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DOT IF ® JOINTA GAL.USHA, LLG. A PROUD MEMBER OF THE D.A.COLLINSTM COMPANIES TRANSMITTAL PROJECT: Adirondack Outlaw—Great Escape DATE: 04/05/2021 Rev 04/07/2021 TO: Rozell Industries,Inc PHONE: (518)361-2943 129 Park Rd FAX: Queensbury,NY 12804 EMAIL: jmercure@rozellind.com ATTN: Jeff Mercure REF: Ftgs,Fnd Walls,Ext Slabs WE ARE SENDING: SUBMITTED FOR: SENT VIA: ACTION TAKEN: ❑Drawings ®Approval ®Attached ❑Submit ❑Letter ❑Your Records ❑Separate Cover ®Corrected ❑Report ❑As Required ❑Resubmit ®Submittals ❑Review ❑Purchase Order DESCRIPTION - - SPEC SECTION STATUS Concrete Mix#40018—4000psi Concrete for Ftgs,Fnd Walls,Ext Slabs Compressive Strength Test Report(4 pages) Added 04/07/21 Cement Specifications—LaFarge Type 1/11 NYSDOT Coarse Aggregate Source Approval Refer to NYSDOT https://www.dot.ny.gov/divisions/engineering/technical-services/technical- link sere ices-repository/alas/pages/lstone.html Gradation Report-#1 Stone(1-52R) Gradation Report-#2 Stone(1-52R) NYSDOT Fine Aggregate Source Approval Refer to NYSDOT https://www.dot.ny.gov/divisions/engineering/technical-services/technical- link sery ices-repository/alas/pages/lsand.html Gradation Report—ASTM C-33 Sand(1-97F) Admixture Specifications—MasterPolyheed 997(3 pages) Admixture Specifications—MasterAirVR 10(3 pages) Admixture Specifications—MasterRheobuild 1000(3 pages) SIGNED: Stacy Norton 269 BALLARD ROAD,WILTON,NEW YORK 12831 • PHONE:(518)584-2421 • FAx:(518)584-4382 • WWW.DACOLLINS.COM An Equal Opportur iry Employer MIX DESIGN CONTEK SHILSTONE seeMIX III Mix Report 40018-40018[2] Strength Compressive:4000 psi 04/05/2021 Contractor: Rozell Industries, Inc Project: Great Escape-Adirondack Outlaw Compressive Strength : 4000 psi at 28 days Source of Concrete : Jointa Galusha, LLC Aggregate size : 3/4" — 19 mm Construction type : Listed In Notes Air: 6.0± 1.5% Placement: Truck&Pump Water/Cement ratio : 0.484 Unit Weight: 146.49 - pcf Slump: 12.00 to 4.00 in Design Date: 04/05/2021 Slump after SP: 17.00 to 9.00 in Constituents : Quantity Density Volume ASTM C150 Type 1/11 Portland, Lafarge 550 lb 3.150 2.80 Water 266lb 1.000 4.26 NYSDOT#1 stone,Jointa HQ,sce#1-52R 988 lb 2.810 5.63 NYSDOT#2 stone,Jointa HQ,sce#1-52R 834 lb 2.810 4.76 ASTM C-33 sand, P.Mills,sce#1-97F 1315 lb 2.670 7.89 Air, BASF, MasterAir VR 10 7.15 floz(US)/yd3 1.100 0.01 WRA,BASF, MasterPolyheed 997 27.50 floz(US)tyd3 1.100 0.03 Air 6.0 %. 1.62 Total : 3955 27.00 Remarks We submit the following mix for Engineering review and approval.This mix is for Footings, Foundation Walls, and Exterior Slabs.To accommodate up to a 6"slump, additional WRA(BASF's MasterPolyheed 997)shall be added at the cost and request of the contractor.To accommodate a 7-9"slump,HRWR(BASF's MasterRheobuild 1000) shall be added at the cost and request of the contractor. Reported by: Erin Ives Approval by: Date : 04/05/2021 Date 04/05/2021 1 evE�v®RK Depar lmenl of -ANDREW M. CUOMO Z:jSTATE OF Governor OPPORTUNITY. T°ransp®rtatlt�n 1• MARIE THERESE DOMINGUEZ Commissioner PATRICK.S.BARNES,P.E. Regional Director March 20,2020 Jointa Galusha L.LC 269 Ballard Rd. Wilton,NY 12831 Re: Portland Cement Concrete Plant Approval Facility No.C0410 To whom it may concern: On 3/16/20, personnel from the Regional Materials staff inspected your Portland cement concrete production facility located at Shermantown Road,Glens Falls. As a result of this-inspection, it has been determined that the physical plant features, the automation, recordation and admixture dispensing system.at-this plant are in conformance with the requirements outlined:in Section 501 of the New York State Department of Transportation Standard Specifications of January 1,2020. In accordance with 501- 3.03 (A), notify the Regional Materials office by 3:00 PM on the day before any production for NYSDOT or for locally administered Federal-aid projects. Approval is hereby given to supply Portland cement concrete from this facility to Department projects during the 2020 construction season,with the following limitations; 1. Minimum Batch Weights are: 2.When producing batches with microsilica Aggregate 2000 Lb powder added separately: Cement 1000 Lb Aggregate 2000 Lb - Cement 2000 Lb Minimum batch size is 1.75 Cubic Yards Minimum batch size is 3.50 Cubic Yards Our specifications, however, require automation and scale checks periodically,and continued approval will be contingent upon satisfactory completion of all automation and scale checks. This letter is intended for your information only,and should not be used for promotional purposes. Sincerely ours, Kristofer Miller, P.E Regional Materials Engineer Region One 50 Wolf Road,Albany,NY 12232 VNIWAot.ny.gov JAFARGE NSF Material Certification Report Material: Portland Cement Test Period: 01-Jan-2021 to 31-Jan-2021 Type: 1-11 Date Issued: 10-Feb-2021 NSP/ANSI 61 -Certification '. This cement meets the specifications of ASTM C150 and AASHTO M85 for Type 1-11 cement. _-- - __ General information Supplier: - Holcim(US)Inc. dlb/a LafargeHolcim US _ - J Source Location: Ravena Plant Silo:Cl-C16,131-136 Address: 8700 West Bryn Mawr Ave P.O.Box Chicago,IL60631 Ravena,NY 12143 Contact: Contact: Scott Derhammer/(518)756-5000 The following is based on average test data during the test period.The data is typical of product shipped from this source;individual shipments may vary. i Test Data on ASTM Standard Requirements Chemical Physical Item Limit Result Item Limit Result Si02(%) - 19.8 Air Content(%) 12 max 8 A603(%) 6.0 max 4.7 Blaine Fineness(m2/kg) 260 min 389 Fe2O3(%) 6.0 max 3.1 CaO(%) - 62.4 Autoclave Expansion(%)(C151) 0.80 max 0.05 Mg0(%) 6.0 max 3A Compressive Strength MPa(psi) S03(%) 2 3.0 max 3.5 3 day 10.0(1450)min 26.3(3810) Loss on Ignition(%)s 3.5 max 1.7 7 day 17.0(2470)min 32.7(4740) Insoluble Residue(%) 1.50 max 0.35 28 day(previous month's data) - 37.9(5500) CO2(%) - 1.0 CaCO3 in Limestone(%) 70 min 95 Initial Vicat(minutes) 45-375 106 Potential Phase Compositions 3: C3S(%) - 53 Mortar Bar Expansion(%)(C1038) 0.020 max 0.004 C2S(%) - 16 C3A(%) 8 max 7 C4AF(%) - 9 C3S+4.75C3A(%) - 88 Test Data on ASTM Optional Requirements Chemical I Physical Item Limit Result Item Limit Result Equivalent Alkalies(%) - 0.64 Notes(*1-9) 1-Dashes in the Limit/Result columns mean Not Applicable. 2-It is permissible to exceed the specification limit provided that ASTM C1038 Mortar Bar Expansion does not exceed 0.020%at 14 days. 3-Adjusted per Annex A1.6 of ASTM C150 and AASHTO M85. 5-Limit=3.0 when limestone is not an ingredient in the final cement product I Additional Data, Item Limestone Inorganic Processing Addition Base Cement Phase Composition Result Amount(%) 2.3 - C3S(%) 55 SiO2(%) 3.4 - C2S(%) 17 A603(%) 0.8 - C3A(%) 7 Fe2O3(%) 0.2 - C.AF(%) 10 Ca0(%) 52.6 - S03(%) 0.1 - Printed:2/10/2021 2:12:57 PM Scott Derhammer, Version:180412 (,;t7aYjptL,()(,J� Quality Manager S_o.urce: HARTFORD(1-52R) Materiai: NYSDOT#1 JOIN TA GALUSHA, LLC. SAMPLE DATE: 06/26/20 TEST.DATE: 06/29/20 SAMPLE TIME: 12:00 QC TECH: KB/1C/AK MOISTURE CONTENT WASH TEST INITIAL WEIGHT 4219.5 INITIAL WEIGHT 4195.8 DRY WEIGHT 4195.8 DRY WEIGHT 41800 MOISTURE WEIGHT 23.7 WEIGHT-200 15.8 V.'MOIS,'TURE 0:6 % -200 0.4 METHOD LOCATION FLOWING AGG.STREAM MAIN STOCKPILE X RANDOM,LOCATION.. X CONVEYOR MINI STOCKPILE OTHER i LOADER DIG I OTHER SIEVE SIZE WEIGHT %RETAINED %PASSING SPECIFICATIONS I 1" (25.Omm) 0:0 0,0 100.0 100°o i 1/2" (12.5mm) 198.5 4.8 95.2 90-100 KO 1/4"(6.3mm) 3759.0 90.1 5.2 0-15% PAN 216.8 5.2 0.0 TOTAL 4174.3 NOTES: i SMATERIAL SIEVEANALYSIS our.Ce: HARTFORD(1-52R) Material NYSDOT#2 JOINtTA GALUSHA, LLG. i SAMPLE DATE: 07/02/20 TEST DATE: 07/07/20 SAMPLETIME: 1:00 QC-TECH: JC/KB/AK MOISTURE CONTIINT - WASH TEST INITIAL WEIGHT 5426.0 INITIAL WEIGHT 5423.2 j D.RY WEIGHT . 5423.2 DRY'WEIGHT 540-9-8 MOISTURE WEIGHT 2.8 WEIGHT-200 13.4 MOISTURE 0:1 0 -200. 0:2 METHOD LOCATION X FLOWING AGG.STREAM TMAIN STOCKPILE RANDOMLOCATION 'CONVEYOR MINI STOCKPILE OTHER LOADER DIG I OTHER MEVE-SIZE WEIGHT %:RETAINED %PASSING SPECIFICATIONS 1-1/2" (37.5mm) 0.0 0.0 100.0 100% 1" (25.Omm) 390.5 7.2 92.8 90-1000, 3/4" (19.Omm) 1924.5 35.6 57.1 1/2"(115mm) 2578-.5 47.7 9A 0-15%- PAN 507.4 9.4 0.0 TOTAL 5400.9 i NOTES: