Form CEM-6302 "Final Materials Certification" - California

What Is Form CEM-6302?

This is a legal form that was released by the California Department of Transportation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2009;
  • The latest edition provided by the California Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CEM-6302 by clicking the link below or browse more documents and templates provided by the California Department of Transportation.

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Download Form CEM-6302 "Final Materials Certification" - California

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STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
FINAL MATERIALS CERTIFICATION
CEM-6302 (NEW 7/2009)
CONTRACT NUMBER
COUNTY, ROUTE, POST MILES
FEDERAL NUMBER
CONTRACTOR NAME AND BUSINESS ADDRESS
MATERIALS CERTIFICATION
This is to certify that the results of the tests on acceptance samples show that both the materials used in the construction
work and the construction operations controlled by sampling conform to the approved plans and specifications.
No exceptions to the plans and specifications were found.
Exceptions to the plans and specifications are explained below (or on attached sheet).
RESIDENT ENGINEER SIGNATURE
DATE
DISTRIBUTION:
Original - Resident Engineer File
Copies - District Construction and FHWA
For individuals with sensory disabilities, this document is available in alternate formats. For information, call (916) 445-1233,
ADA Notice
TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
FINAL MATERIALS CERTIFICATION
CEM-6302 (NEW 7/2009)
CONTRACT NUMBER
COUNTY, ROUTE, POST MILES
FEDERAL NUMBER
CONTRACTOR NAME AND BUSINESS ADDRESS
MATERIALS CERTIFICATION
This is to certify that the results of the tests on acceptance samples show that both the materials used in the construction
work and the construction operations controlled by sampling conform to the approved plans and specifications.
No exceptions to the plans and specifications were found.
Exceptions to the plans and specifications are explained below (or on attached sheet).
RESIDENT ENGINEER SIGNATURE
DATE
DISTRIBUTION:
Original - Resident Engineer File
Copies - District Construction and FHWA
For individuals with sensory disabilities, this document is available in alternate formats. For information, call (916) 445-1233,
ADA Notice
TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
FINAL MATERIALS CERTIFICATION
CEM-6302 (NEW 7/2009)
Instructions
Form CEM-6302, "Final Materials Certification," is in accordance with Title 23 of the Code of Federal Regulations,
Part 637.207 (23 CFR 637.207), which states that state transportation departments must prepare a materials
certification and submit it to the Federal Highway Administration (FHWA) division administrator for each
construction project subject to FHWA construction oversight activities. However, the form is used on all Caltrans
projects regardless of funding source.
Any material represented by an acceptance test that does not meet the criteria contained in the plans and
specifications is considered an exception. If there are exceptions, check the exceptions box and note all non-
conforming materials on the form. Use additional sheets if necessary. The following list includes, but is not limited
to, types of non-conforming materials that must be noted as exceptions on the form:
1. Materials accepted by applying a specified pay factor or deficiency adjustment, such as for hot mix asphalt
concrete pavement or rapid strength concrete.
2. Materials out of “operating range” but within “contract compliance” for which a specified payment deduction was
made.
3. Materials not in compliance with the as-bid contract plans or specifications for which a contract change order
was approved to accept the material.
4. Materials that require certificates of compliance but one or more have not been submitted.
Sign the form and put the original in the project files. Send a copy to district construction and, if the project is
subject to FHWA construction oversight activities, send another copy to the FHWA California division
administrator. The name and address of the FHWA California division administrator is online:
http://www.fhwa.dot.gov/cadiv/
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