****THIS IS A NEW APPENDIX. Ė PLEASE READ CAREFULLY.****
NOTIFICATION OF IM 209 VIOLATION
This appendix contains the Notification of Violations of the Approved Producerís Quality Control Program.
This is a written notice from the District Materials Coordinator or District Materials Engineer to a producer identifying violation(s) of the Producerís Quality Control Program or requirements of the Approved Producer Program (Office of Materials IM 209).
A written response is required from the Producer describing how the violation occurred, how the violation will be rectified, and what will be done so the violation will not occur or continue to occur in the future. After the written response is received, grounds for Conditional Status will be determined. Conditional Status requires that certified aggregates will no longer be accepted from a particular source. The Conditional Status may apply only to a production operation and aggregate produced by that operation. In other situations, when the deficiency is more widespread, the Conditional Status may apply to an entire company or division within a company until the problem is resolved. See Office of Materials IM 209, Appendix A for details. If the Notification of Violation is found to be in error, the Notification will be rescinded. Written responses should be sent to the District Materials Office and the Geology Section of the Central Materials Laboratory.
Producer Name†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ††††††††
Source (include A-number)†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††
Date(s) of violation††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††
Nature of Violation (Circle all that apply)
1.†† Aggregate Certification
2.†† Knowledge of Current Specifications
3.†† Plant Production Log
4.†† Visual Inspection
5.†† Quality Requirements
6.†† Production Notification
8.†† Delivery (Unapproved Materials)
9.†† Quality Control Structure
Additional details (attach a separate document if more space is needed):
IOWA DOT SIGNATURE†††††††† †††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† DATE†††††††††††††††††††††††††††††††††††
Copies to: †† District Materials Office
††††††††††††††††††† Geology Section, Central Materials Laboratory