test number: 271-2.200 - 905 - 0001 - 2015 lab site: daar ... files/ii...satisfactory wisdot quality...

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DAAR Engineering, Inc Site 3 151 E.Cook St. Portage, WI 53901 Lab Site: Materials Laboratory Testing System Tests On: Materials Diary Inspection 1011-03-78 Main Project ID: 271-2.200 - 905 - 0001 - 2015 Test Number: MATERIALS DIARY 03/17/15 By: ELIZABETH REIS Category: Date Entered: Page 1 of 35 Bid Item Satisfactory Quantity Location Manufacturer Name Description Bid Item Date Inspection 209.0200.S Y Inspected By ELIZABETH REIS Product Name FINE AGGREGATES Basis for Acceptance Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved List Certified Test of Report Documents Included in Material Records QMP Plan WISDOT Test QC Test Other Doc Id: 02 NE, NW, S2, T11N, R8E COLUMBIA COU BLAU (LYCON) PORTAGE PIT CUBIC YARDS 2 Backfill Controlled Low Strength 04/29/15 209.0200.S Y Inspected By ELIZABETH REIS Product Name TYPE I/II PORTLAND CEMENT Basis for Acceptance Product of WisDOT Approved List Mfg Certification Buy America Product Data Sheets PAL / Approved List Certified Test of Report Documents Included in Material Records QMP Plan WISDOT Test QC Test Other Doc Id: 10/08/2014 ALPENA, MI LAFARGE NORTH AMERICA CUBIC YARDS 2 Backfill Controlled Low Strength 04/29/15 Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

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Page 1: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 1 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

209.0200.S Y

Inspected By ELIZABETH REIS

Product Name FINE AGGREGATES

Basis for AcceptanceSatisfactory WisDOT Quality Test 0-162-0003-2012

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

� Doc Id: 02

NE, NW, S2, T11N, R8E COLUMBIA COUNTY

BLAU (LYCON) PORTAGE PIT

CUBIC YARDS

2Backfill Controlled Low Strength04/29/15

209.0200.S Y

Inspected By ELIZABETH REIS

Product Name TYPE I/II PORTLAND CEMENT

Basis for AcceptanceProduct of WisDOT Approved List

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 10/08/2014

ALPENA, MI

LAFARGE NORTH AMERICA

CUBIC YARDS

2Backfill Controlled Low Strength04/29/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 2: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 2 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

209.0200.S Y

Inspected By ELIZABETH REIS

Product Name MASTERAIR AE 90

Basis for AcceptanceProduct on WisDOT Approved List

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 09/15/2014

CLEVELAND, OH

BASF ADMIXTURES, INC.

CUBIC YARDS

2Backfill Controlled Low Strength04/29/15

209.0200.s Y

Inspected By ELIZABETH REIS

Product Name FLOW FILL

Basis for AcceptanceMaterial meets requirements of Contract Special Provisions Article 13.Mix Design on FileSee DT1310 for additional acceptance criteria.

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other� Doc Id: 03a-d

PORTAGE, WI

LYCON, INC.

CUBIC YARDS

2Backfill Controlled Low Strength04/29/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 3: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 3 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

209.0200.s Y

Inspected By ELIZABETH REIS

Product Name CLASS C FLY ASH

Basis for AcceptanceCertification of Compliance on File See Doc ID #Certified Report of Tests on File See Doc ID#

� Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

04

05

LOCKPORT, IL

LAFARGE NORTH AMERICA

CUBIC YARDS

2Backfill Controlled Low Strength04/29/15

305.01## Y

Inspected By ELIZABETH REIS

Product Name QC PLAN

Basis for AcceptanceQC Plan submitted 3/27/2015, reviewed and approved on 3/27/2015QMP Summary Report on File See 271-2.200-155-0018-2015Placement Summaries on File

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

A

271-2.200-155-0018-2015

WAUNAKEE, WI

YAHARA MATERIALS

TON(s)

250Base Aggregate Dense03/27/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 4: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 4 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

305.0110 Y

Inspected By ELIZABETH REIS

Product Name

Basis for AcceptanceHohl QuarryNW, NW S20, T12N, R8EColumbia CountySatisfactory Quality Test 0-225-0084-2014 on FileSatisfactory QC Production Test on FilePlacement Summary on File

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

Doc Id:

06

B

C

WAUNAKEE, WI

YAHARA MATERIALS

TON(s)

166Base Aggregate Dense 3/4-Inch03/27/15

305.0120 Y

Inspected By ELIZABETH REIS

Product Name

Basis for AcceptanceHohl QuarryNW, NW S20, T12N, R8EColumbia CountySatisfactory Quality Test 0-225-0084-2014 on FileSatisfactory QC Production Test on FilePlacement Summary on File

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

Doc Id:

06

D

E

WAUNAKEE, WI

YAHARA MATERIALS

TON(s)

84Base Aggregate Dense 1 1/4-Inch03/27/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 5: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 5 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

416.0610 Y

Inspected By ELIZABETH REIS

Product Name EPOXY APPLICATOR

Basis for AcceptanceManfacturer's Certification of Compliance on File

� Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

07

01; 07

MUNCIE, IN

GERDAU

EACH

790Drilled Tie Bars03/18/15

416.0610 Y

Inspected By ELIZABETH REIS

Product Name BAR STEEL

Basis for AcceptanceCertified Report of Tests on FileHeat #5713843502; #5713995402; #5714011703

� Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

Doc Id:

08a-e

09; 10; 11

01; 09; 10; 11

KNOXVILLE, TN

GERDAU

EACH

790Drilled Tie Bars03/18/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 6: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 6 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

416.0610 Y

Inspected By ELIZABETH REIS

Product Name GREENBAR 720A009

Basis for AcceptanceManufacturer's Certification of Compliance on FileBatch #3W69015996; #4496016619Product on WisDOT Approved List

� Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

12a-d; 13a-b

02/06/2014

CHARLOTTE, NC

VALSPAR

EACH

790Drilled Tie Bars03/18/15

416.0610 Y

Inspected By ELIZABETH REIS

Product Name SCOTCHKOTE 413

Basis for AcceptanceManufacturer's Certification of Compliance on FileBatch #4D07B; #4D07CProduct on WisDOT Approved List

� Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

14a-b

02/06/2014

MINNEAPOLIS, MN

3M

EACH

790Drilled Tie Bars03/18/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 7: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 7 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

416.1010 Y

Inspected By ELIZABETH REIS

Product Name CONCRETE

Basis for AcceptanceSee Item 416.1715 Concrete Pavement Repair SHES for material acceptanceWelded Steel Wire Fabric installed was free of defects and will perform its intended purpose

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

MARSHFIELD, WI

TRIERWEILER

SQUARE YARDS

3Concrete Surface Drains03/10/15

416.1715 Y

Inspected By ELIZABETH REIS

Product Name CONCRETE

Basis for AcceptanceQC Plan submitted, reviewed and approved on 3/10/2015Mix Design approved 3/18/2015Mix Design approved 4/30/2015QC Test Results on FileQMP Summary Report on File 271-2.200-155-0015-2015

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

Doc Id:

Doc Id:

F

271-2.200-155-0015-2015

G

15a-f; 16a-i

MARSHFIELD, WI

TRIERWEILER

SQUARE YARDS

2218Concrete Pavement Repair SHES03/10/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 8: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 8 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

416.1715 Y

Inspected By ELIZABETH REIS

Product Name CEMENT TYPE I/II

Basis for AcceptanceProduct on WisDOT Approved List

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 10/14/2014

CHARLEVIOX, MI

ST MARYS CEMENT

SQUARE YARDS

2218Concrete Pavement Repair SHES03/10/15

416.1715 Y

Inspected By ELIZABETH REIS

Product Name POLYCHEM 400 NC

Basis for AcceptanceProduct on WisDOT Approved List

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 09/15/2014

EAGAN, MN

GENERAL RESOURCE TECHNOLOGY, INC.

SQUARE YARDS

2218Concrete Pavement Repair SHES03/10/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 9: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 9 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

416.1715 Y

Inspected By ELIZABETH REIS

Product Name PHOLYCHEM SA

Basis for AcceptanceProduct on WisDOT Approved List

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 09/15/2014

EAGAN, MN

GENERAL RESOURCE TECHNOLOGY, INC.

SQUARE YARDS

2218Concrete Pavement Repair SHES03/10/15

416.1715 Y

Inspected By ELIZABETH REIS

Product Name FINE AGGREGATES FOR CONCRETE

Basis for AcceptanceSatisfactory WisDOT Qualtity Test 0-162-0044-2012

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

� Doc Id: 17

NW, SE, S22, T9N, R9E DANE COUNTY

MADISON SAND AND GRAVEL PIT

SQUARE YARDS

2179Concrete Pavement Repair SHES03/10/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 10: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 10 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

416.1715 Y

Inspected By ELIZABETH REIS

Product Name COARSE AGGREGATES

Basis for AcceptanceSatisfactory WisDOT Qualtity Test 0-225-0256-2012

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

� Doc Id: 18

NW, SE, S22, T9N, R9E DANE COUNTY

MADISON SAND AND GRAVEL PIT

SQUARE YARDS

2179Concrete Pavement Repair SHES03/10/15

416.1715 Y

Inspected By ELIZABETH REIS

Product Name DOWFLAKE CALCIUM CHLORIDE

Basis for AcceptanceProduct meets the requirements of Standard Specifications Section 416.2.1(3).1

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

OtherDoc Id: 19

DALLAS, TX

OXYCHEM

SQUARE YARDS

2218Concrete Pavement Repair SHES03/10/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 11: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 11 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

416.1715 Y

Inspected By ELIZABETH REIS

Product Name WHITE WATER RESIN PAMS

Basis for AcceptanceBatch #51313AProduct on WisDOT Approved ListSatisfactory WisDOT Test on File 0-140-0006-2015

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id: 20

03/18/2015

DEKALB, IL

RIGHT POINTE

SQUARE YARDS

2218Concrete Pavement Repair SHES03/10/15

416.1715 Y

Inspected By ELIZABETH REIS

Product Name WATER FOR CONCRETE

Basis for AcceptanceSatisfactory WisDOT Test 0-131-0007-2015

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

� Doc Id: 21

DEFOREST, WI

MADISON SAND AND GRAVEL

SQUARE YARDS

2179Concrete Pavement Repair SHES03/10/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 12: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 12 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

416.1715 Y

Inspected By ELIZABETH REIS

Product Name FINE AGGREGATES FOR CONCRETE

Basis for AcceptanceSatisfactory WisDOT Quality Test 0-162-0036-2013

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

� Doc Id: 22

NE, SE, S10, T8N, R6E DANE COUNTY

SCHADLER PIT

SQUARE YARDS

39Concrete Pavement Repair SHES05/01/15

416.1715 Y

Inspected By ELIZABETH REIS

Product Name COARSE AGGREGATES

Basis for AcceptanceSatisfactory WisDOT Quality Test 0-225-0006-2013

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

� Doc Id: 23

S35, T8N, R8E DANE COUNTY

MEINHOLZ QUARRY

SQUARE YARDS

39Concrete Pavement Repair SHES05/01/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 13: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 13 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

416.1715 Y

Inspected By ELIZABETH REIS

Product Name WATER FOR CONCRETE

Basis for AcceptanceMunicipal Source

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

MIDDLETON, WI

TRIERWIELER

SQUARE YARDS

39Concrete Pavement Repair SHES05/01/15

502.0717.S Y

Inspected By ELIZABETH REIS

Product Name TK-9030 POLYUREA CRACK REPAIR

Basis for AcceptanceProduct on WisDOT Approved List

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 04/06/2009

MINNETONKA, MN

TK PRODUCTS

LINEAL FEET

193Crack Sealing Epoxy03/17/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 14: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 14 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

502.3200 Y

Inspected By ELIZABETH REIS

Product Name TK-590-90

Basis for AcceptanceProduct on WisDOT Approved List

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 06/10/2014

MINNETONKA, MN

TK PRODUCTS

SQUARE YARDS

169Protective Surface Treatment04/01/15

509.1500 Y

Inspected By ELIZABETH REIS

Product Name PERMA PATCH VO

Basis for AcceptanceProduct approved by WisDOT on 3/17/15 via phone call with Scott Syron. Product is only approved for use on the underside and sides of structure

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

OtherDoc Id: 24a-c

MIAMISBURG, OH

DAYTON SUPERIOR

SQUARE FEET

222Concrete Surface Repair03/17/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 15: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 15 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

509.1500 Y

Inspected By ELIZABETH REIS

Product Name CONCRETE CLASS E

Basis for AcceptanceSee Item of SPV.0035.01 Concrete Masonry Overlay Deck Patching Concrete for material acceptance.

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

PORTAGE, WI

LYCON, INC.

SQUARE YARDS

222Concrete Surface Repair03/17/15

509.9020.S Y

Inspected By ELIZABETH REIS

Product Name SIKADUR CRACK WELD

Basis for AcceptanceProduct was approved for use per the Contract Special Provisions Article 19.

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

OtherDoc Id: 25

LYNDHURST, NJ

SIKA CORPORATION

LINEAL FEET

121Epoxy Crack Sealing03/17/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 16: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 16 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

603.8000 Y

Inspected By ELIZABETH REIS

Product Name

Basis for AcceptanceProduct on WisDOT Approved List

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 03/29/2012

PORTAGE, WI/MAIDEN ROCK, WI

WEISER CONCRETE PRODUCTS, INC.

LINEAL FEET

1384Concrete Barrier Temp Precast Delivered03/30/15

606.0200 Y

Inspected By ELIZABETH REIS

Product Name

Basis for AcceptanceSatisfactory WisDOT Quality Test 0-225-0103-2015

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

� Doc Id: 26

WILLIAMS QUARRY (SE, NE, S19, T12N, R8E COLUMBIA CO)

KRAEMER COMPANY

CUBIC YARDS

10Riprap Medium05/01/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 17: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 17 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

606.0200 Y

Inspected By ELIZABETH REIS

Product Name

Basis for AcceptanceSatisfactory WisDOT Quality Test 0-225-0073-2015

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

� Doc Id: 27

HWY 51 QUARRY (SW, NE, S17, T8N, R10E DANE COUNTY)

YAHARA MATERIALS

CUBIC YARDS

14Riprap Medium05/01/15

614.0905 Y

Inspected By ELIZABETH REIS

Product Name TAU II

Basis for AcceptanceProduct on WisDOT Approved ListShop Drawings on FileCertifications of Installation on File

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other�

Doc Id:

Doc Id: 28a-g; 29a-d

06/24/2013

VACAVILLE, CA

BARRIER SYSTEMS

EACH

4Crash Cushions Temporary03/27/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 18: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 18 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

614.0920 Y

Inspected By ELIZABETH REIS

Product Name SALVAGED RAIL

Basis for AcceptanceRail was removed and stacked within the Project Limits. Columbia County picked up all materials on the day of removal

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

DEFOREST, WI

WESTLAND RESTORATION

LINEAL FEET

601Salvaged Rail03/23/15

614.0925 Y

Inspected By ELIZABETH REIS

Product Name END TREATMENTS

Basis for AcceptanceEnd Treatments were removed and stacked within the Project Limits. Columbia County picked up all materials day of removal

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

DEFOREST, WI

WESTLAND RESTORATION

EACH

2Salvaged Guardrail End Treatments03/23/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 19: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 19 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

614.2300 Y

Inspected By DERRICK BALLWEG

Product Name STEEL BEAMS, POSTS & BLOCKS

Basis for AcceptanceInstaller's Certification of Compliance is on FileManufacturer is on WisDOT Approved ListSatisfactory WisDOT Verification Test See 271-2.200-155-0013-2015

� Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

Doc Id:

Doc Id: 271-2.200-155-0013-2015

30

01; 31a-h

12/08/2014

LIMA, OH

TRINITY HIGHWAY PRODUCTS

LINEAL FEET

994MGS Guardrail 304/08/15

614.2300 Y

Inspected By DERRICK BALLWEG

Product Name MONROEVILLE 12-INCH MSG COMPOSITE BLOCK

Basis for AcceptanceInstaller's Certification of Compliance is on FileManufacturer is on WisDOT Approved List

� Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

30

05/17/2012

NORWALK, OH

MONROEVILLE INDUSTRIAL MOULDINGS

LINEAL FEET

994MGS Guardrail 304/08/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 20: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 20 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

614.2500 Y

Inspected By DERRICK BALLWEG

Product Name STEEL BEAMS, POSTS & BLOCKS

Basis for AcceptanceInstaller's Certification of Compliance is on FileManufacturer is on WisDOT Approved List

� Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

Doc Id:

30

01; 31a-h

12/08/2014

LIMA, OH

TRINITY HIGHWAY PRODUCTS, INC.

LINEAL FEET

198MGS Thrie Beam Transition04/08/15

614.2610 Y

Inspected By DERRICK BALLWEG

Product Name SKT-350

Basis for AcceptanceInstaller's Certification of Compliance is on FileManufacturer is on WisDOT Approved ListMarkings: HS M180 A2

� Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

Doc Id:

30

01; 32a-g

10/28/2014

BIG SPRINGS, TX

ROAD SYSTEMS, INC.

EACH

4MGS Guardrail Terminal EAT04/08/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 21: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 21 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

628.1504 Y

Inspected By ELIZABETH REIS

Product Name PP WOVEN SILT FENCE FABRIC

Basis for AcceptanceMaterial meets requirements of Standard Specifications Section 628.2.6.Manufacturer's Certification of Complaince on File

� Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 33

CARSON, CA

ESSEN POLYMERS, INC.

LINEAL FEET

684Silt Fence03/24/15

628.7570 Y

Inspected By ELIZABETH REIS

Product Name SEDIMENT CONTROL FILTER BAG

Basis for AcceptanceMeets requirements of Standard Specifications Section 628.2.13.Manufacturer's Certification of Compliance on File

� Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 34

ANTIGO, WI

VOLM COMPANIES

EACH

36Rock Bags03/26/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 22: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 22 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

628.7570 Y

Inspected By ELIZABETH REIS

Product Name #2 STONE

Basis for AcceptanceMeets requirements of Standard Specifications Section 628.2.13.QC Gradation on File

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other� Doc Id: 35

DEFOREST, WI

MADISON SAND & GRAVEL, INC

EACH

36Rock Bags03/26/15

643.0100 Y

Inspected By ELIZABETH REIS

Product Name TRAFFIC CONTROL

Basis for AcceptanceAll traffic control devices meet the requirements of Section 643 of the Standard Specifications and Contract Special Provisions, as well as, conform tothe MUTCD and meet criteria for acceptable devices according to the ATSSA publization Quality Guidelines for Temporary Traffic Control Devices.

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

MADISON, WI

MEGA RENTALS, INC.

LUMP SUM

1Traffic Control (project)03/16/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 23: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 23 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

645.0130 Y

Inspected By ELIZABETH REIS

Product Name

Basis for AcceptanceWaiting on response frrom contractor; did not know exact product and manufacturer during installation. Multple emails and phones made to obtaininformation...still waiting.

Meets requirements of Standard Specifications Section 645.2

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

TBD

TBD

SQUARE YARDS

37Geotextile Fabric Type R04/15/15

646.0106 Y

Inspected By ELIZABETH REIS

Product Name EPOPLEX LS60 WHITE & YELLOW

Basis for AcceptanceProduct on WisDOT Approved Products ListManufacturer's Certification of Compliance on File

� Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

36a-b

03/20/2015

MAPLE SHADE, NJ

EPOPLEX

LINEAL FEET

12201Pavement Marking Epoxy 4-Inch05/18/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 24: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 24 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

646.0106 Y

Inspected By ELIZABETH REIS

Product Name GLASS SPHERES

Basis for AcceptanceProduct on WisDOT Approved Products ListManufacturer's Certification of Compliance on FileSatisfactory Verification Test on File

� Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

Doc Id: 38

37

10/292014

MUSCATINE, IA

POTTERS INDUSTRIES

LINEAL FEET

12201Pavement Marking Epoxy 4-Inch05/18/15

649.0300 Y

Inspected By ELIZABETH REIS

Product Name 3M STAMARK WET REFLECTIVE REMOVABLE TAPE 710

Basis for AcceptanceProduct on WisDOT Approved List

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 02/08/2011

ST PAUL, MN

3M

LINEAL FEET

36360Temp Pvt Marking Reflective Tape 4-In03/16/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 25: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 25 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

649.0300 Y

Inspected By ELIZABETH REIS

Product Name 3M STAMARK WET REFLECTIVE REMOVABLE TAPE 711

Basis for AcceptanceProduct on WisDOT Approved List

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 02/08/2011

ST PAUL, MN

3M

LINEAL FEET

36360Temp Pvt Marking Reflective Tape 4-In03/16/15

649.0600 Y

Inspected By ELIZABETH REIS

Product Name 3M STAMARK MASK TAPE REMOVABLE 715

Basis for AcceptanceProduct on WisDOT Approved Products List

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 09/10/2012

ST PAUL, MN

3M

LINEAL FEET

175Temp Pvmt Marking Removable Tape 6-Inch03/16/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 26: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 26 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

649.2100 Y

Inspected By ELIZABETH REIS

Product Name 3M 290

Basis for AcceptanceProduct on WisDOT Approved List

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 2015

ST PAUL, MN

3M

EACH

279Temporary Raised Pavement Markers03/16/15

SPV.0035.01 Y

Inspected By ELIZABETH REIS

Product Name CONCRETE

Basis for AcceptanceMix Design on File approved 3/19/2015Satisfactory Verification Test 1-130-0027-2015

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

1-130-0027-2015

39a-e

PORTAGE, WI

LYCON, INC.

SQUARE YARDS

57Concrete Masonry Overlay Deck Patching03/19/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 27: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 27 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

SPV.0035.01 Y

Inspected By ELIZABETH REIS

Product Name TYPE I/II PORTLAND CEMENT

Basis for AcceptanceProduct on WisDOT Approved List

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 10/08/2014

ALPENA, MI

LAFARGE NORTH AMERICA

SQUARE YARDS

57Concrete Masonry Overlay Deck Patching03/19/15

SPV.0035.01 Y

Inspected By ELIZABETH REIS

Product Name MASTERAIR AE 90

Basis for AcceptanceProduct on WisDOT Approved List

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 09/15/2014

CLEVELAND, OH

BASF ADMIXTURES, INC.

SQUARE YARDS

57Concrete Masonry Overlay Deck Patching03/19/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 28: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 28 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

SPV.0035.01 Y

Inspected By ELIZABETH REIS

Product Name MASTERGLENIUM 7511

Basis for AcceptanceProduct on WisDOT Approved List

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 09/15/2014

CLEVELAND, OH

BASF ADMIXTURES, INC.

SQUARE YARDS

57Concrete Masonry Overlay Deck Patching03/19/15

SPV.0035.01 Y

Inspected By ELIZABETH REIS

Product Name WATER FOR CONCRETE

Basis for AcceptanceMunicipal Source

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

PORTAGE, WI

CITY OF PORTAGE

SQUARE YARDS

57Concrete Masonry Overlay Deck Patching03/19/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 29: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 29 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

SPV.0035.01 Y

Inspected By ELIZABETH REIS

Product Name FINE AGGREGATES

Basis for AcceptanceSatisfactory WisDOT Qualtity Test 0-162-0003-2012 on File

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

� Doc Id: 02

NE, NW, S2, T11N, R8E COLUMBIA COUNTY

BLAU (LYCON) PORTAGE PIT

SQUARE YARDS

57Concrete Masonry Overlay Deck Patching03/19/15

SPV.0035.01 Y

Inspected By ELIZABETH REIS

Product Name COARSE AGGREGATES

Basis for AcceptanceSatisfactory WisDOT Qualtity Test 0-225-0019-2012 on File

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

� Doc Id: 40

NE, NW, S2, T11N, R8E COLUMBIA COUNTY

BLAU (LYCON) PORTAGE PIT

SQUARE YARDS

57Concrete Masonry Overlay Deck Patching03/19/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 30: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 30 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

SPV.0035.01 Y

Inspected By ELIZABETH REIS

Product Name TK-26-CLEAR

Basis for AcceptanceProduct on WisDOT Approved Products ListBatch #S-15306

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 04/01/2001

MINNETONKA, MN

TK PRODUCTS

SQUARE YARDS

57Concrete Masonry Overlay Deck Patching04/06/15

SPV.0035.01 Y

Inspected By ELIZABETH REIS

Product Name ORGANIZATIONAL CHART

Basis for AcceptanceQC Organizational Chart on File submitted 3/19/2015, reviewed and approved on 3/19/2015QC Test Results on FileQMP Summary Report on File 271-2.200-155-0014-2015

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

Doc Id:

H

271-2.200-155-0014-2015

I

STEVENS POINT, WI

POB MATERIALS

SQUARE YARDS

57Concrete Masonry Overlay Deck Patching03/19/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 31: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 31 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

SPV.0035.01 Y

Inspected By ELIZABETH REIS

Product Name MASTERSET DELVO

Basis for AcceptanceProduct on WisDOT Approved List

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 09/15/2014

CLEVELAND, OH

BASF ADMIXTURES, INC.

SQUARE YARDS

57Concrete Masonry Overlay Deck Patching04/09/15

SPV.0090.01 Y

Inspected By ELIZABETH REIS

Product Name ROADSAVER 221

Basis for AcceptanceMaterial meets requirements of Contract Special Provisions Article 26.

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

CHANGLER, AZ

CRAFCO

LINEAL FEET

450Saw, Route and Seal Construction Joints04/24/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 32: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 32 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

SPV.0180.03 Y

Inspected By ELIZABETH REIS

Product Name HD 50

Basis for AcceptanceMaterial meets the requirements of the Contract Special Provisions Article 31.

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

OtherDoc Id: 41a-b

MIAMISBURG, OH

DAYTON SUPERIOR

SQUARE YARDS

368Filling Rumble Strips03/11/15

SPV.0195.01 Y

Inspected By ELIZABETH REIS

Product Name

Basis for AcceptanceSatisfactory Mix Design 0-250-0197-2011 on FileQC Test Results on File

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id:

Doc Id:

J

42a-b

WAUKESHA, WI

PAYNE & DOLAN, INC.

TON(s)

408Polymer Modified Asphalt Overlay04/17/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 33: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 33 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

SPV.0195.01 Y

Inspected By ELIZABETH REIS

Product Name FINE AGGREGATES

Basis for AcceptanceSatisfactory WisDOT Quality Test 0-225-0040-2014 on File

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

� Doc Id: 43

N, SW, S7, T4N, R19E RACINE COUNTY

PRAGER PIT

TON(s)

408Polymer Modified Asphalt Overlay04/17/15

SPV.0195.01 Y

Inspected By ELIZABETH REIS

Product Name COARSE AGGREGATES

Basis for AcceptanceSatisfactory WisDOT Quality Test 0-225-0029-2013 on File

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

� Doc Id: 44

SE, SE, S26, T7N, R19E WAUKESHA COUNTY

WAUKESHA LIME & STONE QUARRY

TON(s)

408Polymer Modified Asphalt Overlay04/17/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 34: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 34 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

SPV.0195.01 Y

Inspected By ELIZABETH REIS

Product Name PG64-22

Basis for AcceptanceProduct on WisDOT Approved ListVerification Testing was waived due to project quantity under 25 Tons

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

Doc Id: 04/25/2012

MILWAUKEE, WI

CONSTRUCTION RESOURCES MANAGEMENT

TON(s)

408Polymer Modified Asphalt Overlay04/17/15

SPV.0195.01 Y

Inspected By ELIZABETH REIS

Product Name ROSPHALT 50-LT

Basis for AcceptanceTechnical Data Sheet on File See Doc IDConstruction Guidelines on File See Doc ID

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other�Doc Id: Doc Id: 46a-o45a-b

WESTWOOD, MA

CHASE CONSTRUCTION PRODUCTS

TON(s)

408Polymer Modified Asphalt Overlay04/17/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS

Page 35: Test Number: 271-2.200 - 905 - 0001 - 2015 Lab Site: DAAR ... files/ii...Satisfactory WisDOT Quality Test 0-162-0003-2012 Mfg Certification Buy America Product Data Sheets PAL / Approved

DAAR Engineering, IncSite 3151 E.Cook St.Portage, WI 53901

Lab Site:

Materials Laboratory Testing System Tests On:

Materials Diary Inspection

1011-03-78Main Project ID:

271-2.200 - 905 - 0001 - 2015Test Number:

MATERIALS DIARY

03/17/15 By: ELIZABETH REIS

Category:

Date Entered:

Page 35 of 35

Bid Item SatisfactoryQuantityLocation

Manufacturer NameDescription

Bid ItemDateInspection

SPV.0195.01 Y

Inspected By ELIZABETH REIS

Product Name CSS1H

Basis for AcceptanceMeets requirements of Contract Special Provisions Article 32.B

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

PORTAGE, WI

HENRY G. MEIGS, LLC

GALLONS

408Polymer Modified Asphalt Overlay04/17/15

SPV.0195.01 Y

Inspected By ELIZABETH REIS

Product Name ROYSTON 120-29 EDGE SEALER LVOC

Basis for AcceptanceMaterial was on list of approved edge sealers for use with Rosphalt 50-LT

Mfg Certification

Buy America

Product Data Sheets

PAL / Approved List

Certified Test of Report

Documents Included in Material Records

QMP Plan

WISDOT Test

QC Test

Other

WESTWOOD, MA

CHASE CONSTRUCTION PRODUCTS

TON(s)

408Polymer Modified Asphalt Overlay04/17/15

Date Verified: 07/20/2015 Verified By: ELIZABETH REIS