Local Assistance Procedures Manual Exhibit 16-T

Materials Accepted by Certificate of Compliance

Exhibit 16-T Materials Accepted By Certificate of Compliance

Table 6-2.3 MaterialsAcceptedbyCertificate of Compliance(1 of 7)

Material/Product / Remarks (Including RequirementsforAdditionalBack-UpInformationRequiredwith Certificate of Compliance)
Asphalt
Asphalticemulsion / Certificateofcompliancemustincludethefollowing:
1.Shipmentnumberandshipmentdate.
2.Sourcerefinery,consignee,anddestination.
3.Typeanddescriptionofmaterialwithspecificgravityandquantity.
4.Contractorpurchaseordernumber.
5.Signatureby themanufacturerof thematerialand a statementthatthematerial complieswith the contract.
Asbestoscementpipe
Asbestossheetpacking
Asphalt modifier / Testresultsrequiredwitheach truckload.
Asphaltrubberjointsealant / A certifiedtestreportoftheresultsfortherequiredtestsperformedwithin12monthsbeforetheproposeduse.
Backerrods / Mustincludemanufacturer’sstatementofcompatibilitywiththejointsealanttobeused.
BarbedWire
Blastcleaningmaterial
BondingMaterial
Brick
Cable-typerestrainersLocknuts / Certificateofcompliancemustbesubmittedwith a copyofeachrequiredtest report.
Castironpipe
Castironmanholeringsandcovers
Chemicaladhesiveforbondingtiebarsanddowelbarsinconcretepavement
Chemicaladhesiveforstructures / CertificateofcompliancemuststatecompliancewithICBOAC58andCaltrans. Augmentation/Revisions to ICBO AC 58.
ConcreteAdmixture / Certificateofcompliancefromthemanufacturermustcertifythattheadmixture furnishedisthe same asthatpreviouslyauthorizedortheauthorizedmaterialslist.
ConcreteCementitiousmaterial / Certificateofcompliancemustincludethesourcenameandlocation.
Ifthecementitiousmaterialisdelivereddirectlytothejobsite,thecertificateofcompliancemustbesignedbythecementitiousmaterialsupplier.
Ifthecementitiousmaterialisusedinready-mixedconcrete,thecertificateofcompliancemustbesigned by theconcretemanufacturer.
Ifblendedcementisused,thecertificateofcompliancemustinclude astatementsignedby theblendedcementsupplierthatshowstheactualpercentageofSCM,byweight,intheblend.
Concrete
Curingcompound / Certificateofcompliancemustinclude:
1.TestresultsforthetestsspecifiedinSection90-1.01D(6)[90-7.01B] oftheStandardSpecifications.
2.Certificationthatthematerialwastestedwithin12monthsbeforeuse.
ConcreteMinorconcrete / Beforeplacingminorconcretefrom a sourcenotpreviouslyusedonthecontract, a certificateofcompliancestatingthattheminorconcretetobefurnishedcomplieswith thecontractrequirements,includingthespecifiedminimumcementitiousmaterialcontent.
Ceramictile
Chainlinkfencingandrailing / Certificaterequiredforprotectivecoatingsystem.
Concrete anchoragedevices

Table 6-2.3 MaterialsAcceptedbyCertificate of Compliance(2 of 7)

Material/Product / Remarks(IncludingRequirementsforAdditionalBack-UpInformation Requiredwith Certificate of Compliance)
Concrete pipe
Circularreinforceddirectdesignmethod / Certificateofcompliancemust:
1.Besigned bythe manufacturer'squalitycontrolrepresentative.
2.Statethatallmaterialsandworkmanshipcomplywiththespecificationsandauthorizedshopdrawings.
Copperpipe
Corrugatedmetalpipe
Cracksealant / Certificateofcompliancemustinclude:
1.Manufacturer'sname
2.Productionlocation
3.Productbrandortradename
4.Productdesignation
5.Batchorlotnumber
6.Crack treatment material type
7.Contractororsubcontractorname
8.Contractnumber
9.Lotsize
10.Shipmentdate
11.Manufacturer'ssignature
Crashcushions
Crumbrubbermodifier / Testresultsrequiredwitheach truckload.
Culvertmarkers
Delineators / Certificateofcompliancerequiredfor:
1.Metaltargetplates
2.Enamelcoating
3.Retroreflectivesheeting
Dowelbarbaskets
Dropinletgratesandframes
Draintile
Dripirrigationline
ElastomericBearingPadsPlain / Certifiedtestresultsfortheelastomer.
ElastomericBearingPadsSteel-reinforced / Certified test results.
Electrical
Batteryback-up system / Certificatesofcomplianceisrequiredfor:
  • Externalcabinet
  • Batteries

ElectricalConductor
Electrical
Conduit(galvanizedandplastic)
ElectricalEquipment
Electrical
Pullboxes(concreteandplastic)
ElectricalService cabinets

Table 6-2.3 MaterialsAcceptedbyCertificate of Compliance(3 of 7)

Material/Product / Remarks(IncludingRequirementsforAdditionalBack-UpInformation Requiredwith Certificate of Compliance)
Erosioncontrol / Certificateofcomplianceisrequiredfor:
  • Straw
  • Fiber
  • RECP
  • Fasteners
Certificateofcompliancewithattachmentsarerequiredfor:
  • Tackifier
  • Bondedfibermatrix
  • Polymer-stabilized fiber matrix
Certificatesofcomplianceattachmentsinclude:
1.MaterialSafety DataSheet.
2.Productlabel.
3.Listofapplicablenonvisiblepollutantindicatorsforsoilamendmentandstabilizationproductsasshowninthetabletitled"Pollutant TestingGuidanceTable"in the CaltransConstructionSiteMonitoringProgramGuidanceManual.
4.ReportofacuteandchronictoxicitytestsonaquaticorganismsconformingtoEPAmethods.
5.Listofingredients,includingchemicalformulation.
6.Propertiesofpolyacrylamide intackifierincluding(1)percentpurity byweight,
(2)percentactivecontent,(3)averagemolecularweight,and(4)chargedensity.
Epoxy
Epoxypowdercoatingfordowelbarsandtiebars
Expansionjointfiller
Fiberglasspipe / Certificateofcompliancemustbesubmittedwithlaboratorytestresults.
Gabions / IfPVCcoatingisshown, a suitableUVresistanceadditivemustbeblendedwiththePVCandtheadditivemustbeshownonthecertificateofcompliance.
Geocompositedrain / Certificateofcompliancemustcertifythatthedrainproducesthespecifiedflowrate. The certificatemustbeaccompaniedby a flowcapabilitygraphforthegeocompositedrainshowingflowratesandtheexternally appliedpressuresandhydraulicgradients.Verificationmustbebyanauthorizedlaboratory fortheflowcapabilitygraph.
Geosynthetics / Testsamplerepresentingeach lotandminimumaveragerollvalue.
Glassbeads
Gluelaminatedtimbersanddecking
Guidemarkers
Irrigationhose
Irrigationpipe / Certificateofcompliancerequiredfor:
  • Polyethylene pipe.
  • Plasticpipesupplylineforpipewithwallthicknessofthebelllessthanthespecifiedminimumwallthicknessofthepipe.

Jointfillermaterial
Jointseals(Type A and AL) / Certifiedtestreportforeachbatchofsealant.

Table 6-2.3 MaterialsAcceptedbyCertificate of Compliance(4 of 7)

Material/Product / Remarks(IncludingRequirementsforAdditionalBack-UpInformation Requiredwith Certificate of Compliance)
Jointseal(TypeB) / Certificateofcompliancerequiredfor:
  • Elastomericjointseal
  • Lubricant-adhesive
Certificateofcompliancemustbesubmittedwith certifiedtestreportforeachlotofelastomericjointsealandlubricant-adhesive.Testreportsmustincludethesealmovementrating,themanufacturer'sminimumuncompressedwidth,andtestresults.
Jointsealassemblieswith amovementratingof 4 inchesorless / Foralternativejointsealassemblies,a certificateofcompliancemustbesubmittedforeachshipmentofjointsealmaterials. The certificatemuststatethatthematerialsandfabricationinvolvedcomplywith thespecificationsandthedatasubmitted in obtainingtheauthorizationforthe alternative joint seal assembly.
Jointsealassemblieswith amovementratingover 4 inches
Lime / Certificateofcompliancemustinclude a statementcertifyingthelimefurnishedisthesameasonthe authorized materialsourcelist.
MachinespiralwoundPVCpipeliners / Certificateofcomplianceforeachreelof PVC stripmustinclude:
1.Name of manufacturer
2.Plantlocation
3.Dateofmanufactureandshift
4.Cellclassification
5.Unitmass
6.Averagepipelinerstiffnessandprofiletype
Markers / Certificateofcompliancerequiredfor:
1.Metaltargetplates
2.Enamelcoating
3.Retroreflectivesheeting
Masonry block / Certificateofcompliancerequiredfor:
1.Concretemasonryunits
2.Aggregateforgrout
3.Grout
Microsurfacingemulsion
Mulch
Opensteelflooringandgrating
Oversidedrains / Certificateofcompliancebasedonsteelmaterials,aluminummaterialsor plastic materials.
Parkingareasealmaterial
Pavementmarkers
Pavement marking Paintorthermoplastic
Plasticlumber / Laboratorytestreport.
Plastictrafficdrums
Plasticpipefordrainage / Certificateofcompliancemustincludeaveragepipestiffness,resinmaterialcellclassification,anddateofmanufacture.
Forcorrugatedpolyethylenepipe,manufacturer’s copyof plant audits
andtestresultsfromtheNationalTransportationProductsEvaluationProgramforthecurrentcycleoftestingforeachpipediameterfurnished.
Portablechangeablemessagesign
Precast concrete Cementitiousmaterialused inprecastconcreteproducts / Certificateofcompliancemustbesigned by theprecastconcreteproductmanufacturer.

Table 6-2.3 MaterialsAcceptedbyCertificate of Compliance(5 of 7)

Material/Product / Remarks(IncludingRequirementsforAdditionalBack-UpInformation Requiredwith Certificate of Compliance)
Precast concrete Box culverts / Certificateofcompliancemustsignedby themanufacturer'sQCrepresentativeforeachshipment.
Precastraisedtrafficbars
Preformed compression seal for concretepavement
Preformedmembranesheet / Mustincludetypeofsheetandtheconditionerorprimerapplicationrates.
Rapidstrengthconcrete / Certificateofcomplianceisrequiredforeachdeliveryofaggregate,cementitiousmaterial,andadmixturesusedforcalibrationtests.
The certificateofcompliancemuststatethatthesourceofthematerialsusedforthecalibrationtestsisthesamesourceastobeusedfortheplannedwork.
Reinforcement / Youmayrequestthatthecontractorsubmitswith certificateofcompliance:
1.Copy ofthecertifiedmilltestreportforeachheatandsizeofreinforcingsteelshowingphysicalandchemicalanalysis.
2.Twocopiesof a listofallreinforcementbeforestartingreinforcementplacement.
ReinforcementEpoxy-coated / Certificateofcomplianceforeachshipmentofepoxy-coatedreinforcementmustbesubmittedwith:
1.Certificationthatthecoatedreinforcementcomplieswith ASTMA775/A 775M for bar reinforcement or ASTMA 884/A 884M, Class A,Type1,forwire reinforcement
2.Allcertificationsspecifiedin ASTMA775/A775MforbarreinforcementorASTM A 884/A884Mforwirereinforcement.
Reinforcement
Epoxy-coatedprefabricatedreinforcement / Certificateofcomplianceforeachshipmentofepoxy-coatedprefabricatedreinforcementmustbesubmittedwith:
1.Certificationthatthecoatedreinforcementcomplieswith ASTMA934/A 934M for bar reinforcement or ASTMA 884/A 884M Class A,Type2 forwirereinforcement.
2.Allcertificationsspecifiedin ASTMA934/A934MforbarreinforcementorASTM A 884/A884Mforwirereinforcement.
Reinforcement
Epoxy-coatingpatchingmaterials / Certificateofcomplianceforthepatchingmaterialmustincludecertificationthatthepatchingmaterialiscompatiblewiththeepoxypowdertobeused.
ReinforcementHeaded bar / Certificateofcomplianceforeachshipmentofheadedbarreinforcementmustbesubmittedwith:
1.Mill test reportsfor the:
1.1.Barreinforcement
1.2.Headmaterial
2.Productiontestreports
3.Dailyproduction logs
ReinforcementSplicing / Certificateofcomplianceforeachshipmentofsplicematerialmustbesubmittedwith:
1.Typeorseriesidentificationofthesplicematerial,includingtrackinginformationfortraceability.
2.Gradeandsizenumberofreinforcementto be spliced.
3.Statementthatthesplicematerialcomplieswiththetypeofmechanical splice on theauthorized material list.
4.Forresistance-butt-weldedmaterial:
4.1.Heatnumber
4.2.Lot number
4.3.Millcertificates

Table 6-2.3 MaterialsAcceptedbyCertificate of Compliance(6 of 7)

Material/Product / Remarks (Including Requirements forAdditionalBack-UpInformationRequiredwith Certificate of Compliance)
Sheetmetal
Signpanels / Certificatesofcompliancerequiredfor:
1.Aluminumsheeting
2.Retroreflectivesheeting
3.Screened-processcolors
4.Nonreflective,opaque,blackfilm
5.Protective-overlayfilm
Siliconejointsealant / A certifiedtestreportoftheresultsfortherequiredtestsperformedwithin12monthsbeforetheproposeduse.
Slottededgedrain
Snowpoles
Snowplowdeflectorspolyethylenematerial
Soilamendment
Steelcribwall
Sheetmetal
Sign panels / Certificatesofcompliancerequiredfor:
1.Aluminumsheeting
2.Retroreflectivesheeting
3.Screened-processcolors
4.Nonreflective,opaque,blackfilm
5.Protective-overlayfilm
Siliconejointsealant / A certifiedtestreportoftheresultsfortherequiredtestsperformedwithin12monthsbeforetheproposeduse.
Slottededgedrain
Snowpoles
Snowplowdeflectorspolyethylenematerial
Soilamendment
Steelcribwall
Steelpipepiles / The certificateofcompliancemustbesignedbytheplant'sQCrepresentative. The QCrepresentativemustbeonrecordwiththeDepartment's Office of Structural Materials.certificate of compliance mustinclude:
1.Statementthatallmaterialsandworkmanshipincorporatedintheworkandallrequiredtestsandinspectionsofthisworkhavebeenperformedasdescribed.
2.Certifiedmilltestreportsforeachheat number of steel pipe piles beingfurnished.
3, Testreportsfortensile,chemical,andany specifiednon-destructivetest (NDT).
4.Testreportsmustbebased on testsamplestakenfromthebasemetal,steel,coilorfromthemanufacturedorfabricatedpiles.
5.Calculated carbonequivalent.The carbonequivalentmay be shownonthemilltestreport.
Steelsheetpiling
Structuralplateculverts / Certificateofcompliancerequired for:
1.Structuralmetalplatepipe
2.Arches
3.Pipearches
4.Metallinerplatepipe

Table 6-2.3 MaterialsAcceptedbyCertificate of Compliance(7 of 7)

Material/Product / Remarks (Including Requirements forAdditionalBack-UpInformationRequiredwith Certificate of Compliance)
Structuralshapesteelpiles / Certificateofcompliancemustinclude:
1.Testreportsfortensile,chemical,andany specifiedNDT. Testsamplesmustbetakenfromthebasemetal,steel,orfromthemanufacturedorfabricatedpile.
2.A statementthatallmaterialsandworkmanshipincorporatedintheworkandallrequiredtestsandinspections of thisworkhave beenperformedasdescribed.
Structuralcompositelumberused infalsework
StructuralsteelthermalspraycoatWirefeedstock
Styrofoamfiller
Subsurface drain
Temporaryconcretewashout / Certificateofcompliancerequiredfor:
  • Gravel-filled bag
  • Plasticliner

Temporaryfence(TypeESA) / Certificateofcompliancerequiredfor:
  • Highvisibilityfabric
  • Safetycaps for metal posts

Temporarylinearsedimentbarrier / Certificateofcompliancerequiredfor:
  • Fiberroll
  • Safetycapformetalposts
  • Siltfencefabric
  • Sedimentfilterbag
  • Foambarrier
  • Gravel-filledbagfabric

Temporaryrailing(TypeK)
Thermoplastic
Tie bars
Tie barbaskets
Timberproducts(treatedanduntreated) / Certificateofcompliancefortimberandlumbermuststatethespeciesofthematerialtobeshippedandincludea certifiedgradingreport.Iftreated,certifiedtreatingreport.
Threadedtiebarsplicecouplers
Trafficstripe
Paintorthermoplastic
Turfsod
Underdrains / Certificateofcompliancerequiredfor:
  • Typeofpipe
  • Tubing
  • Fitting

Waterproofingfabric
Waterstop / Certificateofcomplianceforwaterstopmaterialmuststatecompliancewithparagraph 6 ofArmyCorpsofEngineersCRD-C572.
Weldedwirefabric
Wire mesh fencing

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January 2018