of materials Test at least ane sample CT 125 sample aggregate front the belt or per project, AASHTO T2 hopper(random basis). Take one sample for every 500 to 1,000 This test determines the apparent tors of materials. Test at least one ASTM C128 spei fie gravity of fine aggregates for Fine Aggregates One 50-I1o. sample sample per project. CT 208 bituminous mixes, cement treated ('Testing) AASHTO T84 bases and aggregate bases - Take one sample for every 500 to 1.000 ASTM C128 This test determines the bulk Fine Aggregate One 50-I1t. sample tons of materials. Test at least one CT 207 specific gravity (SSU) and the (Testing) sample per project. AASIiTO T84 absorption of material passing the No. 4 sieve. Take one sample for every 500 to 1,000 This test determines the cleanness of Coarse Aggregate One 50.1b. sample was of materials, Test at least one Cl- 206 coarse aggregate. (''Testing) sample per project. 141 rid 0 C) N 0 0 • 'C tb 0 M N Appendix D (continued) Soils and Aggregates - Continued Ala teriars to be Sample Size Sampling/Testing Frequency Typical Test Description or Comments Sampled or Dlethods Tested Coarse Aggre- One 50 -Ib. sample Take one sample for every 500 to 1,000 ASTM C 127 This test determines the specific gate tons of nmteri.•tls Test at least one sample CT 227 gravity and absorption of coarse (Testing) per project. AASHTO T85 aggregate (material retained on the No. 4 sieve). Soils and One 50-1b. sample *take one sample for every 500 to 1,000 ASTM C136 This test determines the gradation of Aggregates tons of materials. Test at least one sample CT 202 soils and aggregates by sieve analysis. (resting) per project. AASHTO T27 Soils and One 50 -Ib, sample Take one sample for every 500 to 1,000 ASTMD2419 This test determines the Sand Equiva• Aggregates _ tons of materials Test at least one sample cr 217 lent of soils and aggro ates. (Tesl'inr) per project, AASHTO T176 Soils and One 50 -Ib. sanple Take one sample for every 500 to 1,000 ASTMC117 This test determines the gradation for Aggregates tons of mMedals, Test at least one sample AASWID T I 1 materials finer that the No. 200 sieve Testing per project, (bv washing, method). Soils and One 50 -Ib. sample Take one sample for every 500 to 1,000 ASTM D3744 Aggregates tons of materials 'rest at least one sample CT 229 This test determines the Durability (Testing) per vroiect. AASHTOT210 (idem ofsoilsand a>eregac& Soils and One 50 -Ib. sample Take one sample for every 500 to 1,000 ASTM D2844 This test determines the Resistance Aggregates tons of materials Test at least one sample CT 301 Value (R.) and expansion pressure of (Testing) per project. AASHTOT t90 compacted materials. Soilsand One random location for Take one sample for every 500 to 1,000 ASTM D2922 This test detennines field densities Aggregates every 2500 sq. ft tons oftuatenals. Test at least one sample CT 23 t using the (Testing) per proiect. AASHTOT238 nuclear gage, Soilsand One random location for Take one sample for every 500 to 1,000 ASTM D30[7 This test determines the svatercontent Aggregates every 2,500 sq. 1t. tors of materials Test at least one sample CT 231 wing the nuclear gage. (resting) per pro mt. AASHTOT239 LIM 'Ti 0 • b OCD N 0 M Appendix D (continued) Asphalt Binder M terials to be Sample$Ice Samplingffesting Frequcncy Typical Test Description or Comments Sampled or Tested • Methods C7 Asphalt Binder One 0.5 -gal. sample pined Sample once perjob at the asphalt CT 125 This procedure describes the )roper method (Sampling) in a clean, sealed can. concrete plant. ASTMD979 to samplethe asphalt binder. AASHTO T 168, F- n o T48 Asphalt 13 under One 0.5 -gal, sample placed Sample once perjob at the asphalt ASTM D92, D117 This test determines the flash point of the (Testing) in a clean, sealed can. concrete plant. AASI{TO'l' 48 asphalt binder (by Cleveland open cep). Asphalt Binder One 0.5 -gal. sample placed Obtain one sample at the asphalt ASTM D2872 & This test determines the tolling (Testing) in a clean, scaled can. concrete plant for each 1,000 totes D92 thin-film oven test (R MID), ofasphalt concrete placed. CT 346 AAS14TOT240 &T48 Asphalt Binder One 0.5 -gal. sample placed Obtain one sample at the asphalt . ASTM D2042 This test determines the solubility of (Testing) in a clean, sealed can. concrete plant for each 1,000 tons AASHTO T'44 asphalt material in trichloroethylene. ofasphalt Concrete placed. Asphalt Binder One 0.5 -gal, sample placed Obtain one sample at the asphalt ASTM D2171 This test determines the dvnamic (testing) in a clean, sealed can. concrete plant for each 1,000 tons AASIITOT202 viscosity, (absolute viscosity of of asphalt concrete placed. asphalt @q 140 degrees F by the Vacuum Ca illary Viscometer Poisw� . Asphalt Binder One0.5-gal. sample placed Obtain one sample at the asphalt ASTM DS This test determines the penetration ofbiru- ('Testing) in a clean, sealed can concrete plant for each 1,000 tons AASIIT'O T49 minousmaterial ii 77 degrees F and per - of asphalt concrete placed centageof original penetration from the residue. Asphalt Birder One 0.5 -gal, sample pl wed Obtain one sample at the asphalt ASTM DI 13 This test determines the ductility of (Testing) in a clean, scaled can. concrete plant for each 1,000 tons AASHTO T51 asphalt 077 degrees F. of asphalt concrete placed Asphalt Binder One 0.5 -gal. sample placed Obtain one sample at the asphalt ASTM D2110 This test determines the kinematic (Testing) in a clean, scaled can. concrete plant for each 1.000 tons AASI-ITOT?Ah viscosity of asphalt @275 degrees F of asphalt concrete placed (Cemistoke). Lr • �N(,� • C7 �y3 � F- n o b• � N o o � a `O • Appendix D (continued) Asphalt Binder - Continued Materials to be Sampled or Tested Sample Size Samplingfresting Frequency Tppicat'rest Methods Description or Comments Asphalt Binder One 0.5 -gal. sample placed in Obtain one sample at the asphalt ASTM D2171 This test determines the dynamic (Testing) a clean, sealed can, concrete plant for each 1,000 AASHTOT202 viscosity. (absolute viscosity of (Sampling) a clean, sealed can. tons of asphalt concrete placed. D979 asphalt Q 140 degrees F bre the of asphalt concrete placed. CT 125 Vacutun Cap flarvViscometerPoises). One, 0.5 -gal. sample placed in Obtain one sample at the asphalt ASTM D36 This test determines the softening point of Asphalt Binder a clean, scaled can. concrete plant for each 1,000 AASH'TOT53 asphalt. (resting) One 0.5 -gal. sample placed in. tons of asphalt concrete placed ASTM D244 This test determinesthe sieve Asphalt Emulsified 'Materials to be SamtpleSize SamplinglTesting'Frequency Typical Test Description or Comments Sampled or Tested Methods Emulsified Asphalt One 0.5 -gal, sample placed in Obtain one sample at the asphalt ASTM DI 40, This test describes the procedure to (Sampling) a clean, sealed can. concrete plant for each 1,000 tons D979 sample the emulsified asphalt. of asphalt concrete placed. CT 125 AASHTO T 40, TI68 Emulsified Asphalt One 0.5 -gal. sample placed in. Obminone sample at the asphalt ASTM D244 This test determinesthe sieve (Testing) a clean, sealed can. concrete plant for each 1,000 tons AASHTO T59 retention of emulsified asphalt, of asphalt concrete laced. Emulsified Asphalt One0.5-gal. sample place) in obtain one sample at the asphalt ASTM D244 This rest determines the weight per gallon (Testing) a clean, scaled can. concrete plant for each 1.000 tons AASHTO T59 of emulsified asphalt. of as hal[mrterHe laced. Emulsified Asphalt One 0.5 -gal. sample placed in Obtain one sample at the asphalt ASTM D244 This test determines the penetration of the (Testing) a clean, sealed can. concrete plant for each 1,000 tons AASHTO T59 emulsified asphalt, of as hatconcrete placed. Emulsified Asphalt One 0.5 -gal, sample placed in Obtain one sample at the asphalt ASTM D244 This test determines the residue @ 325 (Testing) a clean, sealed can. concrete plant for each 1,000 tons CT 3.30 degrees F evaporation of of AASFITO T59 emulsified asphalt asphalt concrete placed Y f`✓�Q 5� . • Appendix D (continued) Asphalt Emulsified - Continued Materials to be Sampled or Tested Sample Size Samplingfresting-Frequency Typical Test Methods Description or Comments [emulsified Asphalt One 0.5 -gal. sample placed Obtain one sample at the asphalt ASTM D4402 This test determines the Brookfield (Testing) in a clean, sealed can. concrete plant for each 1,000 tons AASHTO T201 viscosity, Asphalt Concrete day of production of asphalt concrete placed. D979 sample the asphalt concrete. Emulsi tied Asphalt One 0.5 -gal. sample placed Obtain one sample at the asphalt ASTM D88 This test determines the Saybolt- (Testing) in a clean, seated can. concrete plant for each 1,000 tons AASHTO T72 Final viscosity of emulsi tied asphalt of asphalt concrete placed. ASTM D1198, (a: 77 degrees F (seconds). not Mix Aspba It (Asphalt Concrete)— Concrete Materia Is to be SampleS'rre Sampling/Ttsting Frequency Typical Test Description or Comments Sampled or Tested Methods Obtain one 30-16 sample each Obtain one sample at the asphalt ASTM D75, DI40, This test describes the procedure to Asphalt Concrete day of production concrete plant for each 5,000 tons D979 sample the asphalt concrete. (Sampling) of asphalt concrete placed. CT 125 AASHTO T 40, T168 'fake one 4"x8" core for every 500 ASTM D1198, Asphalt Concrete 4" x 8" cores ft of paved roadway. D1560, D1561, This test determines the field density ('Testing) D5361 of street samples. CT 304 AASHTO T246 T247 ASTM Of 188, This test determines the laboratory Asphalt Concrete Obtain one 30.16. sample far Obtain one sample for every five 131560, D1561, density and relative compaction of (Testing) each day of production cores taken, D5361 asphalt concrete, C"1304 AASHTO T246, 7247 This test determines the specific Asphalt Concrete 4" x 8" cores Obtain one sample for every five ASTM D2726, gravity of compacted bituminous (Testing) cores taken. DI188,D5361 mixture dense- graded or non-absorptive. Lbr i N O 0 • Appendix D (continued) not Mix Asphalt (Asphalt Concrete)—Continued Materials to be Samplesize Sampling[Festhtg Frequency' Typical Test Description or Comments Sampled or Methods Tested 'v > Asphalt Concrete One 30-lbsample Obtain one sample for cvery 1,000 ASTM D1.559 This test determines the resistance to (Testing) - tons of asphalt concrete. AASH'rO T245 plastic now of prepared mixes as 0 O ' determined by the Marshall Method. Asphalt Concrete One 30lbsample Obtain one sample for every 1,000 ASTM Cl 17, Ibis test determines the set= analysis of (Testing) tons of asphalt concrete. D2172 (use nDycgates recovered from asphalt Method B) materials. AASFITO T164 Gcotextile Fabric One 12 It. x 319. sample Obtain one sample perjob. AS'IM D4632 This test determines the weight per sq. yd. (placed Under AASHTO M288 and grabs strength of the Asphalt Con- geotextile fabrics, trete) (Testing) Asphalt Concrete Sample any test location Obtain one sample for every 1,000 ASTM D2950 This test determines the nuclear field (Testing) (random basis) tons of asphalt concrete. Cf 3?5 density of in-placeasphalt concrete. Asphalt Concrete One10.16sample Obtain one sampleduring every day ASTM D1560, This test determines the stability valueof ("resting) of production. D1561 asphalt concrete. CT 366 AASHTO T246, T247 Slurry Seals One 0.5 gal. sample i n a clean, Obtain one sample per truck. ASTMD979 This tea describes the procedure for (Sample) dry plastic container, CT 125 sampling the slurry seal. AASHTO T 40, T168 Aggregate for One 301b. sample, Obtain at least one sample per ASTM D2419 This lestdetermines the Sand Slurry Seals project from the belt or hopper or CT 217 Equivalent oraggregaies. (Testing) stockpile and test for Sand AAS14TO TI 70 Equivalent p n O n �J a 'v > O x 0 O ' o 0 0 a. I 0 n �J Appendix D (continued) Scurry Scats Material%tolye Sampled or Tesfed Sample Sim Sampling/TestingFrequency Typical Test Methods lkscriptionorComments Aggregate for Slurry One 30 -lb. sample. Obtain at least one sample per project from the ASTM C117 This test determines the sieve Seals various sizes. belt, hopper, or stock pi le and lest for sieve AASI4TO T I I analysis of fine sand (gradation of ('resting) analysis of fine sand, AASHTO T244 materials finer than No. 200 sieve by is nor used. wash gradi ng). Slurry Seats One 0.5 gal. sample Test one sample per project and test for ASTM D3910 'chis test determines the Wet -Track (Testing) in a clean, dryplas- Abrasion A370 Abrasion Test (2)(WTA-['). tic container. rebar perjob when a Certificate of Compliance is AASHTO T244 and head capability. Steel Materials to be Sampled or Tested Sample $ire Sampting/resting Frequency Typical Test Alethods Description or Com nrents Steel Strand Sample strand at This item may be accepted using aCertificwte of ASTM A370, This test determines the tensile (Testing) various sizes. Compliance. Sample and test at least two steel A416, E328 strength of uncoated seven -wire strands per j ob when a Certificate ofCompl iance AASHTO T244 stress-reliev€dstrand for pre - is nor used. stressed concrete. Steel Rebar Sample rebar at This item may be accepted using a Cerri ficate of ASTM A615, This test determines the steel (Testing) various sizes. Compliance. Sample and test at least two steel A370 reinforcement bar tensile strength rebar perjob when a Certificate of Compliance is AASHTO T244 and head capability. not used i • UG Put OF QUALITY ASSURANCEPROGRAM, e ms ATTACHMENT 2 Local Assistance Procedures Manual EXHIBIT 16-t' Source inspection Request to DLAE WMTLE CONTR MIA1O SOURCE L\'SPECTION REQLTST FROMLOCAL AGENCY to CALTR NS' DISTRICT LOCAL ASSISTANCE E\GDE'EER (Prepared By Applirnnt On Applicant Letterhead) To: (name) Date: Caltrans' District Local Assistance Engineer Caltr ms' Local Assistance Office (district office address) Number: (if one has been assigned) Subject:(SourceLtspectYonforProjectrinareCounty) We are requesting that Caltrans provide Source Inspection (reimbursed) services for the above nsm oned project. Wee understand we are responsible for paying for this service provided for by the State. Listed below are the materials for which w are requesting Caltraas' Source inspection (reimbursed) services. Materials that will require source inspection: Justification far request: (Based on the requirements in Section 16.14 under `Source Inspection') Any question you might have about the above materials should be directed to: , at (phone 9) Approved: (9ppUmat Representadve?4-atrre) - District LoclAssistance Engineer (Local agency, no & address) Page 14 of 21 Page I6-109 February 1, 1998 77 CITY OF AZUSA 7, G Y QUALITY ASSURANCE PROGRAM, JUNE 1, 2009I ZUS ATTACHMENT 3 + Division of Local Assistance, Office of Procedures Development and Training ate. Quality Assurance Program (QAP) Manual for Use by Local Agencies Revised February 10, 2009 Appendix F - Construction Materials Accepted by a Certificate of Compliance * Soil Amendment Fiber Mulch Stabilizing Ettmision Plastic Pipe Lime Reinforcing Steel - Structural Timber and Lumber Treated Timber and Lumber Timber and Lumber Culvert and Drainage Ape Joints Reinforced Concrete Pipe Corrugated Steel Pipe and Corrugated Steel Pipe Arches Structural Metal Plate Pipe Arches and Pipe Arches Perforated Steel Pipe Polyvinyl Chloride Pipe and Polyethylene Tubing Steel Entrance Tapers, Pipe Down drains, Reducers, Coupling Bands and Slip Joints Aluminum Pipe (Entrance Tapers, Arches, Pipe Donn drains, Reducers, Coupling Bands and Slip Joints) Metal Target Plates Electncal Conductors Portland Cement Minor Concrete Waterstop ' If Caltrans Standard Specifications Mav 2006 is part of contract specifications. Note_ Usually these items are inspected at the site of manufacture or fabrication and reinspected after delivery to the. job sitc. Page 15 of 21 QUALITY ASSURANCE PROGRAM, fUNE 1, 2009 zus ATTACHMENT Division of Local Assistance, Office of Procedn Development and Training Quality Assurance Program (QAP) Manual for Use by Local Agenries Revised February 10, 2009 Appendix J.1- Example of a Vendor's Certificate of Compliance No. 583408 STATE WGAUFOWM-OEPAN Nl OF TKAWMATAUM VENDOR'S CERTIFICATE OF COMPLIANCE Avww fAEy. avel acraa •aato-a Q PAccA,ar cancweTe Pxooums OR Dr .SdtuWIIWrt'LG 81ZL sYNTJ�2 .eEsv�.vr �-.vrafW��.e — cirYoC �LR�`9�'/D mYmro�.anq O.nwansrw annwt W m^PTaxn ar. NA'fVF 4Gi; . RED M/,W Bp RBIn .iroYR � � rvgpGuiiy]F tlryrlww•.la/. �.YUMwa paP Rl iw. 100 Page 16 of 21 CITY OF AZUSA • • QUALITY ASSURANCE PROGRAM, JUNE 1, 2009 ATTACHMENT 4 (continued) Dnasion of Local Assistance, Office of Procedures Development and Training W "` x &b. Quality Assurance Program (QAP) &lama! for Use by Local Agencies Revised February 10, 2009 1U_sj. Appendix J.2 --Example of a Certificate of Compliance for Portland Cement (continued) This is to certify that. the Portland Cement - Supplied by ABC Cement: Company complies with all requirements for Type H Portland Cement when tested in accordance with ASTM C - 494. LoenlAeencvProjectNo. -AffiertJfowQ.k'owa HP21L — 5055 —111 Quality Assurance Engineer ABC Cement Company Date: 07107f07 . Page 17 of 21 CITY OF AZUSA 0 0 QUALITY ASSURANCE PROGRAM, .TUNE 1, 2009 ATTACHMENT 5 Division of Local Assistance, Office of procedures. Development and Trainis a as a Quality Assurance program (QAP) Manual for Use by Local Agencies Revised. February 10, 2009 Appendix K - Examples of Materials Certificates/Exceptions (Signed by the Resident Engineer at the Completion of the Project) Federal -aid Project No.: Pmie HPI -71L-5055-111 Subject: Materials Certification This is to certify that the results of the tests on acceptance samples indicate that the materials incorporated in the construction work and the construction operations controlled by sampling ® and testing were in conformity with the approved plans and specifications. All materials exceptions to the plans and specifications on this project me acted below. No exceptions were found to the plans and specifications on this project. Bill Sanders Diff Sanders 717/07 Resident Engineer (Print\ame) Resident Engineer (Signntnre) (Date) \oto: The signed original of this certificate is placed in the Resident Engineer's project files and one copy is mailed to the DLA.E and filed under "Report of F-Veedituses." See the attachment (neat page) Page 18 of 21 t� .y'CITY OF •QUALITY •ANCE PROGRAM, JUNE„• 2US ATTACHMENT 5 (continued) rtDivision of Local Assistance, Office of Pumceduues Development and Training •4� adQuality Ate.--urance Program (QAP) Marmal for Use by Local Agencies Revised Febmary 10, 2009 Appendix K (continued) At tarliments: Ilia terials Exceptions (.Acceptance Testing) Type of Description Total Tests Numbet Action Taken Test of Work Performed On of Faded the Pro'eet Tests - Slump Test Concrete 8 1 \4'hen the measured slump exceeded the Sidewalk maximum limit, the entire concrete load was rejected. Sand Aggregate 10 I The tested S.E. was 70 and the contract Equivalent for Structural compliance specificationwas 71 minimum. Concrete However, the concrete 28 -day compressive strength was 4800 psi. The concrete was considered adequate and no materials deductions were taken. Compaction Sub grade 12 1 One failed test was noted. The failed area was ?Material watered and reworked. When this was completed, a retest was perfomi.ed. The retest was acceptable_ Compaction Hot Affix As- 12 1 One failed area was noted. It was reworked phalt and retested. The second test met specifications. Bill Sanders BallscLnc zry July 4- 2007 Resident Engineer (Print Nate) Resident Engines (Signature) Date Page 19 of 21 o wmcv'QUALITY ASSURANCE PROGRAM, JUNE 1, 2009 ZUS ATTACHMENT 6 Division of Local Assistance, Office of Procedures Development and Training am.. Quality Assurance Program (QAP) Manual 53rUse by Local Agencies Revised February 10, 2009 Appendix H - Example of a Log Summary Sheet Subgrade Materials Date CT Station Elevation Test Results Minimum Spec. Passed or Failed Action Taken 5/15/07 231 1+00 (30' L) 99.00 93 90 or greater Passed N/A 5/36107 231 l+ 50 (20' R) 100.50 94 90 or greater Passed NIA 5/17107 231 2+ 25 (25' R) 101.00 96 90 or greater Passed NIA 5/18/07 231 1+ 50 (30'L) 101.50 95 95 or greater passed N/A 5/19107 231 2+50 (20' L) 102.00 92 95 or greater Failed See Note 1 5119107 231 1 2+ 50 (20'L) 102.00 95 95 or greater Passed N1A CT 231 = Compaction (Nuclear (rge) • Note 1: The Contractor used a water tank to dampen the soil surface at the failed subgrade location. Using a sheep's foot compactor, he remarked the mbgrade (making at least 10 passes) from Station 2+ 00 to Station 3+ 00. After approximately 30 minutes, another compaction test was taken. This time the relative compaction was 95. Aggregates and Base Materials Date CT Station Elevation Test Re- sults I inimom Spec. Passed or Failed Action Taken 620107 202 1+00 (10'R) 102.50 See data sheet See data sheet Posed NIA 6/20107 . 202 2+00 (20' L) 102.50 See data sheet See data sheet passed N/A 6(22107 217 1+00 (10' R) 10250 75 25 or greater Passed NIA 6/22107 217 2+ DD (20' L) 102.50 83 25 or greater Passed NIA 6/20107 227 1=00(30'11) 102.50 86 71 or greater Passed NIA 6201(77 22? 1+ 50 (20' L) 102.50 65 71 or greater Passed NIA 624107 231 2+ 00 (20'R) 102.50 98 95 or greater Passed NIA fif24/D7 231 2+50 (20' L) 10230 97 95 or greater Passed NIA CT 202 = Sieve Analysis, CT 217 = Sash Equivalent, CT 227 = Cleanness Value, CT 231 = Compaction (Nuclear Gage) Page 20 of 21 CITY OF QUALITY ASSURANCE PROGRAM, JUNE 1, 2009 1rtG.4? sus ATTACHMENT 6 (continued) 4- Division of Local Assistance, Office of Procedures Development and Training &b. Quality Assu suer a Program (QAP) Manual for Use by Local Agencies Revised February 10 2009 Appendix H (continued) Hot MIX Asphalt Date CT Station Elevation Test - Minimum Passed or Action Results Spec. Failed Taken 7110107 339 1- 00 103.60 0.08 gall 0.05 -0.10 Passed NIA (I01 R) s1 yd gal/sq yd 7114107 366 2+00 10100 32 >23 Passed WA (201 L) 7/10107 366 1+00 10300 41 >23 Passed NIA (10' R) ft 711OW 375 2+00 103.00 94 RC=93 to Passed NIA OWL) 4200 psi 97 7115107 375 1+00 143.00 96 RC=93 to Passed NIA (20' R) 4290 psi 97 7115107 375 1+50 103.00 95 RC = 93 to Passed NIA (201 L) 4160 psi 97 CT 339 = Distributor SpseadRate, CT 366 = Stabilometer Value CT 375 = In -Place Density & Relative Compaction Portland Cement Concrete Date CT Station Elevation Test Minimum Passed or Action Results Spec. Failed Taken 9125107 504 10'+50 102.50 6.5% >WS Passed N/A (50' R) 9(25107 533 12+50 102.50 15' <21' Passed NiA (501 R) 9125107 519 11 –50 102.50 I51 tbku fl > 145 lbicu Paused NIA (50'R) ft 9125107 521 10+50 102.50 28 day= >3800 psi Passed NIA (50' R) 4200 psi 9123I07 521 - 11+50 102.50 28 day= >3800 psi Passed NTA (50'R) 4290 psi 9130.07 521 12 + 50 102.50 28 day = >3806 psi Passed N1A (50'R) 4160 psi CT 504 = Air Content, Cf 513 = Unit Weight, CT 521 = Compressic-e Strength, CT 533 =Ball Penetration Page 21 of 21