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Construction Quality Assurance Plan (CQAP) for Lucks Lane Widening Project (Spirea Rd. to E. Evergreen Pkwy.) and (E. Evergreen Pkwy. To Rte. 288)- (UPC 104290 and 105674) Cover Sheet I. Date of Original CQAP Submittal: August 30, 2017 II. CQAP Revision Date (if applicable): August 30, 2017 III. Owner’s Name and Physical Address: Chesterfield County Department of Transportation 9800 Government Center Parkway Chesterfield, VA 23832 IV. Responsible Charge Engineer and Contact Person for CQAP: Printed Name: Brian A. McPeters, PE Consulting Firm: Kimley-Horn and Associates, Inc. Contact Information: [email protected] 804-672-4721 V. Locality Responsible Charge Person: Printed Name: Brent Epps, PE Contact Information: [email protected] 804-748-1037 VI. Organizational Chart: a. See Appendix A

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Construction Quality Assurance Plan (CQAP)

forLucks Lane Widening Project (Spirea Rd. to E. Evergreen Pkwy.) and (E.

Evergreen Pkwy. To Rte. 288)- (UPC 104290 and 105674)Cover Sheet

I. Date of Original CQAP Submittal: August 30, 2017

II. CQAP Revision Date (if applicable): August 30, 2017

III. Owner’s Name and Physical Address:

Chesterfield CountyDepartment of Transportation9800 Government Center ParkwayChesterfield, VA 23832

IV. Responsible Charge Engineer and Contact Person for CQAP:

Printed Name: Brian A. McPeters, PEConsulting Firm: Kimley-Horn and Associates, Inc.Contact Information: [email protected]

804-672-4721

V. Locality Responsible Charge Person:

Printed Name: Brent Epps, PEContact Information: [email protected]

804-748-1037VI. Organizational Chart:

a. See Appendix A

Construction Quality Assurance Plan (CQAP) forLucks Lane Widening Project (Spirea Rd. to E. Evergreen Pkwy.) and (E. Evergreen Pkwy. To Rte. 288) August 30, 2017

Table of ContentsI. Mission Statement........................................................................................................................... 1

II. Personnel Certification and Licenses ................................................................................................ 2

III. Independent Assurance and Verification Sampling and Testing ........................................................ 3

IV. Communication Channels ................................................................................................................ 3

V. Resolution Procedure ...................................................................................................................... 4

VI. Progress Reports ............................................................................................................................. 4

VII. Materials Acceptance Records and Test Data ................................................................................... 4

VIII. Materials Testing Methods and Frequencies .................................................................................... 8

IX. Right to Inspect ............................................................................................................................. 10

X. Non-compliance ............................................................................................................................ 10

XI. Appendices .................................................................................................................................... 12

Appendix A – Organizational Chart .................................................................................................... 13

Appendix B - Staff Qualifications Matrix ............................................................................................. 14

Appendix C – Testing Requirements and Laboratories........................................................................ 17

Appendix D – Inspector’s Daily and Weekly Progress Report Samples ................................................ 18

Construction Quality Assurance Plan (CQAP) forLucks Lane Widening Project (Spirea Rd. to E. Evergreen Pkwy.) and (E. Evergreen Pkwy. To Rte. 288) August 30, 2017

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CQAP Document

I. Mission Statement

All materials shall be approved, sampled, and/or tested in conformance withcontract specifications and the current edition of Virginia Department ofTransportation’s (VDOT) Locally Administered Projects Manual (LAP Manual).

This Construction Quality Assurance Plan (CQAP) identifies the guidelines underwhich Chesterfield County’s inspection and testing staff, Virginia Department ofTransportation testing staff and the Contractor’s and/or the Contractor’s materialtesting subcontractor will perform their jobs.

The testing staff will consist of the Contractor’s subcontractor for materials testing(Quality Control or QC), the Froehling & Robertson, Inc. for quality assurance testing(QA), NXL Engineers, Surveyors, Construction Managers (NXL) serving as theInspector. VDOT will perform additional testing via the Off-Site Plant QA Programsas shown in Table 1 in Section 13.2.3 of the LAP Manual. No Independent AssuranceSampling and Testing (IAST) is required on this project (see Section III).

The Contractor will ultimately be responsible for the quality of the construction.However, Chesterfield County has hired NXL to provide inspection services to assessconstruction processes relative to the applicable standards and specifications. NXLwill serve as the Inspection Firm for the project and provide an Inspector(s) site atall times that construction is being performed on the project. Froehling &Robertson, Inc. will perform all required Quality Assurance (QA) testing inaccordance with this QA Plan which is based on the current edition the VDOTMaterials Manual of Instruction (MOI), VDOT’s Construction Manual, the currentedition of the VDOT LAP Manual and VDOT’s Minimum Requirements for QualityAssurance and Quality Control on Design-Build and P3 Projects. The QA testing staffwill provide feedback to the Responsible Charge Engineer (RCE), the LocalityResponsible Charge Person and the QA Inspector. The Inspector will assure that thenecessary documentation regarding inspections and testing of materials and in-placeconstruction has been performed and adheres to the contract before any payment isrecommend for approval to Chesterfield County.

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Any deviation from this CQAP shall not occur without a revised submittal of thisCQAP to the VDOT District Project Coordinator (DISTRICT PC) for approval.

II. Personnel Certification and Licenses

Copies of Personnel Certifications and Licenses as required by the Contract areavailable upon request and are kept on file by the Inspection Firm and can be madeavailable to the VDOT DISTRICT PC for review upon request. All personnelperforming materials testing shall have the necessary certifications andexperience/expertise required by the contract documents and the current edition ofthe VDOT LAP MANUAL. No work shall be performed otherwise.

The Inspector will provide inspection to assess construction processes relative to theapplicable standards and specifications. The QA testing staff and QC testing staff willbe responsible for performing and reporting of all sampling, testing, reports directlyto the Inspector. All team members providing testing and inspection will berequired to follow the approved CQAP. The identity of the testing staff will be givento the QA Inspector prior to the start of each work activity.

The RCE role is as defined in the scope of work of the Construction AdministrationContract between the RCE’s firm and the County. Generally, the RCE will beconsulted by the Inspector for all changes or RFIs to the contract documents. TheRCE for this project is Brian A. McPeters, PE from Kimley-Horn and Associates, Inc.(or Kimley-Horn). Chesterfield County Department of Transportation is the Owner.The Owner’s role is as defined in the contract between the RCE’s firm and theOwner. The Owner is represented on this project by the Locality Responsible ChargePerson, who is Brent Epps. Generally, the RCE will represent the Owner andrecommend for approval of work performed and changes to the contract. Paymentapplications and changes to the contract will be reviewed by the RCE and QAInspector with a recommendation sent the Locality’s Responsible Charge Person.The Contractor, RCE, and the QA Inspector will perform services for the Owner asdefined in their respective contracts with the Owner.

The Contractor’s role is as defined in the contract between the Contractor and theOwner. The Contractor for this project is TBD. Generally, as related to this plan, theContractor is responsible for conformance to the quality requirements of the workand all testing functions.

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III. Independent Assurance and Verification Sampling and Testing

This Revenue Sharing project is funded with state and local funds on a secondaryroute. The project is not a federal-aid project on the National Highway System (NHS)or on a Primary Route that will be maintained by VDOT; therefore, IndependentAssurance Sampling and Testing (IAST) is not required and will not be performed forthis project.

IV. Communication Channels

Once construction starts, the Inspector will coordinate, as appropriate, with theContractor regarding the inspection and testing frequencies outlined in the CQAP,ensuring that adequate inspection and testing forces are available to meet thescheduled construction activities. The Inspector will interface on a daily basis withthe Contractor and the testing team. The Inspector’s primary point of contact on sitewill be the Superintendent. The QC testing staff/QA testing staff, including thetechnicians, and laboratory, will submit all daily documentation to the Inspector forreview and acceptance. The Inspection Firm Project Manager will review/audit thesedocuments routinely (no less than monthly) to assure they are accurate andcomplete. Lab results may be submitted at a later date in conjunction with internalQA/QC reviews. Any unacceptable work identified by the QA/QC staff will bescheduled for correction, to include additional inspection and testing requirements.In conjunction with the Contractor’s weekly look-ahead schedule, the Inspector willassure that upcoming work items are inspected and tested in accordance with theapproved CQAP.

Communications will be handled by the inspection staff via the following meetings:1. Monthly Progress Meetings: The RCE will lead the monthly progress meeting

that is attended by the Contractor, Inspector, Owner’s staff (as appropriate)and VDOT staff (as appropriate).

3. Periodic QA/QC Staff Meetings: These informal meetings will be held toensure each individual understands his or her respective responsibilities andthat all work is properly assigned, inspected, tested and documented. Dailycommunication with the Inspector will take place to review the project’sscheduled activities and to ensure proper coordination of QA/QC activities.

The Contractor will provide a two week look-ahead schedule to the Inspector eachweek and perform daily coordination with the Inspector for advance notice of

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inspection/testing. The Contractor will contact its subcontractor performing thematerials testing and/or quality control testing as required. The Inspector willcontact QA Testing staff when testing is required. The Inspector will oversee all on-site materials testing and will also coordinate directly with the RCE, the Owner,VDOT, and all testing staff if needed.

V. Resolution Procedure

In the event of unclear contract specifications, published guidelines, or disputesrelated to substandard materials, the dispute will be resolved in the followingmanner: The Contractor shall immediately report to the RCE, in writing, alldiscrepancies, that it finds between the Contract Documents and site conditions andany inconsistencies or ambiguities in the Contract Documents. The RCE shallpromptly correct such discrepancies, inconsistencies or ambiguities in writing. Workdone by the Contractor after it discovers such discrepancies, inconsistencies, orambiguities but before the RCE has provided a written correction, shall beperformed at the Contractor's risk. The most stringent requirement will beconsidered the controlling requirement.

VI. Progress Reports

Progress reports will be provided by the Inspector to the Owner and the RCE on adaily and weekly basis. Progress reports will be available in a SharePoint folder forLAP Coordinator review.

A sample copy of the daily dairy and weekly “Progress Report” is included inAppendix D.

VII. Materials Acceptance Records and Test Data

During construction and prior to acceptance of the project, Materials AcceptanceRecords and Test Data shall be kept by the Inspector and readily available forinspection at all times by the VDOT DISTRICT PC.

This section describes the responsibilities and requirements for the identification,preparation, and maintenance of records that furnish objective documentedevidence of quality. The term “records,” used throughout this section, refers to

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testing and inspection records attesting to the achievement of the quality andtechnical requirements of the work generated during the various phases of projectconstruction activities of the Contractor and its subcontractors and suppliers.Quality records shall be available for review by the RCE, Owner and VDOT at alltimes.

GeneralA quality record is defined as a completed document that furnishes objectiveevidence attesting to the quality of items and/or activities. Quality records shall belegible, identifiable, and retrievable. These records shall be protected againstdamage, deterioration, or loss. Requirements and responsibilities for recordtransmittal, distribution, retention, maintenance, disposition, and department ororganization responsibilities shall be in accordance with the Contract Documentsand the appropriate rules and regulations contained therein, and the VDOTConstruction Manual, where applicable.

Quality records shall be indexed. The indexing system shall include, as a minimum,record retention times and the location of the record within the record system. Therecords indexing system shall provide sufficient information to permit promptretrieval, and identification between the record and the item(s) or activity(ies) towhich it applies. The retention period for quality records shall be in accordance withthe requirements of the VDOT Post Construction Manual, which states that recordsmust be retained “for three years after receipt of final payment.”

The Inspection Firm shall maintain the project Materials Notebook, recordingmaterials used, source of material and method of verification used to demonstratecompliance with VDOT standards. The Materials Notebook shall be maintainedaccording to VDOT Materials Division requirements.

The Inspection Firm shall also maintain project Diary. The Inspection firm will utilizea software database for the Diary and a standard VDOT Form TL-142 for thematerials notebook. The Inspection firm or the RCE may also utilize othercollaborative electronic software as appropriate for sharing records. A sampleInspector Diary is shown in Appendix D.

Each of the QC/QA technicians shall summarize their daily inspections, tests, andmaterial sampling activities in a daily report. The report will include a summary of

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the Contractor’s daily construction activities. Supporting inspection data sheets willbe attached to the daily report where needed. Copies of the inspector’s records shallbe provided to VDOT upon request. All reports will be completed and incorporatedin the project records within 24 hours.

At a minimum, the project diary will include the following information:• Work performed by the firm, subcontractor, or material supplier, identified

by Work Package notation• Weather conditions• Inspections performed and the test results• Communications• Type, location, and results of all tests performed• Delays encountered• Safety related problems and corrective actions taken• Non-conforming work and the corrective action taken• Reports on any meetings held and action items• Record of visitors to site• Signature of inspector

The Inspector will be responsible for the creation and/or management of the followingadditional reports and logs:

• Weekly Report· Materials Invoices and Delivery Tickets· Nonconformance Log• Test Reports (provided by QA/QC technician)• Punchlist• Progress Meeting Minutes (provided by RCE)

The Inspector will use the following VDOT forms to further document inspectionsand testing:

VDOT Form By Contractor By Inspection Firm

VDOT C-25, Source of Materials Complete, review and submit to RCE.

A new form is required for anymaterial change or changes topreviously approved materials.

C-25s will be reviewed andsubmitted for VDOT approval inaccordance with the LAP Manual.

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Compile documentation to showthat materials used complies withthe approved C-25.

VDOT C-107,

Runoff Control Inspection Report

Complete once every five days or 48hours after a significant rain event,classified as 0.25” in 24 hours.

Review all submitted byContractor.

Complete once every five days or48 hours after a significant rainevent, classified as 0.25” in 24hours.

VDOT TE-97001,

Work Zone Safety Checklist

Contractor’s certified WZ Supervisorwill establish and maintain the WZ.

Weekly and after each trafficpattern change (day and night).

VDOT C-85,

Pavement Marking

One form for each day

production – signed by certifiedapplicator and QC Tech

Review forms submitted byContractor.

The Inspector and Contractor will refer to the following documents during inspectionand testing:

• current edition of the VDOT Construction Resource Guidebook• current edition of the VDOT Construction Quality Improvement Program

Checklists• current edition of the VDOT Construction Manual (2005 with 2008

amendments)• current edition of the VDOT Post Construction Manual (May 2011)• current edition of the VDOT Instructional & Information Memorandums

(I&IM) All Divisions• current edition of the VDOT Road and Bridge Standards, Vol. 1 and Vol. 2

(2008 and Rev. through 2012)• current edition of the VDOT Road and Bridge Specifications (2007)• current edition of the VDOT Guardrail Installation Training (GRIT) Manual

Dated May 2011• current edition of the VDOT Survey Manual• current edition of the VDOT Manual of Instruction for Material Division• current edition of the VDOT Virginia Work Area Protection Manual

Control of Quality Records

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The Inspection Firm Project Manager verifies record accuracy and maintains copiesof all quality-related documentation. These records will be stored in files maintainedin the project document control files. All original documents pertaining to projectinformation will be maintained in the project file. A complete set of project records(paper copies and electronic copies) will be provided to the Owner at the completionof the project. The Inspection Firm will maintain the physical records at its office.These records will be made available to Chesterfield County and VDOT uponrequest.

Off-Site Fabricated MaterialsThe Contractor will identify to the RCE any offsite fabricated materials fromproducers not in an existing VDOT QA/QC program and the Contractor shall procurethe services of an independent testing agency to satisfactorily show that thematerials meet the requirements of the contract. The Contractor shall document allmaterials sources using a Source of Materials, Form C-25.

Red-Line Record DrawingsThe Contractor will be responsible for the preparation and submission (at the end ofthe project) of red-line record drawings that are maintained daily throughout theconstruction process. The red-line record drawings will record approved actual fieldconditions upon completion of the work. Where there was a change to a specifiedmaterial, dimension, location, or other feature, the red-line drawing will indicate thework performed. The Inspector will review red-line record drawings and provide tothe RCE.

VIII. Materials Testing Methods and Frequencies

All materials testing, testing methods and frequencies shall follow the MinimumRequirements for Quality Assurance and Quality Control on Design-Build and P3Projects– except as noted in Appendix C. The Inspector will review the materialstesting results for compliance with the LAP Manual requirements.

Field and laboratory sampling will be performed for each material type that meetsthe frequencies outlined in Appendix C of this CQAP. Work will be sampled so that itmeets the 2007 VDOT Road and Bridge Specifications, the Construction Manual(current version), Materials Manual of Instructions, and LAP Manual (Chapter 13). Inaddition, any material that appears defective or inconsistent with similar material

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being produced will be sampled, unless such material is voluntarily removed andreplaced or corrected. Samples will be taken in accordance with Virginia TestMethods (VTM), American Association of Highway and Transportation Officials(AASHTO) procedures or other acceptable procedures approved by VDOT.

All QC testing will be performed at the direction of the Inspector. Field andlaboratory testing will be performed for each material type that meets thefrequencies outlined in the LAP Manual. The QC testing requirements can be foundin Appendix C. Copies of all test results will be furnished to the Inspector as soon aspossible after the test has been performed, recorded, and the results checked toensure compliance with the appropriate testing guidelines. The requirements forfurnishing test results do not include sample aging or curing time; therefore,reporting times will be extended accordingly. If necessary, proposals will besubmitted in writing for approval to use alternate AASHTO or state-approved testmethods.

A preliminary testing plan for each material type has been developed and isprovided in the Appendix C. More specific testing quantities and/or frequencies willbe established by the Contractor before initiation of corresponding work packageactivities. At a minimum, the project schedule will be evaluated in “look-ahead” 30-day increments to establish more finite testing quantities applicable within thatperiod. This will be discussed at inspection meetings specific to planned workactivities.

All sampling and testing will be performed by a laboratory that is either:A. Accredited in the applicable AASHTO procedures by the AASHTO

Accreditation Program, orB. Complies with the requirements of AASHTO R18 (18th edition) for those tests

to be performed and compliance with R18 for those tests not covered byASSHTO Material Reference Laboratory, or

C. A laboratory approved by VDOT’s Materials Division or other accreditationprogram meeting the requirements of R18.

The Contractor’s subcontractor will be performing QC Lab testing for this project,under contract to the contractor. QA Lab testing will be performed by Froehling &Robertson, Inc.

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All materials testing laboratories shall meet the requirements as outlined in the LAPMANUAL, Chapter 13.2 for “Qualified Laboratories”. No work shall be authorizedotherwise.

IX. Right to Inspect

The “right to inspect” by the VDOT DISTRICT PC is agreed upon for any and allproject items and recognized by submittal of this CQAP.

VDOT has the right to inspect the work, in accordance with the LAP Manual, asnoted herein. No hold Points have been identified at this time.

X. Non-compliance

Non-compliance to this CQAP shall be promptly reported through the establishedcommunications process outlined in this CQAP.

Throughout the course of a project, items may be identified that do not meetspecifications. Most of these items are identified as they happen and consequently,are corrected immediately. There are two classifications of non-compliant work:

1. Level 1: Deficient work identified and corrected on the same day. TheInspector points out the deficiency to the Superintendent, who corrects itimmediately. This issue is noted in the diary by the Inspector. The Inspectornotes what he found and what the Contractor did to correct the issue. Theissue is closed.

2. Level 2: Deficient work identified and corrected at a later date. These areitems that an inspector identifies in the field, notifies the Superintendent, theSuperintendent agrees to fix the item, and the inspector notes in his diarywhat the issue is, the corrective action agreed to, and the date it will becompleted. The Issue Log is reviewed by the QA team on a regular basis toensure that all items are corrected. The inspection team performs re-inspection of the item prior to removing it from the Issue Log. All issues mustbe corrected before the Contractor receives 100% payment for that item.

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In the event of disputes, or noncompliant work that is not resolved by theContractor refer to Part V of this CQAP, and the applicable contract documents.

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XI. Appendices

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Appendix A – Organizational Chart

VDOTOwner

Chesterfield County

Engineer of RecordKimley-Horn

Responsible ChargeEngineer

Kimley-Horn

ContractorTBD

QC TestingFirm

QC TestingTechnicians

InspectorNXL

QA TestingFroehling &

Robertson, Inc.

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Appendix B - Staff Qualifications Matrix

InspectorName

Firm Experience

w/CurrentFirm

Asphalt

ConcreteField

HCC Field Soils &Aggregate

NuclearSafety

PavementMarking

GRIT OSHA 10-HR DEQ E&SInspector

Flagger Work ZoneTraining

(Intermediate)

Inspector NXL

Inspector NXL

QA Technician F&R

QA Technician F&R

Superintendent

TBD

QC Technician

QC Technician

QC Technician

Materials Testing MatrixProject Name:

Prepared by:

Date:

MaterialEstimatedQuantity Unit Type of Test

QC TestPerformed By

Number of QCTests Required

QA TestPerformed By

Number of QATests Required

VST TestPerformed By

Number of VSTTests Required

Pipes, Culverts, and Storm DrainsBox Culvert(length/ depth) 50+/-/12 LF In Place Density (VTM-10) Contractor 10 VDOT 1 Inspector 1

All Pipe(length/ depth) 13516/5’ Avg. LF In Place Density (VTM-10) Contractor 682 VDOT 69 Inspector 7

Str. C to D(length/ depth) / LF In Place Density (VTM-10) Contractor VDOT Inspector

Underdrain 12,355 LF Video Inspection (VTM-108) Contractor Entire length VDOT Observe Inspector observeExcavation, Embankment, and Undercut

Backfill (All types,incl. underdrain)

4579 CY Moisture Density Relation (VTM-1) Contractor 10 VDOT 2 Inspector 14579 CY Standard Proctor (VTM-12) Contractor 10 VDOT 2 Inspector 14579 CY Atterberg Limits (VTM-7) Contractor 10 VDOT 2 Inspector 14579 CY In Place Density (VTM-10) Contractor 10 VDOT 2 Inspector 14579 CY Grain Size Analysis (VTM-25) Contractor 10 VDOT 2 Inspector 1

Embankment

76311 CY Moisture Density Relation (VTM-1) Contractor 15 VDOT 3 Inspector 176311 CY Standard Proctor (VTM-12) Contractor 15 VDOT 3 Inspector 176311 CY Atterberg Limits (VTM-7) Contractor 15 VDOT 3 Inspector 176311 CY In Place Density (VTM-10) Contractor 15 VDOT 3 Inspector 176311 CY Grain Size Analysis (VTM-25) Contractor 15 VDOT 3 Inspector 1

Select Material, Subbase& Aggregate BaseSubbase Material 6642 LF of full width

roadIn Place Density (VTM-10) Contractor 13 VDOT 2 Inspector 1

Aggr. BaseMaterial

5.0 Lane-Miles Depth Check (VTM-38B) Contractor 10 VDOT 1 Inspector 1

Aggr. BaseMaterial

5.0 Lane-Miles In Place Density (VTM-10) Contractor 10 VDOT 1 Inspector 1

Asphalt Concrete Pavement

Asphalt Concrete

5.0 Lane-Miles Roller Pattern (VTM-76)/ Density (VTM-10) Contractor 5 VDOT Inspector5.0Lane-Miles Control Strip (VTM-76)/ Density (VTM-10) Contractor 5 VDOT Inspector5.0Lane-Miles Test Section (VTM-76)/ Density (VTM-10) Contractor 5 VDOT Inspector5.0Lane-Miles Cores (VTM-6) Contractor VDOT 3 Inspector 25.0Lane Miles Cores (VTM-22) Contractor VDOT 3 Inspector 2

5.0 Lane Miles Cores (VTM-32) Contractor VDOT 3 Inspector 2

Concrete Items

IncidentalConcrete

1132 CY Air Entrainment (ASTM C231/ ASTM C173) Contractor 126 VDOT 5 Inspector 11132 CY Slump (ASTM C143) Contractor 126 VDOT 5 Inspector 11132 CY Temperature (ASTM C1064) Contractor 126 VDOT 5 Inspector 11132 CY Unit Weight (ASTM C138) Contractor 126 VDOT 5 Inspector 11132 CY Sets (3) of Cylinders (ASTM C31/ C39) Contractor 5 VDOT 1 Inspector 1

HCC Structures

263 CY Air Entrainment (ASTM C231/ ASTM C173) Contractor 32 VDOT 3 Inspector 1263 CY Slump (ASTM C143) Contractor 32 VDOT 3 Inspector 1263 CY Temperature (ASTM C1064) Contractor 32 VDOT 3 Inspector 1263 CY Unit Weight (ASTM C138) Contractor 32 VDOT 3 Inspector 1263 CY Sets (3) of Cylinders (ASTM C31/ C39) Contractor 3 VDOT 1 Inspector 1263 CY Chloride Permeability Cylinder (VTM-112) Contractor 3 VDOT 1 Inspector 1

Pavement MarkingsPavementMarkings 20 Days of Work Moisture (VTM-94) Contractor 20 VDOT Inspector

PavementMarkings 20 Days of Work Film Thickness (VTM-94) Contractor 25 VDOT 25 Inspector

PavementMarkings 20 Days of Work Glass Bead Application (VTM-94) Contractor 25 VDOT Inspector

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Appendix C – Testing Requirements and Laboratories

Testing Laboratories to be used - Certifications attached:

· QC Testing: TBDName of PrincipalName of FirmAddressCity, State ZipPhone: (804)-XXX-XXX

· QA Testing: Froehling & Robertson, Inc.Name of PrincipalName of FirmAddressCity, State ZipPhone: (804)-XXX-XXX

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Appendix D – Inspector’s Daily and Weekly Progress Report Samples

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Chesterfield CountyTransportation Department

Daily DiaryNAME OFINSPECTORWRITING THISREPORT:

PROJECT NAME:JOB NUMBER:DATE:WEATHER:PRECIPITATIONAMOUNT:HIGHTEMPERATURE:HOURS WORKEDBY CONTRACTOR:

VISITORS ON SITE(County, State,Contractor, etc.):

NAME OFCONTRACTORSUPERINTENDENT:LABOR ON SITE:

EQUIPMENT ONSITE:

OVERVIEW OFWORK PERFORMEDTODAY:Maintenance of Traffic:Environmental:Utilities:Grade:Drainage:Paving:

Materials Testing and Inspection:Issues and Resolutions:

ALLOWANCE ITEMS: Quantity Today

Excess Excavation C.Y.Borrow Excavation C.Y.Undercut C.Y.VDOT No. 3 Stone TonsVDOT No. 57 Stone TonsVDOT No. 21B Stone TonsMilling S.Y. - inches

SUMMARY OF INSPECTION SERVICES TODAY:

Name Title Hours TodayInspectorSenior InspectorConstruction Manager

PHOTOS WITH DESCRIPTION:

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Chesterfield CountyTransportation Department

Weekly ReportNAME OF INSPECTOR WRITING THIS REPORT:

PROJECT NAME:JOB NUMBER:DATES (Sunday thru Saturday):

OVERVIEW OF WORK PERFORMED THIS WEEK:Environmental:Utilities:Grade:Drainage:Paving:Issues and Resolutions:

OVERVIEW OF WORK SCHEDULED NEXT WEEK:Environmental:Utilities:Grade:Drainage:Paving:

ALLOWANCE ITEMS:

Quantity This Report Quantity To Date Contract QuantityExcess Excavation C.Y. C.Y C.YBorrow Excavation C.Y. C.Y C.YUndercut C.Y. C.Y C.YVDOT No. 3 Stone Tons Tons TonsVDOT No. 57 Stone Tons Tons TonsVDOT No. 21B Stone Tons Tons TonsMilling S.Y. - inches S.Y. - inches S.Y. - inches

Construction Quality Assurance Plan (CQAP) forLucks Lane Widening Project (Spirea Rd. to E. Evergreen Pkwy.) and (E. Evergreen Pkwy. To Rte. 288) August 30, 2017

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SUMMARY OF INSPECTION SERVICES TO DATE:

Name Title Hours Hours Contract Percent This Report To Date Hours Used

InspectorSenior InspectorConstructionManager

SUMMARY OF CONTRACT TIME:

Original Contract Current Contract Days Percent Completion Date Completion Date Remaining Used

PHOTOS SHOWING PROGRESS ON PROJECT THIS WEEK: