Sampling & Testing Guide-Minimum Frequency

SUPPLEMENTAL GUIDE – BASIS OF ACCEPTANCE

Material	IM	Spec.	Sample Size	Sampled By	Basis of Acceptance	Verification	Other Details
Admixture-Air Entraining	403	4103	1 pt.	DME or RCE	Approved Source Batch (Lot)	Project	Contact District Matls.
Admixture-Corrosion Inhibitor	402	4103	1 pt.	DME or RCE	Approved Source Batch (Lot)	Project	Contact District Matls.
Admixture-Retarder	403	4103	1 pt.	DME or RCE	Approved Source Batch (Lot)	Project	Contact District Matls.
Admixture-Water Reducer	403	4103	1 pt.	DME or RCE	Approved Source Batch (Lot)	Project	Contact District Matls.
Aggregates-Non-proportioned	209	4110-4133	IM 301	DME/PROD.	Approved Source/Certified Truck Tickets, (Form #821278)	Source	Certified Ticket for pay items by weight
Aggregates-Proportioned	209 & 204	4110-4133	IM 301	CONTR/RCE/DME	Approved Source/Certified Truck Tickets, (Form #821278)	Source Project
Aluminum, Structural		4190.01			Approved Shop Drawing & Fabrication Report
Anchor Bolts	453.08	2522.03, E,4 4185.02, A 4187.01, C	1 bolt, nut & washer per size, per project	DME	Approved Source/Test Report/Steel Mill Certifications
Anchors, Concrete	453.09				Approved Source
Anti-Strip Agent	491.16				Approved Source
Arrow Panels, Solar-Assisted	486.12	2528.03, G			Approved Source
Asphalt Binder	437	4137	1 4-oz. tin	CONTR/DME	Approved Source/Certification Statement /Test Rpt.	Source Project
Asphalt, Cutback	437	4138	1 qt. tin	RCE	Approved Source/Certification Statement  /Test Rpt.	Source

Material	IM	Spec.	Sample Size	Sampled By	Basis of Acceptance	Verification	Other Details
Asphalt, Emulsified	437	4140	1 qt. bottle	RCE	Approved Source/ Certification Statement /Test Rpt.	Source	Project  verification for seal coat
Attenuators -see crash cushion
Attenuators, Guardrail					As per plan
Backer Rod for Cold Pour Joint Seal	436.04	4136.02, B			Approved Source
Backer Rod for Hot Pour Joint Seal	436.04	4136.02, B			Approved Source
Barrier Rail, Precast Concrete	571	2513			Approved Source/DOT Stamp/Fabrication Report	Source
Beads, Glass	484	4184	1 qt.	DME	Approved Source	Subcontr.
Bearing, Bronze		4190.03	1/project	DME	Test Report
Bearing, Lead		4195.01			Certification Statement
Bearing, Neoprene	495.03	4195.02	1/pad	DME	Fabrication Report/Approved Source	Fabricator
Bentonite Clay					Visual Approval by RCE
Bolts, Nuts & Washers, Structural	453.06B	4153.06	Per IM 453.06B	DME	Mill Certification/Rotational Capacity Test/Test Report
Calcium Chloride Solution	373	4194.01	4 lbs. or 1 qt.	RCE	Test  by RCE
Caulking Compound		4192			Visual Approval by RCE
Concrete, Special Sections	445.01	4145 4149.02, B			Approved Source, Fabricator’s trade mark, Date of Manufacture, Certified stamp, Certification Statement	Source

Material	IM	Spec.	Sample Size	Sampled By	Basis of Acceptance	Verification	Other Details
Concrete, Modular & Segmental Block	445.04				Approved Source/Certification Statement
Concrete, Precast Box Culvert	445.02	2415			Approved source, Approved Shop Drawing, Fabricator’s trade mark, Date of Manufacture, Certified stamp, Certification Statement	Source
Concrete, Prestressed, Precast Units	570	2407			Approved Source, Fabricator’s trade mark, Date of Manufacture, DOT Inspection stamp, Fabrication Report	Source
Concrete Sealer	491.12	4139			Approved Source
Conduit – See Lighting Matl.
Curing Matls., Burlap		4104			Visual Approval by RCE
Curing Matls., Clear	405.07	4105.07			Approved Source
Curing Matls., Dark-colored	437	4105.06			Approved Source	Source
Curing Matls., Plastic Film		4106.01			Visual Approval by RCE
Curing Matls., White Pigmented	405	4105.05	1 qt.		Batch (Lot) Accept	Source
Crash Cushion	455	2551			Approved Source, Certification Statement if source not clearly marked
Delineators–See Signing Matls.
Detectable Warning Panels	411	2511.02, D			Approved Source
Dowel-See Steel Reinforcement

Material	IM	Spec.	Sample Size	Sampled By	Basis of Acceptance	Verification	Other Details
Drainage Trough, Elastomeric Bridge Joints	494				Approved Source
Drains, Floor		2406.03, D			Approved Shop Drawing & Fabrication Report
Drums, Channelizing	488.02	4188.02			Approved Source
Epoxy-coated Steel-See Steel Reinforcement
Epoxy Injection Resin	491.19				Approved Source
Erosion Control, Fertilizer	469.03	4169.03			Approved Source http://idalsdata.org/IowaData/fertilizer.cfm		If material is suspect, DME will sample
Erosion Control, Inoculant		4169.04			Seed Manufacturing Recommendation
Erosion Control, Mulch		4169.07			Visual Approval by RCE
Erosion Control, Mulch, Hydraulic	469.10	4169.07			Approved Source
Erosion Control, Mulch, Weed Free		4169.07			Weed Free Certification Statement
Erosion Control, Perimeter & Slope Sediment Control Devices	469.10	4169.07			Approved Source
Erosion Control, Seed	469.02	4169.02			Seed Ticket Printed with Test Data
Erosion Control, Silt Fence Fabric	496.01	4196.01			Approved Source
Erosion Control, Silt Fence Wire & Posts					Visual Approval by RCE

Material	IM	Spec.	Sample Size	Sampled By	Basis of Acceptance	Verification	Other Details
Erosion Control, Sod		4169.06			Visual Approval by RCE
Erosion Control, Sod Stakes		4169.09			Visual Approval by RCE
Erosion Control, Sticking Agent		4169.05			Seed Manufacturing Recommendation
Erosion Control, Wire Staples		4169.10, A			Visual Approval by RCE
Erosion Control, Wood Excelsior Mat	469.10				Approved Source
Expansion Device, Steel		4152.02			Approved Shop Drawing & Fabrication Report
Expansion Tube		4191.01, B			Visual Approval by RCE
Fabric Engineering	496.01	4196.01			Approved Source
Fasteners, Aluminum Structural	486	4190.02			Fabrication Report
Fence, Barbed Wire		4154.04			Visual Approval by RCE
Fence, Brace for Field Fence		4154.08			Visual Approval by RCE
Fence, Tie & Tension Wire		4154.05			Visual Approval by RCE
Fence, Chain Link Fabric	454.10	4154.03	1/source/yr		Approved Source/ Certification Statement	Project
Fence, Chain Link Fittings		4154.11			Visual Approval by RCE
Fence, Chain Link Posts, Braces, & Rails	454.10	4154.10	1/source/yr		Approved Source/ Certification Statement	Project
Fence, Field Fence Fabric		4154.02			Visual Approval by RCE
Fence, Gate		4154.12			Visual Approval by RCE
Fence, Misc. Hardware					Visual Approval by RCE

Material	IM	Spec.	Sample Size	Sampled By	Basis of Acceptance	Verification	Other Details
Fence, Orange Mesh Safety	488.03	4188.03			Approved Source
Fence, Silt-See Erosion Control
Fence, Staples		4154.06			Visual Approval by RCE
Fence, Steel Line Posts		4154.09			Visual Approval by RCE
Fence, Wood Fence Post	462	4154.07			Approved Source/Certification of Grade/Certified Treatment Test Report
Fertilizer-See Erosion Control
Fly Ash	491.17	4108	15 lbs.	DME	Approved Source/ Certification Statement	Project Source	Verification on paving only
Galvanized Items		4100.07		DME	Test Report by District Materials
GGBFS	491.14	4108.02			Approved Source/ Certification Statement	Source Project
Grating (Aluminum)		4187.01, A			Approved Shop Drawing & Fabrication Report
Grout, Hydraulic Cement	491.13				Approved Source
Grout, Polymer	491.11				Approved Source
Guardrail, Cable		4155.03	6 ft.	DME	Test Report by Central Lab
Guardrail, High Tension Cable	455.01	2505.03, B			Approved Source/ Certification Statement
Guardrail, Formed Steel Beam	455.02	4155.02			Approved Source

Material	IM	Spec.	Sample Size	Sampled By	Basis of Acceptance	Verification	Other Details
Guardrail, Steel Posts		4155.05			Mill Test Report
Guardrail, Wood Posts	462	4155.04			Approved Source/Certification of Grade/Certified Treatment Test Report
Iron Castings, Utility Access Covers, etc.	453.04	4153.04			Certification Statement & Proper Identification Imprint
Iron Castings, Utility Access Adjustment Rings	449.05				Approved Source/Certification Statement
Iron Bridge Rockers		4153.04			Approved Shop Drawing & Fabrication Report
Joint Filler, Flexible Foam-Type CF & EF Joints	436.05	4136.03, B 4136.03, D			Approved Source
Joint Filler, Type E Joint	436.03	4136.03, A			Approved Source
Joint Filler, Bituminous	436.03	4136.03, A			Approved Source
Joint Sealer for Concrete Sewer Pipes	491.09	4149.04,D,2			Approved Source
Joint Sealer, Elastomeric (Neoprene)	436.02	4136.03			Approved Source
Joint Sealer, Poured	436.01	4136.02, A			Approved Source
Keyway		4191.01, A			Visual Approval by RCE
Lighting Material, Aluminum Poles	557	4185.02, F			Approved Shop Drawing/Approved Source/Certification Statement
Lighting Material, Circuit Test		2523.03, U		Contractor	Test Report (Contractor) Form #820928
Lighting Material, Connectors		4185.11			Approved Catalog Cut
Lighting Material, Contactors		4185.05			Approved Catalog Cut

Material	IM	Spec.	Sample Size	Sampled By	Basis of Acceptance	Verification	Other Details
Lighting Material, Control Cabinet		4185.07			Approved Shop Drawing & Catalog Cut
Lighting Material, Conduit & Fittings, Plastic		4185.10, D	4’-Plastic	DME	Test Report
Lighting Material, Conduit & Fittings, Steel	485.10	4185.10, B			Approved Source
Lighting Material, Ground Rods & Clamps		4185.04			Visual
Lighting Material, Handholes	445.01	4185.08			Approved Source, Fabricator’s trade mark, Date of Manufacture, Certified stamp, Certification Statement	Source
Lighting Material, Junction Boxes		4185.09			Approved Catalog Cut
Lighting Material, Lighting Tower	557	2522.03, E			Approved Shop Drawing/Approved Source/Certification Statement
Lighting Material, Lowering Device		2522.03, G			Approved Shop Drawing & Fabrication Report
Lighting Material, Luminaries		4185.03			Approved Catalog Cut
Lighting Material, Photoelectric Control		4185.06			Approved Catalog Cut
Lighting Material, Sealant for Traffic Loop Detectors	491.18				Approved Source
Lighting Material, Steel Poles	557	4185.02, E			Approved Shop Drawing/Approved Source/Certification Statement

Material	IM	Spec.	Sample Size	Sampled By	Basis of Acceptance	Verification	Other Details
Lighting Material, Underground Warning Tape		2523.03, E			Visual Approval by RCE
Lighting Material, Wire & Cable		4185.12			Approved Catalog Cut & Certification Statement		DME may obtain verification samples
Lighting Material, Wood Poles	462	4185.02, G			Approved Source/Certification Statement
Lighting Material, Fasteners for Poles	453.09	4185.02, B	1 each type	DME	Test Report & Approved Shop Drawing
Lighting Material, Mastarms	557	4185.02, C			Approved Shop Drawing/Approved Source/Certification Statement
Lighting Material, Slip Base	557	4185.02, B			Approved Shop Drawing/Approved Source/Certification Statement
Lighting Material, Transformer Base	557	4185.02, D			Approved Shop Drawing/Approved Source/Certification Statement
Markers (reflective) for Guardrail & Concrete Barrier Rail	486.08	4186.12			Approved Source
Markers, Raised Pavement	483.07	2527.02, D,5			Approved Source
Mastarms-See Lighting Materials
Paint, Epoxy Aluminum	482.04				Approved Source
Paint, Traffic-VOC-Compliant Solvent-borne	483.03	4183.02			Approved Source
Paint, Traffic Waterborne	483.03	4183.03			Approved Source	Subcontr.

Material	IM	Spec.	Sample Size	Sampled By	Basis of Acceptance	Verification	Other Details
Paint, Waterborne Acrylic Finish (Bridge Paint)	482.05	4182.03			Approved Source/Certification Statement
Paint, Zinc-rich Epoxy	482.02	4182.02			Approved Source/Certification Statement
Paint, Zinc-silicate Solvent-borne	482.05	4182.02			Approved Source/Certification Statement
Patch Material, Rapid-set Concrete	491.20				Approved Source
Pedestrian Bridge, Pre-engineered	557				Approved Source/Approved Shop Drawing
Piling, Concrete	570	4166			Approved Source, Fabricator’s trade mark, Date of Manufacture, DOT Inspection stamp, Fabrication Report	Source
Pilling, Timber	462	4165			Approved Source/Certification of Grade/Certified Treatment Test Report		Charge number on butt ends
Piling, Steel	467	4167			Approved Source/Mill Certification	Project
Pipe, PVC Sewer	443, 446	4149.02			Approved Source/Certification Statement	Source
Pipe, Clay Sewer		4149.02, A	2 each	DME	Test Report
Pipe, Concrete	445	4145			Approved Fabricator, Fabricator’s trade mark, Date of Manufacture, Certified stamp, Certification Statement	Source
Pipe, Corrugated Aluminized	441	4141			Approved Source/Certification Statement
Pipe, Corrugated Polyethylene 3-10 in.	443	4146.02 4143.01			Approved Source	Source
Pipe, Corrugated Polyethylene 12-36 in.	446	4146.02			Approved Source/Certification Statement	Source

Material	IM	Spec.	Sample Size	Sampled By	Basis of Acceptance	Verification	Other Details
Pipe, Corrugated Steel	441	4141			Approved Source/Certification Statement	Fabricator
Pipe, Ductile Iron Sewer		4149.02			Certification Statement
Pipe, Polyethylene Sewer	443, 446	4146.03			Approved Source/Certification Statement	Source
Pipe, Rodent Guard for PE Pipe	443.01	4143.01, B			Approved Source
Pipe, Rodent Guard for CMP Pipe	443.01	4143.01, B			Approved Source
Pipe, Concrete Subdrain Tile	448	4148			Approved Source/Certification Statement	Source
Pipe, Corrugated Metal Subdrain Outlet	441	4143.01, B			Approved Source/Certification Statement	Fabricator
Pipe, Corrugated Polyethylene Subdrain	443	4143.01, B			Approved Source	Source
Pipe, Welded Steel for Bridge Rail (See Railing, Bridge)
Pipe, Horizontal Subdrain	443	4143.01, A			Approved Source	Source
Plant Material, Fertilizer	469.03	4170.09, B			Approved Source
Plant Material, Mulch	470	4170.09, D		RCE	Field Review Report
Plant Materials, Plants	470	4170.01-4170.08		Roadside Development	Field Review Report		Rpt. Issued-Roadside Development
Portland Cement Concrete Premix Pack	447				Approved Source/Certification Statement	Source
Portland Cement, All Types	401	4101	10 lbs.	DME	Approved Source/Certification Statement	Project Source

Material	IM	Spec.	Sample Size	Sampled By	Basis of Acceptance	Verification	Other Details
Railing, Bridge		4153.05			Approved Source/Approved Shop Drawing/Fabrication Report
Reflective Sheeting-See Signing Material
Release Agent	491.15				Approved Source
Sealant, Traffic Loop-See Lighting Material
Seed-See Erosion Control
Signing Material, Delineator Posts		4186.10, C	1 each supplier	DME	Test Report
Signing Material, Delineators	486.07	4186.11			Approved Source	Project
Signing Material, Finished Sign	486	4186			Shipping Report/Approved Source/Certification Statement	Source
Signing Material, Fasteners		4186.09			Fabrication Report
Signing Material, Reflective	486.03	4186.03			Approved Source	Source
Signing Material, Sign Panels		4186.02			Approved Shop Drawing & Shipping Report
Signing Material, Sign Support Structures	557	4187			Approved Source/Approved Shop Drawing/Fabrication Report
Signing Material, Stainless Steel Fasteners	453.07		1 per size per proj.	DME	Approved Source/Mill Certification	Project
Signing Material, Steel Posts		4186.10			Approved Shop Drawing & Shipping Report

Material	IM	Spec.	Sample Size	Sampled By	Basis of Acceptance	Verification	Other Details
Signing Material, Wood Posts	462	4186.10			Approved Source/Certification of Grade/Certified Treatment Test Report
Signing Material, Galvanized Items		4100.07			Test Report by District Materials
Sod-See Erosion Control
Steel Castings		4153.03			Approved Source/Catalog Cut
Steel Masonry Plates		4152.02			Mill Certification
Steel Pipe, Welded		4153.05			Approved Shop Drawing & Fabrication Report
Steel, Pins/Rollers, Cold Finished		4153.02			Approved Source/Catalog Cut
Steel, Pins/Rollers, Forged		4153.01			Approved Source/Catalog Cut
Steel Reinforcement, Basket Assemblies	451.03B	4151.02			Approved Source/Certification Statement
Steel Reinforcement, Epoxy-coated	451.03B	4151.03, C	6 ft.	DME	Approved Source/Mill Certifications & Epoxy Certification Statement /Test Report	Project	Test sample should be 3 ft. away from end of the bar.
Steel Reinforcement, Epoxy-coated Tie Bars	451.03B	4151.02, A	1 per project per year		Approved Source/Certification Statement	Project
Steel Reinforcement, Epoxy-coated Dowels	451.03B	4151.02, B	1 per project per year		Approved Source/Certification Statement	Project
Steel Reinforcement, Galvanized	451	4151.03, B	3 ft.	DME	Mill Certifications & Test Report for Galvanizing	Project
Steel Reinforcement, Uncoated	451	4151	*6 ft. of most common	DME	Approved Source/Mill Certification	Project	*Proj. quant. under 45T Cert. Only, 45T+ 1 samp.

Material	IM	Spec.	Sample Size	Sampled By	Basis of Acceptance	Verification	Other Details
Steel Reinforcement, Wire Mesh	451	4151.04	2 ft. x 2 ft.	DME	Approved Supplier or Distributor. Steel Reinforcement/ Mill Certification	Supplier	1 sample per source per year
Steel Mechanical Splicers for Reinforcement	451				Approved Source/Mill Certification/Epoxy Certification	Project	Need: Certification Statement, Project #, Quantity, Heat #
Steel Structural	557, 561 to 565	2408 4152			Approved Source/Approved Shop Drawing/Fabrication Report/Mill Certifications
Step Irons for Utility Access		4149.04, L			Fabrication Report
Structural Items, Other					Approved Shop Drawing & Fabrication Report
Structural Plate (Arches)	444	4144	Visual	RCE	Approved Source/Certification Statement
Studs, Shear	453.10				Approved Source/ Mill Certification
Tape, Pavement Marking	483.06	2527.02, D			Approved Source
Torque Calibration Machine (skidmore)		2408.03, S	Calibrate every 6 mo.	CTRL	Test Report
Torque Wrench		2408.03, S	Calibrate every 6 mo.	CTRL	Test Report
Traffic Signalization, Electrical Tests		2525.03, E 2525.03, H		Contractor	Test Report (Contractor) Form #820928
Water		4102	1 qt. per source	DME	Test Report or City Water Supply

Material	IM	Spec.	Sample Size	Sampled By	Basis of Acceptance	Verification	Other Details
Wire & Cable-See Lighting Material
Watermain, Appurtenances		4150.05			Catalog Cut/ Mill Certification
Watermain, Ductile Iron Pipe		4150.02			Mill Certification
Watermain, Ductile Iron Pipe Fittings		4150.02			Catalog Cut/ Mill Certification
Watermain, Fire Hydrant Assembly		4150.04			Catalog Cut/ Mill Certification
Watermain, PVC Pipe	446	4150.02			Approved Source/Catalog Cut/ Certification Statement
Watermain, PVC Pipe Fittings	446	4150.02			Approved Source/Catalog Cut/ Certification Statement
Watermain, Valves		4150.03			Catalog Cut/ Mill Certification
Wood, Hardware for Timber Structure	462	4153.07	1 ea. type		Test Report
Wood, Treated Posts	462	4164			Approved Source/Certification of Grade/Certified Treatment Test Report
Wood, Treated Timber & Lumber	462	4162			Approved Source/Certification of Grade/Certified Treatment Test Report
Wood, Untreated Timber & Lumber	462	4162	Visual	RCE	Quality grad mark or certification of grade on items requiring grade