Loading...
HomeMy WebLinkAbout4.28.22 Board Correspondence - FW_ Dam Safety Compliance Report submitted in FERC P-803-000 by Pacific Gas and Electric Company,et al. (2) From:Paulsen, Shaina To:BOS Subject:Board Correspondence - FW: Dam Safety Compliance Report submitted in FERC P-803-000 by Pacific Gas and Electric Company,et al. Date:Thursday, April 28, 2022 8:04:32 AM Please see Board Correspondence below. Shaina Paulsen Associate Clerk of The Board Butte County Administration 25 County Center Drive, Suite 200, Oroville, CA 95965 T: 530.552.3304 | F: 530.538.7120 -----Original Message----- From: 'FERC eSubscription' <eSubscription@ferc.gov> Sent: Thursday, April 28, 2022 7:35 AM Subject: Dam Safety Compliance Report submitted in FERC P-803-000 by Pacific Gas and Electric Company,et al. .ATTENTION: This message originated from outside Butte County. Please exercise judgment before opening attachments, clicking on links, or replying.. On 4/28/2022, the following Filing was submitted to the Federal Energy Regulatory Commission (FERC), Washington D.C.: Filer: Pacific Gas and Electric Company Pacific Gas & Electric Company (as Agent) Docket(s): P-803-000 Lead Applicant: Pacific Gas and Electric Company Filing Type: Dam Safety Compliance Report Description: Pacific Gas and Electric Company submits revised Quality Control and Inspection Program for the Seepage Weir Replacement Project at Philbrook Dam for the DeSabla-Centerville Hydroelectric Project under P-803. To view the document for this Filing, click here https://urldefense.com/v3/__https://elibrary.ferc.gov/eLibrary/filelist?accession_num=20220428- 5118__;!!KNMwiTCp4spf!C9ZNT4NoaJ8QU7gs1mbwGwlcEpPoqZvd69ZcQ3jg-V-xbj4RDckZyUT3hVqDBXnWgB4dzKJteLLlsmgSqAT4Cbvrx- r-503byCM6$ To modify your subscriptions, click here: https://urldefense.com/v3/__https://ferconline.ferc.gov/eSubscription.aspx__;!!KNMwiTCp4spf!C9ZNT4NoaJ8QU7gs1mbwGwlcEpPoqZvd69ZcQ3jg- V-xbj4RDckZyUT3hVqDBXnWgB4dzKJteLLlsmgSqAT4Cbvrx-r-5zboA8s2$ ------------------------------------------------------------------------ Please do not respond to this email. Online help is available here: https://urldefense.com/v3/__http://www.ferc.gov/efiling-help.asp__;!!KNMwiTCp4spf!C9ZNT4NoaJ8QU7gs1mbwGwlcEpPoqZvd69ZcQ3jg-V- xbj4RDckZyUT3hVqDBXnWgB4dzKJteLLlsmgSqAT4Cbvrx-r-537YvrHd$ or for phone support, call 866-208-3676. 245 Market Street tƚǞĻƩ DĻƓĻƩğƷźƚƓ San Francisco, CA 94105 Mailing Address: Mail Code N11D P.O. Box 770000 San Francisco, CA 94177 April 27, 2022 Via Electronic Submittal (E-File) Frank L. Blackett, P.E., Regional Engineer Federal Energy Regulatory Commission Division of Dam Safety and Inspections San Francisco Regional Office 100 First Street, Suite 2300 San Francisco, CA 94105-3084 RE: DeSabla-Centerville Hydroelectric Project, FERC No. 803-CA Philbrook Dam, NATDAM No. CA00345 Updated Resumes - Quality Control and Inspection Program Revision Dear Frank L. Blackett: This letter presents submittal of the revised Quality Control and Inspection Program (QCIP) for the Seepage Weir Replacement Project (Project) at Philbrook Dam, Federal Energy Regulatory Commission (FERC) No. 803. In a letter dated October 22, 2021, FERC authorized construction of the Project. Since FERC authorization, there have been changes to key staff members supporting the Project. Hannah Curran has replaced Emily Steen as the PG&E onsite engineer providing geotechnical oversight; John Carmichael is the confirmed field inspector; and Janis Boulant has replaced Jonathan Edwards as the PG&E engineer for the Project. All references to previous assignments in the Quality Control and Inspection Program (QCIP) filed January 26, 2021 have been replaced with the newly assigned team members. Enclosed, please find new resumes (Enclosure 1) and a revised QCIP (Enclosure 2). safety engineer, Kaitlyn Thatcher, at (707) 342-7885. For general questions, please contact Jackie Pope, at (530) 254-4007. Sincerely, Matthew Joseph Interim Supervisor, Hydro Licensing Enclosures: 1. Resumes (Curran, Carmichael, Boulant) 2. Quality Control and Inspection Program for Philbrook Dam Install New Weir, prepared by PG&E and dated April 25, 2022 D.21 D.22 JanisBoulant,PE Updated2022 California License # C 78958 SUMMARY Licensed Civil Engineer with over 14 years of engineering, design and project management experience in a highly regulated work environment including managing consultants and making engineering decisions with an emphasis on employee, public and contractor safety in the Civil Land Development, Natural Gas, and Hydro Power Generation fields. EXPERIENCE Pacific Gas and Electric ProjectEngineer 2022 –Present Provide guidance to Project Engineering and Project Management staff on various projects and initiatives. Manage contractual relationships with engineering consulting firms supporting Hydro Generation projects, including rehabilitation, upgrade, and new construction throughout PG&E’s service territory. Key involvement with significant construction projects and initiatives including the following: o Poe Reservoir Trail Improvements o Poe Beach Trail Improvements o Sandy Beach Recreation and Parking Improvements o Bucks Creek Penstocks Erosion Mitigation Gas Transmission Systems, Inc. Supervising Engineer 2011 – 2022 Lead Engineer/Supervising Engineer for a large variety of projects including Regulator Station and Large Volume Customer Meter Set Design, Steel and Plastic Pipeline Replacement, and Corrosion Protection. Major programs worked on included: District Regulator Replacement, HPR Replacement, Aldyl-A Plastic Replacement, Paradise Underground and Rehabilitation Program, and Mobile Home Park Master Meter Replacement Program. Work included public meetings and workshops, budget management, right of way, utility coordination, design, and preparation of construction documents all over PG&E’s service area. Northstar Engineering Engineer 2006 – 2009 Created construction packages for the design of proposed residential, commercial and municipal projects. Packages included civil design drawings and details, grading plans and material specification packages. Engineered storm water retention basins and provided storm water runoff reports. SKILLS Excellent Technical Writing and Communication Skills Able to work independently and as part of multidiscipline teams Computer Skills - proficient with the following: Microsoft Office Suite (Word, Excel, Outlook, Teams, OneNote & PowerPoint), AutoCAD, Adobe Pro, Blue Beam, SAP EDUCATION Graduate of CSU Chico, Chico CA (2006) Bachelor of Science, Civil Engineering D.6 John Carmichael Pacific Gas & Electric Company Hydro Generation, Project Execution, Inspection 12840 Bill Clark Way Room #2143 Auburn, CA 95602 (530) 889-6450 Office (530) 328-8059 JOB TITLE: SENIOR FIELD INSPECTOR Certifications: ACI – Field Testing Technician -Level 1 CTM 231 Radiation Safety & Use of Nuclear Soil GaugeCTM 375 DOT - CaltransCTM 382 JTCP – Soil & Aggregate CTM 521 JTCP HMA1CTM 523 JTCP HMA2CTM 533 JTCP PCCCPR, AED, First Aid CTM 125 30 Hr. OSHA Summary: Mr Carmichael has extensive knowledge Field / Lab testing and inspection services in accordance with Caltrans, DSA, OSHPD, Federal and local Quality Assurance/Quality Control test methods related to mass grading, roadway subgrades, aggregate base, asphalt concrete paving, underground utilities, and structural concrete on Hospitals, Schools, major highways, roadway, bridges and interchange projects. Poven track record for adhering to ASTM, AASHTO, AC!, and Caltrans specifications. Proficient with Microsoft Office and Deltek applications. Objective: Review and understand all project documents including project description, drawings, QCIP, specifications, permits, and other related project information. Perform, document, and communicate the expectations identified in the QCIP to the project team. Experience: D.9 PG&E Sept 2021 – Present Fordyce Dam Leakage Reduction. The project scope includes repairing the upstream surface of the dam, and installing a non pervious liner over it. This will require installing a coffer dam upstream of the dam to provide access to the dam’s upstream face. Spring Gap Forebay Paving Project. The project scope consisted of re-grading and pavinf approximately 30,000 SF of improved area. Work included vegetation removal, re-grading to improve drainage, placement of engineered fill, and asphalt surface. Tiger Creek Forebay Low Level Outlet Inspection. The project scope consisted of creating access into the LLO pipe, pressure washing the inside of the pipe, then inspecting the pipe with an ROV. KLEINFELDER May 2005 – 2021 9969 Horn Road, Sacramento, California 95827 HWY96 Klamath River Bridge project, Yreka, California. Provided onsite materials testing and laboratory testing for Caltrans on bridge replacement. Services included materials testing on soil, aggregate, asphalt paving, and structural concrete. l-5 Dunsmuir Grade Project, Dunsmuir/Mt Shasta, California. Provided onsite materials testing and laboratory testing for Caltrans on 10 miles of new concrete highway. Services included materials testing on soil, aggregate, asphalt paving, structural concrete paving, and batch plant inspection. Sacramento Municipal Utility District, Substations, Sacramento Area, California. Provided construction materials testing and special inspection services at multiple substations throughout the Sacramento area related to soils, concrete, and asphalt. 1-5 Crag View/Sims Rd Bridge Replacement Project, Dunsmuir, California. Provided onsite materials testing and laboratory testing for Caltrans on bridge replacement. Services included materials testing on soil, aggregate, asphalt paving, structural concrete, and batch plant inspection. 1-5 South Weed Project, Weed, California. Provided onsite materials testing and laboratory testing for Caltrans on 12 miles of asphalt rehabilitation. Services included materials testing on soil, asphalt paving, and structural concrete. Energy Transfer Compressor Facility, Defiance, Ohio. Project Inspector responsible for site safety, QA testing and inspection services for 21 Acre site. Provided construction inspection and materials testing services related to soils observation and concrete foundations. D.:2 Utility Procedure: PG-2713P-01-Att01 Attachment Publication Date: 09/26/2019 Rev:2 Quality Control Inspection Program (QCIP) QUALITY CONTROL AND INSPECTION PROGRAM FOR Philbrook Dam Install New Weir POWER GENERATION DEPARTMENT Revision No.: Rev 3 Date: April 25, 2022 Prepared By: \[Janis Boulant\] Signature: ___________________________ Approved By PE Supervisor: \[Kyle Ingvoldsen\] Signature: ___________________________ Accepted By Facilities Safety Engineer: \[Kaitlyn Daniels\] Signature: ________________________ Kaitlyn Daniels i Utility Procedure: PG-2713P-01-Att01 Attachment Publication Date: 09/26/2019 Rev:2 Quality Control Inspection Program (QCIP) TABLE OF CONTENTS 1. INTRODUCTION 2. ORGANIZATION AND RESPONSIBILITIES 3. INSPECTION PLAN AND FIELD INSPECTION GUIDELINES 4. ENVIRONMENTAL COMPLIANCE 5. DOCUMENTATION 6. TRAINING APPENDICES A. PRE-JOB PLANNING TEMPLATE (PG&E POWER GENERATION GUIDELINE PG-2456) B. SPECIFIC PROJECT INSPECTION REQUIREMENTS, DRAWINGS, AND REFERENCES C. TYPICAL PROJECT ORGANIZATION CHART & RESUMES D. GENERAL INSPECTION REQUIREMENTS E. LISTING OF AVAILABLE PG&E TESTING EQUIPMENT F. QCIP REPORTING TEMPLATES G. ENVIRONMENTAL COMPLIANCE PLAN H. WATER DIVERSION AND CONTROL I. EROSION AND SEDIMENT CONTROL J. CERTIFICATION OF CONSTRUCTION ii STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS SECTION 1 INTRODUCTION 1. This Standard Quality Control and Inspection Program (QCIP) will be implemented on hydro projects where it is required: (1) by the FERC or other regulatory agencies; (2) Responsible Engineer; or (3) to ensure permit and environmental compliance. The Manager of Project Engineering, Supervisor of License Compliance, and the Manager of Construction will be responsible to determine which projects require implementation of this QCIP and will assign the appropriate quality control organization and staffing for these designated projects. 2. This Standard Quality Control and Inspection Program (QCIP) has been prepared in compliance with the following requirements under Title 18, Chapter I, Sub-Chapter B, Part 12, Subpart E, Section 12.40 of the Code of Federal Regulations, and the FERC Engineering Guideline Chapter VII –Construction Quality Control Inspection Program: (a) General rule. During any construction, repair, or modification of project works, including any corrective measures taken pursuant to 18 CFR 12.39 of this part, the applicant or licensee must maintain any quality control program that may be required by the FERC Regional Engineer, commensurate with the scope of the work and meeting any requirements or standards set by the FERC Regional Engineer. If a quality control program is required, the construction, repair, or modification may not begin until the FERC Regional Engineer has approved the program. (b) If the construction, repair, or modification work is performed by a construction contractor, quality control inspection must be performed by the licensee, the design engineer, or an independent firm, other than the construction contractor, directly accountable to the licensee. This paragraph is not intended to prohibit additional quality control inspections by the construction contractor, or a firm accountable to the construction contractor, for the construction contractor's purposes. (c) If the construction, repair, or modification of project works is performed by the applicant's or licensee's own personnel, the applicant or licensee must provide for separation of authority within its organization to make certain that the personnel responsible for quality control inspection are, to the satisfaction of the FERC Regional Engineer or other authorized Commission representative, independent from the personnel who are responsible for the construction, repair or modification. 3. The FERC Engineering Guideline Chapter VII, Construction Quality Control Inspection Program, defines the following three project categories and QCIP types depending on the complexity of construction, ownership of the project, and contractual arrangements. A project specific QCIP should be prepared separately for large and complex projects fitting the FERC definition of Category 1 and/or QCIP Type C. This Standard QCIP Template is intended for small to medium size projects meeting the definition of Category 2 and Category 3 construction and QCIP Types A and B: • Category 1 - Construction of a major new hydroelectric project that includes a new dam, powerhouse, spillway, tunnels and appurtenant facilities. QCIP Type 1A - QCIP by the licensee, design engineer or independent firm other than the construction contractor. QCIP Type 1B - QCIP by the licensee who is also the designer and construction contractor. This could also be a labor-broker construction contract. QCIP Type 1C - Turnkey design-build construction. The same firm designs and constructs the project with some quality control inspection included in the contract. QCIP by the licensee or independent firm other than the design-build firm. 1 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS • Category 2 -Construction not as large and complex as Category 1. A typical example would be an addition to an existing structure such as construction of a powerhouse at an existing dam. QCIPs A, B and C are as described under Category 1. It is recognized that there have been and will be very large and complex projects that only involve the construction of a powerhouse at an existing dam. • Category 3 - Construction not as large and complex as Category 2. A typical example would be the modification of an existing structure, such as the installation of post-tensioned rock anchors in a concrete gravity dam or major maintenance such as replacing gates or resurfacing a spillway section. QCIPs A, B and C are as described under Category 1; however, it should be noted that QCIPs 3A and 3B are more common than 3C. 2 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS SECTION 2 ORGANIZATION AND RESPONSIBILITIES 1. GENERAL 1.1. Title 18, Part 12, Subpart E, Section 12.40 of the Code of Federal Regulations (CFR) requires that quality control inspections must be conducted by the licensee, the design engineer or an independent firm accountable to the licensee, and must not be performed by a construction contractor or firm accountable to the construction contractor. If the licensee’s personnel are performing the construction work, the licensee must provide for separation of authority between construction personnel and quality control personnel. 1.2. The attached organization chart (Appendix C) delineates the independent relationship and separation between the construction personnel and the quality control inspection personnel for Category 2 and 3 construction projects with Type A and B licensee, constructor, and engineer/designer relationships, as defined in the FERC Engineering Guideline Chapter 7. This organization chart complies with Section 12.40(c) of the CFR. Descriptions of the respective responsibilities, authorities, and lines of communication are provided below. The project organization and personnel assignment for each individual project may be modified and approved by the Manager of Project Engineering based on the needs and complexity of the individual project. At a minimum, the organization for small projects should include a Responsible Engineer, an Engineer-of-Record, a Project Manager, a Field Inspector, and a Construction Foreman. 2. ROLES The following are key personnel on a typical hydro project that are responsible for the construction quality control and inspection. 2.1. Owner/FERC Licensee PG&E is the owner and licensee of FERC licensed hydroelectric projects. PG&E is responsible for implementing adequate quality control to ensure that construction is performed in a safe manner and in compliance with the FERC license conditions, agency permits, environmental requirements, and the approved drawings and specifications. For construction work by an outside contractor, PG&E will also manage the construction contract and progress; monitoring and enforcing the contractor’s compliance with the contract terms and conditions. PG&E is responsible for interaction with FERC, DSOD, RWQCB, USDA-FS, USFW, the appropriate resource agencies, and the public during construction. PG&E has the authority to stop work in progress or reject any work which, in PG&E’s view, is not in compliance with the drawings, specifications, applicable codes and regulations, or potentially damaging to the environment. PG&E will have the right to access the contractor’s or any subcontractor’s records, facilities or work sites at any time to conduct its own independent inspection, tests, or examination. The FERC requires PG&E, the licensee, to provide the following three signed and notarized certifications at the completion of construction: (1) Certification by Licensee attesting that the construction fulfills the design intent and was constructed in accordance with the plans and specifications reviewed by FERC; (2) Certification by Design Engineer attesting that the construction was in accordance with the design intent; and (3) Certification by PG&E’s Quality Control Manager attesting that results from the inspection and testing program result in the conclusion that the project was constructed in accordance with the plans and specifications. The FERC also requires PG&E, the Licensee, to submit the final as-built drawings of the constructed project within 90 days after completion of construction. 3 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS 2.2.Constructor A construction contractor or PG&E construction forcesmay be the Constructor of the project. The Constructor will furnish and construct the work in accordance with the project drawings, specifications and contract documents where applicable. The Constructor is responsible for the safety and scheduling of all workers and subcontractors. A construction contractor may be responsible under the contract to implement an independent quality control program. PG&E will provide oversight and quality assurance on inspections and testing performed by a construction contractor’s independent quality control consultants. 2.3. Engineer-Of-Record (EOR) The EORis responsible to provide a design that is safe,meets the project criteria and the operational, performance, environmental and regulatory requirements. The EOR is responsible for the design and preparation of drawings and specifications, technical assistance, design verification during construction, preparation of design changes, and preparation of as-built drawings. The EOR will provide the appropriate field inspections and reviews during construction to ensure that the final completed project will meet the design intent. For engineering design drawings that are approved and stamped by PG&E’s Responsible Engineer, PG&E is the EOR. In cases where PG&E retains an outside engineering consultant to perform the design, the outside engineering consulting firm who approves and stamps the engineering design drawings will be the EOR and will report to the PG&E Responsible Engineer on its responsibilities associated with the engineering design and quality control during construction. The EOR is responsible to provide a signed and notarized FERC Certification at completion of construction attesting that the project was constructed according to the design intent. 2.4 Field Inspection and Testing Services Field inspection and testing will be performed by PG&E’s inspectors or an outside engineering consultant and testing laboratory. The Field Inspectors will provide independent inspection and testing during construction in accordance with the inspection requirements in the drawings and specifications and specific inspection instructions when directed by the EOR. The Field Inspector(s) will be responsible for performing detailed daily inspection and testing, identification of and notification on any deficiencies and non-compliance issues, preparation of daily inspection and test logs, as-built mark-ups, and QCIP documentation. 3. RESPONSIBILITIES The Project Manager, Engineer-Of-Record, Quality Control Lead, Environmental Lead, Construction Foreman and Field Inspector(s) may be PG&E personnel or consultants retained to act on behalf of PG&E. 3.1. Project Manager Responsibilities: Manages the project scope, construction contract, cost estimate, management approval, resource agency approvals, construction, cost monitoring, and status reporting associated with the project. Authorities: Has ultimate responsibility for all activities on the project including approval and rejection of work and authority to stop work. Lines of Communication: Has direct reporting relationship to PG&E’s Manager of Project Engineering and direct communication with the Responsible Engineer, License Compliance Lead, and the Construction Foreman. Has direct communication with all PG&E personnel, consultants, and regulatory agency representatives. 4 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS 2.3 (continued) 3.2.Responsible Engineer Responsibilities: Reviews and accepts project engineering anddesign by the Engineer-Of-Record (EOR) and other consultants. Coordinates and manages the EOR’s quality control effort during construction. Manages resolution of engineering issues that may arise during construction including design changes, any identified construction deficiencies or non-compliance, and regulatory requirements. Coordinates with FERC and DSOD on engineering issues. Coordinates activities with other departments regarding engineering, geotechnical, and design issues. The Responsible Engineer may also be the EOR for projects where PG&E is the engineering designer, approving and stamping the design drawings and specifications. Authorities: Accepts engineering design, specifications, and design changes by the EOR. The Responsible Engineer has the authority to halt activities that are unsafe, non-compliant with the design drawings and specifications, non- compliant with the permit conditions, or damaging to the environment. Lines of Communication: Has direct reporting relationship to PG&E’s Manager of Project Engineering and Project Manager and direct communication with the EOR and the Field Inspectors. Has interactive communication with all PG&E and Constructor’s lead personnel, consultants, and regulatory agency representatives. 3.3. Engineer-of-Record (EOR) Responsibilities: Provides engineering design drawings and specifications for the project components in accordance with the project design requirements and acceptable industry, regulatory, and professional standards. Provides on-site engineering support during construction. Coordinates and prepares design changes as necessary. Provides oversight during construction to ensure that the completed project is in accordance with the design intent. Prepares and approves design and field changes. Prepares as-built drawings at completion of construction. Authorities: The EOR has the sole authority to issue the original approved for construction drawings and specifications, minor field changes that deviate from the approved design drawings, and major design changes due to changed field conditions. The EOR will report any identified situations that are unsafe, non- compliant with the design drawings and specifications to the Construction Foremen, Responsible Engineer, Project Manager, and the Quality Control Lead for actions. The EOR has the authority to halt activities that are unsafe, non- compliant with the design drawings and specifications, non-compliant with the permit conditions, or damaging to the environment. Lines of Communication: Has direct reporting relationship to the Responsible Engineer and direct communication with the Field Inspectors on matters and responsibilities associated with quality control. 3.4. License Compliance Lead Responsibilities: Ensures operation, maintenance, and construction activities are in compliance with FERC License and agency permits conditions. Coordinates regulatory agency input and PG&E responses/actions into construction plans for the project. Serves as liaison with regulatory agency representatives. Acquires and summarizes necessary regulatory permits for construction activities. Authorities: The License Compliance Lead has the authority to halt activities that are unsafe, non-compliant with the permit conditions, or damaging to the environment. 5 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS 2.3.4 (continued) Lines of Communication: Has direct reporting relationship to the Project Manager. Has interactive communications with all of PG&E and Constructor’s personnel, and regulatory agency representatives. 3.5. Environmental Lead Responsibilities: Provides oversight and quality assurance for field inspection and monitoring to ensure that the construction activities are in compliance with the environmental requirements, Best Management Practices (BMP’s) and that adequate measures are implemented to minimize any potential environmental impacts. The Environmental Lead’s responsibilities include: (1) know regulatory permit requirements and management plans; (2) monitor field compliance with permit requirements; (3) notify the Project Manager and/or the License Compliance Lead so that the appropriate regulatory agency personnel can be informed of any significant field changes to the original project status (scope and/or progress), or, Non-Compliance incidents; and (4) coordinate and maintain all required documentation. For smaller projects the Field Inspector may also serve in the role of the PG&E Environmental Lead. Authorities: The Environmental Lead has the authority to halt activities that are non-compliant with the permit conditions or damaging to the environment. Lines of Communication: Has direct reporting relationship to the Quality Control Lead and interactive communications with all PG&E and Constructor’s personnel. 3.6. Quality Control Lead Responsibilities: Implements the quality control program to ensure compliance with the drawings and specifications, FERC license and agency permit conditions and requirements, and all environmental and regulatory plans. Supervises and coordinates the work of the PG&E Field Inspectors and provides oversight and quality assurance for independent inspections and testing by outside consultants and laboratories. Interfaces with the Engineer-Of-Record, Construction Foreman, and Responsible Engineer to resolve quality control problems. Reviews and verifies daily inspection logs, testing results, and other contract documents. For smaller projects, the Field Inspector, the EOR or the Responsible Engineer may also serve as the Quality Control Lead. Authorities: The Quality Control Lead will report any unsafe situations or non- compliance with the design drawings and specifications to the Construction Foreman, Responsible Engineer, and Project Manager. The Quality Control Lead has the authority to halt activities that are unsafe, non-compliant with the design drawings and specifications, non-compliant with the permit conditions, or damaging to the environment. Line of Communication: Has direct reporting relationship to the Quality Control Manager and interactive communications with the Responsible Engineer, the Engineer-Of-Record, and all PG&E and Constructor’s personnel. 3.7. Field Inspector Responsibilities: Performs inspection and testing of construction work to verify conformance with drawings and specifications. Performs environmental inspections to ensure construction activities are in compliance with environmental mitigation standards associated with regulatory permits and regulations and PG&E’s Best Management Practices. Provides documentation of tests and reports with all discrepancies identified. Provides field mark-ups for preparation of as-built drawings. Issues Non-Compliance Reports and Environmental Deficiency Reports. 6 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS 2.3.7 (continued) Authorities: The Field Inspector will report any unsafe situations or non- compliance with the design drawings and specifications to the Construction Foreman, Responsible Engineer, Project Manager, and the Quality Control Lead for actions. The Field inspector has the authority to halt activities that are unsafe, non-compliant with the design drawings and specifications, non-compliant with the permit conditions, or damaging to the environment. Line of Communication: Has direct reporting relationship to the Quality Control Lead and interactive communications with the Responsible Engineer, the Engineer-Of-Record, and all PG&E and Constructor’s personnel. Will report test results to the Responsible Engineer, EOR and the Construction Foreman. 3.8. Construction Foreman Responsibilities: Manages construction budget/schedule/plans, and coordinates resources. Coordinates construction activities among the participating project team, resolves conflicts and problems associated with the project construction, interfaces with regulatory agencies, responsible for coordinating and supervising the construction work, ensures construction compliance with the drawings and specifications, environmental requirements and PG&E’s Best Management Practices. Authorities: Develops and implements construction plans, cost estimates, contracts, and labor resource plans. The Construction Foreman has the authority to halt activities that are unsafe, non-compliant with the design drawings and specifications, non-compliant with the permit conditions, or damaging to the environment. Line of Communication: Has direct reporting relationship to the Project Manager and direct communication to the Engineer-Of-Record, the Responsible Engineer, the Field Inspectors and PG&E and Constructor’s personnel. 7 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS SECTION 3 INSPECTION PLAN AND FIELD INSPECTION GUIDELINES 1. GENERAL The purpose of this section is to provide guidance for implementation of this QCIP and to establish inspection, reporting and documentation procedures. 2. INSPECTION CRITERIA The main criteria for inspection of the project work are defined in, the approved design drawings and specifications for the specific project, and this Standard QCIP. The environmental compliance criteria are specified in the appropriate permits, license conditions, resource agency agreements, and PG&E’s Best Management Practices. The specifications, design drawings and this QCIP may be revised as necessary during construction to reflect field changes and requirements from resource and regulatory agencies. All construction work and field inspection will be performed in accordance with the latest revisions to the specifications, design drawings, approved design changes, and environmental requirements. The relevant documents and inspection requirements are specified in Appendix B and Appendix D. 3. KNOWLEDGE OF CONSTRUCTION PLANS AND SPECIFICATIONS PG&E’s QCIP team and construction personnel will be fully trained and have complete understanding and knowledge of the specifications, design drawings, environmental compliance requirements, and PG&E’s Best Management Practices. The Engineer-Of-Record, the Responsible Engineer, and the Quality Control Lead are responsible for ensuring that the Field Inspectors are familiar with the specifications, design drawings and the inspection requirements for the project. 4. INSPECTION EQUIPMENT AND RESOURCES PG&E will provide adequate staffing to support this QCIP to ensure quality and compliance of the complete project. The on-site QCIP team will consist of PG&E’s inspection staff and consultants under contract to PG&E. The number and qualifications of Field Inspectors assigned to the project will vary depending on the needs for the different phases of construction. PG&E’s mobile testing laboratories will be available to support testing for projects. Other qualified outside testing laboratories may also be used if necessary. A listing of equipment available in PG&E’s laboratories is included in Appendix E. All testing equipment will be maintained in good condition and will be tested, calibrated, and certified when necessary. 5. QCIP OPERATIONS The Quality Control Lead and Field Inspectors are responsible for implementation of this QCIP and inspection and monitoring of the construction to ensure compliance with the specifications, design drawings and environmental requirements. In the event that non-compliance is identified, the Field Inspectors shall report the findings immediately to the Responsible Engineer, the Engineer-Of-Record, the Construction Foreman, and the Project Manager for follow-up actions. For non-compliance issues, which can be resolved in the field, the Field Inspector will coordinate with the Construction Foreman to enforce immediate corrective actions. For non-compliance, which requires further technical review and evaluation, input from the EOR and the Responsible Engineer will be required to develop the appropriate corrective actions. The QCIP team has the authority to stop work, at any time, if the non-compliant condition presents a safety risk, or, if its continuation would cause major deficiency to the project or potential damage to the environment. 8 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS 6.DOCUMENTATION AND FOLLOW-UP ACTION 6.1. Inspection reports and test reports will be prepared by the Field Inspectors and testing lab personnel to document construction progress and field testing results. Request for Information (RFI) will be used to document questions, clarifications, and minor changes. Design Changes can only be approved and issued by the Engineer-of-Record to address major changes in field conditions, scope of work, and/or the design basis. Non- Conformance Reports and Environmental Deficiency Reports will be prepared as necessary to document field discrepancies which require corrective actions. The Field Inspectors are responsible for managing the deposition of these reports and resolution of follow-up actions to the identified field conditions. 6.2. In the event that a non-compliance with the environmental requirements is identified, the following reporting and documentation procedure will be followed: 6.2.1.The Field Inspector or theEnvironmental Lead shall notify the Construction Foreman to stop the infraction immediately. 6.2.2. The Environmental Lead will complete the Environmental Deficiency Report within one calendar day noting the location, date, and description of the non- compliance. 6.2.3. The Environmental Lead will submit a copy of the Environmental Deficiency Report to the Construction Foreman, Project Manager, and the License Compliance Lead. 6.2.4. If there is a major deficiency which results in impacts to the environment, the Environmental Lead will stop the construction activity, and, if immediate action is required to mitigate ongoing impacts, contact the Project Manager and Construction Foreman to initiate such effort. 6.2.5. The License Compliance Lead will report the environmental deficiency to the appropriate regulatory agency representative(s), consistent with PG&E’s Power Generation Department’s incident reporting procedures. 6.2.6. The Construction Foreman will prepare a plan of action for corrective measures with acceptance by the Field Inspector and Environmental Lead. 6.2.7. Upon approval by the Field Inspector and the Environmental Lead, and if necessary the regulatory agency representative(s), corrective measures will be implemented. 6.2.8. The Environmental Lead and the Field Inspector will inspect the corrected construction for compliance with environmental requirements. 6.2.9. If the completed corrective measure is acceptable, the Field Inspector and the Environmental Lead will sign and date the Environmental Deficiency Report with the date the correction was accepted. Construction will resume (if it was necessary to halt work) when the Environmental Deficiency Report is completed and signed. 6.2.10. The License Compliance Lead will advise the regulatory agency representative(s) of the corrective action and provide any necessary documentation. 6.3. In the event that a non-conformance with the specification and design drawings is identified, the following reporting and documentation procedure will be followed: 6.3.1. The Field Inspector will immediately notify the Responsible Engineer, the Engineer-of-Record and the Construction Foreman of the non-conformance condition. 9 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS 6.3.2.For non-conformance conditions, which can be corrected in the field, the Field Inspector will coordinate with the Construction Foreman to enforce corrective actions. 6.3.3. For non-conformance conditions which require design review and evaluation, the Field Inspector will, within one calendar day, complete the initial portion of the Non-Conformance Report (NCR) by documenting the location, date, and description of any discrepancy and submit copy of the report to the Responsible Engineer, the EOR, the Project Manager and the Construction Foreman. 6.3.4. For non-conformance conditions which require design review and evaluation, the Responsible Engineer will develop the corrective action in coordination with the Engineer-of-Record, the Construction Foreman, the Project Manager, the License Compliance Lead and the appropriate agencies. 6.3.5. If applicable, the License Compliance Lead and the Responsible Engineer will obtain the appropriate agency approvals for the corrective action. 6.3.6. Upon approval of the corrective action, the Field Inspector will coordinate with the Construction Foreman to enforce and manage implementation of the corrective action. 6.3.7. The Field Inspectors will monitor and inspect construction of the corrective action to ensure that the non-conformance condition is corrected. 6.3.8. Upon inspection and acceptance of the corrected construction by the Field Inspector, the Field Inspector will complete the corrective measure section of the Non-Conformance Report with a description of the corrective measures taken and the date of completion of the corrective measures. The Field Inspector, Responsible Engineer, and the Engineer-Of-Record will sign and date the completed Report as of the date the correction was accepted. Construction activities that were stopped because of the nonconformance will resume when the Non-Conformance Report is completed and signed. 6.4. Request For Information (RFI) is used to document questions and changes identified during construction including: clarification of details or dimensions or request/proposal to change the drawings or specifications; uncertain field conditions; operations, permit and license conditions; and safety issues. RFIs from construction will be documented and processed with the following procedure: 6.4.1. A RFI may be initiated by any of the key personnel of the project team including the Constructor’s Foreman, Engineer-Of-Record; Field Inspector, Environmental Lead, Responsible Engineer, or Operations. 6.4.2. All RFIs will be directed to the Project Manager for coordination and distribution. 6.4.3. The RFI will then be directed by the Project Manager to the following subject expert for follow-up and resolution with copy to the appropriate team members for input and information. Only response from the designated subject expert should be adapted for implementation. Subject Designated Expert Engineering DesignEngineer-Of-Record Inspection & Quality Control Requirement Engineer-Of-Record Permits and Environmental License Compliance Lead Operation, Outage, ClearancePG&E Operations Land Use and/or Boundary Issues Project Manager Construction Activities, Methods, and/or Constructor Procedures 10 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS 6.4.4.Questions on the engineering design or specification, minor issues such as clarification on drawings and details may be addressed with a response to the RFI by the Engineer-of-Record. 6.4.5. A formal design change by the Engineer-of-Record is needed for situations that involve change in the design criteria, scope of construction, drawings and specifications. 6.4.6. The Project Manager will maintain a log for tracking the status of the RFIs and to ensure that the specific subject questions from the RFI are resolved in a timely manner. 6.5.Design Change Notification (DCN)is used to document significant design changes subsequent to issuance of the design drawings. A DCN is needed when a change or revision to the approved scope, drawings or specification is needed, with the exception of minor dimensional or typographic corrections, or field condition changes that require additional engineering evaluation to verify the original design is still adequate. DCNs from construction will be documented and processed with the following procedure: 6.5.1. A DCN can initiate from the RFI or NCR process, or directly from the EOR on an as-needed basis. A DCN can only be issued and approved by the EOR. The approved DCN and associated revised drawings and specification will become the basis of construction and inspection for the changed condition. 6.5.2. The EOR will develop resolution to the Design Change in coordination with the Facilities Safety Engineer, Responsible Engineer, the Construction Foreman, and the Project Manager. If necessary, the EOR will revise the specification and design drawings to reflect the design changes. The Facilities Safety Engineer, Responsible Engineer and License Compliance Lead will coordinate with the appropriate regulatory agencies for design and/or mitigation plan changes, or other approvals as applicable. Changes that impact the project cost, schedule or performance of the complete work will require the Project Manager approval. 6.5.3. Once the EOR, Facilities Safety Engineer, Responsible Engineer, Project Manager and the regulatory agencies approve the Design Change, where applicable, the Field Inspector will coordinate with the Construction Foreman to implement the approved Design Change. 6.5.4. The Field Inspectors will incorporate the Design Change in their inspection. 6.5.5. All design changes will be reflected in as-built drawings and specifications. 11 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS SECTION 4 ENVIRONMENTAL COMPLIANCE 1. ENVIRONMENTAL COMPLIANCE 1.1. The Environmental Compliance Plan (Appendix G) will assure compliance with all permit requirements identified in Appendix A. 1.2. In addition to permit requirements, PG&E’s environmental compliance will be consistent with its Best Management Practices for protection of sensitive species and habitat. 1.3. The Construction Foreman and the Environmental Lead will be responsible to enforce the compliance of the environmental requirements during construction. The Field Inspector will inspect the construction operation to ensure that the environmental requirements are met. 2. EROSION CONTROL AND ENVIRONMENTAL PROTECTION 2.1. General environmental management and control, water diversion and control, and erosion and sediment control for a typical project are included in the following Appendices of this QCIP: 2.1.1. Appendix G - Environmental Compliance Plan 2.1.2. Appendix H - Water Diversion and Control 2.1.3. Appendix I - Erosion and Sediment Control 2.2. These plans may be modified as necessary to include project specific environmental requirements from the appropriate agencies. These plans are an integral part of construction and will be the criteria for the environmental inspections. 3. AGENCY APPROVALS AND PERMITS A listing of agencies approvals and permits for this project is provided in Appendix A. 4. FREQUENCY OF INSPECTIONS The frequency of inspection by the Field Inspectors and the Environmental Lead are specified in Appendix B. 5. DOCUMENTATION AND CORRECTIVE ACTIONS The Field Inspector will document inspection observations and assessments of the environmental conditions in his inspection report. In the event that a non-compliance condition is identified, an environmental deficiency report will be completed by the Field Inspector and the reporting, documentation and follow-up actions outlined in Section 3 - Inspection Plan and Field Inspection Guidelines of this QCIP will be implemented. 12 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS SECTION 5 DOCUMENTATION 1. GENERAL QCIP Reporting Templates are attached in Appendix F. 2. DAILY INSPECTION REPORT The Field Inspector will use the Daily Inspection Report for each day of construction activity. The report will include the following information: Date All relevant activities of the Field Inspector for the reporting day. Pertinent conversations with the Constructor’s personnel. Inspections, acceptances and rejections. Factual comments within Field Inspector’s area of responsibility. Detailed record of work performed by the Constructor (including construction progress photos). Problems relating to installation, design, equipment, damages, claims, quality control, etc. Details of labor, equipment usage and standby equipment hours. Weather condition. Instructions to the Constructor Work delays, reasons and remedial actions. Change Order information. Safety infractions brought to the Constructor’s attention. Quantities, pressures, clearances, etc. recorded or observed by Field Inspector Field Inspector’s signature 3. NON-CONFORMANCE REPORT The Non-Conformance Report will be used by the Field Inspector to identify, report, and document all observed nonconformance and their disposition. The report identifies the conditions, required actions, and the manner of correction. All nonconformance reports will be logged and tracked by the Field Inspector until they are resolved. 4. ENVIRONMENTAL DEFICIENCY REPORT The Environmental Lead or the Field Inspector will use the Environmental Deficiency Report to document and notify the appropriate personnel of any environmental Non-Compliance. The report will reference the nature of the deficiency, the type of corrections required, the time frame to complete the corrections, and the specific requirement that the deficiency contradicts. All Environmental Deficiency Reports will be logged and tracked by the Field Inspector until they are resolved. 5. DESIGN CHANGE NOTIFICATION (DCN) / REQUEST FOR INFORMATION (RFI) FORMS The DCN/RFI Form is used to document questions or changes regarding design during construction. The form includes a description of the change/question, reference drawings, construction impact, originator, date initiated, solution to change/question, and when the necessary regulatory agency approvals (if applicable) were received. 13 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS 6.AS-BUILTS The Field Inspector provides field mark-ups to the EOR for preparation of as-built drawings within 30 days of completion of the physical work. The EOR reissues the as-built drawings within 90 days after physical work is complete. 7. CERTIFICATION OF CONSTRUCTION Certification of Construction forms (Appendix J) shall be completed by the Licensee, Design Engineer and Quality Control Manager. The Licensee is typically the Chief Dam Safety Engineer or alternatively the Manager of Project Engineering. 8. OTHER REPORTS Status Reports of construction progress will be provided to FERC and any other regulatory agency upon request. 9. MAINTENANCE OF RECORDS Copies of the above reports will be distributed to the appropriate personnel in a timely manner. The original copies will be filed in the construction field office for the duration of the construction and will be stored in PG&E’s project record file upon completion of the project. Logs of the reports will be kept by the Field Inspector at the field office, and stored in PG&E’s project record file upon completion of the project. 10. PHOTOGRAPHS The Field Inspector and other project staff will document the construction progress with photographs. These records will be available at the construction field office during construction and will be stored in PG&E’s project record file following completion of the project. 11. REPORT DISTRIBUTION 11.1. Daily Inspection Report: Field Inspector, Project Manager, Quality Control Lead, Construction Foreman, and job files. 11.2. Test Reports: Project Manager, Responsible Engineer, Engineer-Of-Record, Construction Foreman, and job files. 11.3. DCN/RFI Form: Project Manager, Subject Experts, Field Inspector, Responsible Engineer, Engineer-Of-Record, Construction Foreman, and job files. 11.4. Non-Conformance Reports: Project Manager, Responsible Engineer, Engineer-of- Record, Field Inspector, Quality Control Lead, Quality Control Manager, Construction Foreman, License Compliance Lead, and job files. 11.5. Environmental Deficiency Report: Project Manager, Field Inspector, Environmental Lead, Construction Foreman, License Compliance Lead, and job files. 14 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS SECTION 6 TRAINING The project team assigned to the Project are trained and qualified in their areas of expertise. Field Inspectors are required to have experience in similar projects and have the appropriate certifications. Construction supervision and design engineers will have the necessary qualification and experience to complete this project safely, efficiently, and in compliance with all regulatory requirements. The Responsible Engineer and Engineer of Record are responsible for providing project-specific training for the Field Inspectors and engineering consultants assigned on-site to ensure full knowledge and understanding of the design drawings, specifications and environmental requirements for the Project. The Construction Foreman will make arrangements for any additional project-specific training that may be required for project construction personnel to ensure high quality project construction. The Construction Foreman will also provide training to assure that the field personnel understand the environmental permit requirements and conditions as well as the necessary action plan to comply with the environmental conditions. 15 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDICES A. Pre-Job Planning Template B. Specific Project Inspection Requirements, Drawings, and References C. Project Organization Chart D. General Inspection Requirements E. Listing of Available PG&E Testing Equipment F. QCIP Reporting Templates Daily Inspection Report Nonconformance Report Environmental Deficiency Report Design Change Notification / Request for Information - Form G. Environmental Compliance Plan H. Water Diversion and Control I. Erosion and Sediment Control J. Certification of Construction Forms STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX A PRE-JOB PLANNING TEMPLATE PROJECT NAME Philbrook Dam Install New Weir SCOPE OF WORK Replace existing abandoned weir BW-44 with a new V-notch weir identical to weir BW- 44A to monitor seepage from the left groin at the north face of dam. ORGANIZATION Project Manager Drew Petersen Responsible EngineerJanis Boulant Construction Foreman PG&E General Construction (Ben Meyers) Field InspectorJohn Carmichael Environmental Lead James McKay License Compliance Lead Jackie Pope Engineer-Of-RecordVincent Wu SCHEDULE Forecasted May 02, 2022 Forecasted June 03, 2022 Start Date: Completion Date: COST$250,000 MAJOR RISKS AND HAZARDS: Risks/Hazards Risk Management and Contingency Plan Safety General Construction Risk. Be aware of surrounding. Crew Working on slope embankment, will follow safe construction heavy equipment.practice including certified tie off procedures and utilize barriers. EnvironmentalExcavation on slope embankment Employ proper containment near waterway. Turbidity to system, implement BMP’s and waterway, pH spike to waterway use proper dust control, maintain separation between silts and waters, implement appropriate training. Construction Slips/trip/falls, rigging/landing, Be aware of surrounding, excavation, weather delay. double check all rigging and Unforeseen site condition operate heavy equipment. Public/Other Truck traffic in/out of project site. Use appropriate signage and controls at ingress/egress. Identify source. A-1 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX A AGENCIES APPROVALS AND PERMITS REQUIRED: As discussed in Section A.5 of the Project Description, the proposed project is expected to require review and approval from FERC. The regulations require that PG&E allow at least 60 days for FERC approval. However, it is prudent to allow 90 to 120 days for FERC approval whenever possible. This project will require a DSOD Dam alteration application, which would also include a filing fee. PERMITS AND LICENSE CONDITIONS/RESTRICTIONS: The proposed repairs would take place entirely within the existing fill on the downstream face of the dam. No impacts to waters of the US or waters of the State are proposed. Further, as described in section C.4, there would be no potential for indirect water quality impacts. The proposed repairs do not include in-water work or discharges to surface waters, which might trigger Water Board jurisdiction under the Basin Plan or other state water quality regulations. No impacts to special-status resources are anticipated and no discretionary reviews, permits or approvals from resource agencies would be triggered by the proposed project. Prepared Janis Boulant Date: 04/25/2022 by: A-2 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECT APPENDIX B SPECIFIC PROJECT INSPECTION REQUIREMENTS, DRAWINGS, AND REFERENCES 1. Construction Drawings / Specifications PG&E Drawing NumberDescription 3105164VICINITY MAP, GENERAL NOTES, LEGEND, REFERENCES AND PLAN 3105165 DETAILS 3105166 DETAILS B-1 1 5/5/15 Page 1 of Template Version: Criteria / References / Comments Janis Boulant Name, Sign & Date 2 - B Name Inspector APPENDIX B Drew Petersen PM/RE: Drew Petersen / EOR/Company: Vincent Wu / Baseline Designs, Inc.Constructor: PG&E General Construction QUALITY PLAN CHECKLIST YesYes (Yes/No) Hold Point STANDARD QUALITY PLAN FOR HYDRO PROJECTS Inspection Point Hold pre-construction kickoff meeting with PM, EOR, RE, and Construction Lead. Review and record as-found dimensions and conditions not previously obtained. Work Order No.: 74026461Project Title: Philbrook Dam Install New WeirProject Component: General SCALABLE & SUSTAINABLE ACCOUNTABLE & TRANSPARENT MEASURABLE & MANAGEABLE©2015 Pacific Gas and Electric Company. All rights reserved. 1 5/5/15 Page 1 of Template Version: Criteria / References / Comments Confirm existing weir location and reference points. Submittals include: Class 2 aggregate base, Class 2 permeable material, weir plates and geomembrane per drawing 3105164.Ensure Best Management Practices (BMP) isused. Ensure fiber rolls are in place at downslope.Reference drawing 3105164. Protect all areas andvegetation that are to remain undisturbed.Class 2 aggregate base, Class 2 permeablematerial, weir plates and geomembrane per drawing 3105164.Direct surface runoff and seepage, if any, duringconstruction to the east side of new replacement weir.Reference drawing 3105164, note G.5 Site Work.Compaction shall be per ASTM D-1557, Modified Proctor Method.See Detail 2 on drawing 3105166.See site grading plan on drawing 3105164.See drawing 310566 for details. Janis Boulant Name, Sign & Date 3 - B Name InspectorInspectorInspectorInspectorInspectorInspectorInspectorInspector APPENDIX B PM/RE: Drew Petersen / EOR/Company: Vincent Wu / Baseline Designs, Inc.Constructor: PG&E General Construction QUALITY PLAN CHECKLIST NoNoNo YesYes YesYesYes (Yes/No) Hold Point STANDARD QUALITY PLAN FOR HYDRO PROJECTS age or p age and/or provide p Inspection Point elevation. Verify subgrade is properly compacted and at proper Ensure AFC drawings and EOR-approved submittals are onsite. Identify items to be removed.Verify class 2 permeable material is usedand wrapped in filter fabric in trench drain.Backfill trench drain and grade to divertseepage and runoff to weirs. Verify erosion control plan are in place prior to construction.Verify proper line and grade for excavated foundation.Check that delivered materials match approved submittals.Verify prepared surfaces are adequately protected from seeproper temporary diversion of seeother suitable means. Work Order No.: 74026461Project Title: Philbrook Dam Install New WeirProject Component: Site Work SCALABLE & SUSTAINABLE ACCOUNTABLE & TRANSPARENT MEASURABLE & MANAGEABLE©2015 Pacific Gas and Electric Company. All rights reserved. 1 5/5/15 Page 1 of Template Version: Criteria / References / Comments See Detail 2 on sheet 3105165.See Detail 2 on sheet 3105165.See Detail 2 on sheet 3105165. Janis Boulant Name, Sign & Date 4 - B Name InspectorInspectorInspector APPENDIX B PM/RE: Drew Petersen / EOR/Company: Vincent Wu / Baseline Designs, Inc.Constructor: PG&E General Construction QUALITY PLAN CHECKLIST NoNo Yes (Yes/No) Hold Point STANDARD QUALITY PLAN FOR HYDRO PROJECTS Inspection Point Verify base rock (Class 2 Aggregate base) materials have been obtained from a PG&E approved source and meets specificationrequirements.Verify base rock layer below foundations isthe proper thickness.Inspect base rock below foundations forproper compaction. Work Order No.: 74026461Project Title: Philbrook Dam Install New WeirProject Component: Structure Foundation Base Rock SCALABLE & SUSTAINABLE ACCOUNTABLE & TRANSPARENT MEASURABLE & MANAGEABLE©2015 Pacific Gas and Electric Company. All rights reserved. 1 5/5/15 Page 1 of Template Version: Criteria / References / Comments Reinforcing steel shall conform to ASTM A615, Gr. 60.See Detail 2 on sheet 3105165.See Detail 2 on sheet 3105165.Concrete mix shall have 28-day compressivestrength, F'c=4,000 psi. Measure air content and slump with slump cone per ASTM C143. no on- site admixture or water shall be added.Curing per ASTM C309 for liquid membrane-forming type or ASTM C171 for Polyethylene film.Concrete shall have 2,500 psi at 7 days prior tobackfilling.Take minimum of 4 cylinder specimens for eachbatch of concrete per ASTM C39. Compressive tests shall be made at 7 and 28 days from time of casting. Janis Boulant Name, Sign & Date 5 - B Name InspectorInspectorInspectorInspectorInspectorInspectorInspectorInspector APPENDIX B PM/RE: Drew Petersen / EOR/Company: Vincent Wu / Baseline Designs, Inc.Constructor: PG&E General Construction QUALITY PLAN CHECKLIST NoNoNoNoNoNoNo Yes (Yes/No) Hold Point STANDARD QUALITY PLAN FOR HYDRO PROJECTS are specimens Inspection Point Inspect steel reinforcing prior to placementto ensure free from dirt, oil, concrete splatter and other contaminants.Verify proper placement of steelreinforcing, verifying proper bar size, clear distances, splices, and installation of all supports.Inspect proper placement of waterstopsand keyway.Check delivery tickets for conformance toapproved mix design and for maximum elapsed time since batching.Verify concrete strength prior to soilbackfilling.Verify required concrete casted and taken for compression tests in the proper timeframe with respect to placement. Verify that steel reinforcing grade and material as delivered to site are in conformance with mill certifications.Inspect proper finishing and curing methods. Work Order No.: 74026461Project Title: Philbrook Dam Install New WeirProject Component: Concrete Placement SCALABLE & SUSTAINABLE ACCOUNTABLE & TRANSPARENT MEASURABLE & MANAGEABLE©2015 Pacific Gas and Electric Company. All rights reserved. 1 5/5/15 Page 1 of or bent. Template Version: undamaged Criteria / References / Comments See Detail 3 on drawing 3105166.Re-fabricate if weir plate is See Detail 3 on drawing 3105166.See Detail 3 on drawing 3105166. Janis Boulant Name, Sign & Date 6 - B Name InspectorInspectorInspector Vincent Wu APPENDIX B PM/RE: Drew Petersen / EOR/Company: Vincent Wu / Baseline Designs, Inc.Constructor: PG&E General Construction QUALITY PLAN CHECKLIST NoNo YesYes (Yes/No) Hold Point STANDARD QUALITY PLAN FOR HYDRO PROJECTS Inspection Point Verify a copy of EOR-approved shop drawings for weir plate and anchor boltsubmittals are onsite.Verify steel members are undamaged uponarrival at the project site.Verify that holes for bolts in concrete for structural steel connections are properlyplaced.Inspect for proper placement of steel and anchored. Verify the weir plate is plumb,level, and aligned. Work Order No.: 74026461Project Title: Philbrook Dam Install New WeirProject Component: Structural Steel SCALABLE & SUSTAINABLE ACCOUNTABLE & TRANSPARENT MEASURABLE & MANAGEABLE©2015 Pacific Gas and Electric Company. All rights reserved. 1 5/5/15 Page 1 of Template Version: Criteria / References / Comments See Details 1 and 2 on drawing 3105165.See Details 1, 5, and 6 on drawing 3105166.See Site Work Note G6 on drawing 3105164See Details 1 and 2 on drawing 3105165. SeeDetails 1, 5, and 6 on drawing 3105166. Janis Boulant Name, Sign & Date 7 - B Name InspectorInspectorInspector APPENDIX B PM/RE: Drew Petersen / EOR/Company: Vincent Wu / Baseline Designs, Inc.Constructor: PG&E General Construction QUALITY PLAN CHECKLIST NoNo Yes (Yes/No) Hold Point STANDARD QUALITY PLAN FOR HYDRO PROJECTS Inspection Point Verify filter fabric is installed per designdocuments.Inspect for proper gradation of riprapmaterials.Verify riprap is placed per designdocuments Work Order No.: 74026461Project Title: Philbrook Dam Install New WeirProject Component: Riprap SCALABLE & SUSTAINABLE ACCOUNTABLE & TRANSPARENT MEASURABLE & MANAGEABLE©2015 Pacific Gas and Electric Company. All rights reserved. 1 5/5/15 Page 1 of Template Version: Criteria / References / Comments See General Note G5 on drawing 3105164 for specification.See General Note G5 on drawing 3105164 for specification.See Details 1 and 2 on drawing 3105165.See Detail 2 on drawing 3105166.See General Note G5 on drawing 3105164 for specification.Refer to site grading plan on drawing 3105164. Janis Boulant Name, Sign & Date 8 - B Name InspectorInspectorInspector Inspector APPENDIX B PM/RE: Drew Petersen / EOR/Company: Vincent Wu / Baseline Designs, Inc.Constructor: PG&E General Construction Hannah Curran QUALITY PLAN CHECKLIST NoNoNo Yes Yes (Yes/No) Hold Point STANDARD QUALITY PLAN FOR HYDRO PROJECTS or Inspection Point Inspect exposed trench subgrades once the excavation is completed to determine the need for any additional excavation.Verify excavated pipe trenches haverequired minimum widths.Inspect for proper backfill placement andcompaction for trench and backfill materials.Inspect final grading for proper elevations,slopes, and contours. Verify disturbeddamaged areas are restored with native soil. Verify backfill material, meets general backfill or structural backfill requirements. Work Order No.: 74026461Project Title: Philbrook Dam Install New WeirProject Component: Trenching and Backfilling SCALABLE & SUSTAINABLE ACCOUNTABLE & TRANSPARENT MEASURABLE & MANAGEABLE©2015 Pacific Gas and Electric Company. All rights reserved. 1 5/5/15 Page 1 of Template Version: Criteria / References / Comments See Details 1 and 2 on drawing 3105165.See Detail 2 on drawing 3105166.See Details 1 and 2 on drawing 3105165.See Detail 2 on drawing 3105166. PVC perforated pipe shall have smooth interior wall conforming to AASHTO M278 with perforation is facing down.See site plan on drawing 3105164 and layout on drawing 3105165 Janis Boulant Name, Sign & Date 9 - B Name InspectorInspectorInspector APPENDIX B PM/RE: Drew Petersen / EOR/Company: Vincent Wu / Baseline Designs, Inc.Constructor: PG&E General Construction QUALITY PLAN CHECKLIST NoNoNo (Yes/No) Hold Point STANDARD QUALITY PLAN FOR HYDRO PROJECTS Inspection Point Verify pipes and fittings are free from cracks and other defects prior toinstallation.Inspect joints and fittings for T-end section at proper locations, cleanliness, andinstallation. Inspect for proper alignment and grade of pipe laying during installation and that the invert elevation has been verified for the perforated pipe. Work Order No.: 74026461Project Title: Philbrook Dam Install New WeirProject Component: Subsurface Drain Pipe SCALABLE & SUSTAINABLE ACCOUNTABLE & TRANSPARENT MEASURABLE & MANAGEABLE©2015 Pacific Gas and Electric Company. All rights reserved. Test Frequency and/or Certification Each batch produced each day.First batch produced each day.Four test cylinders from each batch of mix design from each day of the concrete pour day.Prior to placement of concreteAt time of placing and at each lift at every 10 feet. Minimum twice daily and during placement of concrete. Janis Boulant Test Method and/or Standard PM/RE: Drew Petersen / EOR/Company: Vincent Wu / Baseline Designs, Inc.Constructor: PG&E General Construction Visual/ Daily turbidityASTM C231ASTM C143ASTM C31, C39 and C172 (7 and 28days)VisualASTM D1557 10 - B Test Comply with PG&E standard Best Management PracticeSlumpCompliance with plans, specification and standards Air contentCompressive StrengthCompaction Test MATERIAL TESTING SCHEDULE & FIELD TESTING REQUIREMENTS Material off areas including excavation areas and - Rundownslope area of trenching areasConcreteConcreteConcreteSteel ReinforcingSoil/backfill 2.3 1.02.12.23.05.0 Work Order No.: 74026461Project Title: Philbrook Dam Install New WeirFacility/Lab Testing Facility: TBD LICENSE Jackie Pope COMPLIANCE LEAD Curran LINES OF PROJECT TEAM REPORTING ENGINEER Construction PG&E General Drew Petersen Hannah CONSTRUCTOR GEOTECHNICAL ES HYDRO PROJECT PROJECT MANAGER DENOT * RECORD - )* OF - (EOR TEAM 1 Vincent Wu - ENGINEER Janis Boulant Jim Moen RESPONIBLE C COMPLIANCE, RESUMES REQUIRED TO BE SUBMITTED TO FERC. DIRECTOR - Baseline Designs ENGINEERING APPENDIX C ENGINEER ORGANIZATION CHART Daniels PROJECT ENGINEER ENGINEER Dave Ritzman Kaitlyn CHIEF DAM SAFETY FACILITIES SAFETY * STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR FIELD TESTING PG&E Lab * INSPECTORS LABORATORY John Carmichael LINES OF COMMUNICATION BETWEEN PROJECT D* LEA DIRECTOR MANAGER * Russel Cruzen Robert RaibleyRobert Raibley DENOTES QUALITY CONTROLQUALITY CONTROL PROJECT EXECUTION LEAD James McKay * DENOTES PERSON HAS AUTHORITY TO STOP WORK FOR NON ENVIRONMENTAL December 16, 2020 Pacific Gas & Electric Company Vincent Wu Principal Engineer Baseline Designs Inc. vince@baselinealameda.com 1700 Oak Street, Alameda, CA 94501 (510) 865-4623 X201 / Cel: 510-501-4991 1.1992 until Present PRINCIPAL ENGINEER: BASELINE DESIGNS, INC., ALAMEDA, CA. Mr. Vincent Wu, P.E. started his office doing business as Baseline Engineering in 1992 and incorporated it as BASELINE DESIGNS, INC. in 2010 to provide both civil and structural engineering services. As Principal Engineer of BASELINE DESIGNS, INC., Mr. Wu has more than 30 years of civil and structural design and project management experience in California and Nevada. He is familiar with different types of construction methods and materials including wood, steel, concrete and masonry for water conveyance structures as well as the use of computer aided design such as SAP2000 and RISA. He supervises and provides guidance to his staff in performing structural designs for industrial structures and bridges as well as their related site improvement work. Mr. has evaluated and designed various pump stations, canals, intake structures for clients in the public and private sectors including Alameda County Flood Control District, City of San Rafael, City of Alameda and PG&E. He brings a pro-active approach to solving and integrating a wide variety of structural components and equipment at difficult site conditions. Vincent possesses the technical expertise required for project site planning and management of industrial structures, bridges and site improvement projects, and this expertise has led to his involvement in projects integrating structures and equipment for better performance. This background and experience have made him a valuable o Generation Department, Alameda County Public Works Agency and City of Fremont providing improvement work for modernization of existing powerhouses, replacement of bridges and flood control facilities. Construction projects ranged from approximately $50,000.00 to $10,000,000.00. 2.1988 to 1991 PROJECT ENGINEER: VICKERMAN-ZACHARY-MILLER ENGINEERING AND ARCHITECTURE, OAKLAND, CALIFORNIA. Held various positions of increasing responsibility in Engineering Department; Design Engineer to Project Manager. Major engineering projects included: detailed design of new co-gen plants and water-front facilities for Port of Oakland, structural evaluation and retrofit design for various types of steel, concrete and masonry buildings and non-building structures such as gentry cranes and other conveying systems; and off-shore structures at the various berthing facilities; structural design servation Building for various major shipping lines at the Port of Long Beach-Los Angeles. Mr. Wu inspected and evaluated many structures immediately after the Loma Prieta Earthquake in 1989. Computer-aided design such as AutoCAD, SAP90 and ETABS88 were used. Construction projects ranged from approximately $50,000.00 to $25,000,000.00. 3.1983 to 1987 DESIGN ENGINEER: PACIFIC GAS AND ELECTRIC COMPANY. Various positions of increasing responsibility in Engineering Department; Engineering Intern to Lead Design Engineer. Primary duties were to perform structural engineering design and analysis work, including preparation of structural calculations, detail design and specifications for new office buildings, powerhouses and service centers. Also provided grading and site utility improvement design and prepared construction specifications of Constructions ranged up to $10,000,000.00. 1.Licensed Civil Engineer, California #43749 2.Member of Structural Engineers Association of Northern California 3.Certificate of Qualified Person, Fall Protection Trained per Cal OSHA 1671 B.S. in Civil Engineering, University of California, Davis, California. 1985. J AMES V.M C K AY 707 Parkwood Drive Chico, CA 95928 Master of Arts with Distinction Education Department of Geography and Planning (CSUC, 2000) Bachelor of Arts Anthropology Major/Geography Minor (CSUC, 1997) Associate of Arts Socialand Behavioral Science(Butte Community College, 1995) Senior Land Planner (11/2010–Present) Work Pacific Gas and Electric Company Experience 350 Salem Street, Chico, CA 95928 Senior Planner (01/2009 – 10/2010) NorthStar Engineering 111 Mission Ranch Blvd. Suite 100, Chico, CA 95926 Associate Planner (09/2006 – 12/2008) Gallaway Consulting, Inc. 115 Meyers Street, Suite 120, Chico, CA 95926 Geography Instructor (05/2001 – 12/2006) Butte Community College 3536 Butte Campus Drive, Oroville, CA 95965 Assistant Project Manager 06/2000 – 06/2001 Sacramento River Watershed Program Resource Center CSU, Chico Research Foundation, Chico, CA 95929-0246 Federal: National Environmental Policy Act (NEPA), Clean Water Act (§404, Regulatory §402, §401), Clean Air Act, Federal Power Act Experience State: California Environmental Quality Act (CEQA), California Clean Air Act, California Code of Regulations, California Law, Surface Mining and Reclamation Act (SMARA), Public Utility Code Regional: Local Agency Formation Commissions, Transportation Plans, Air Quality Attainment Plans Local: General Plans, Specific Plans, Municipal and County Codes Seminars:Human Geography, Environmental Planning, Advances in Geography Course Work and Research Models. Coursework: Human/Physical Geography, Aerial Photo/Map Interpretation, Biogeography, Natural Hazards and Human-Environment Interactions, as well as Cultural Anthropology, Archaeology, Native American Studies, Linguistics and extensive coursework in Physical Anthropology (Human Identification and Primate Evolution and Behavior. MS Office/Works/Outlook, SPSS, IFAS, FileMaker Pro Software/ Geographic Information Systems (ESRI ArcView/ArcGIS) Languages Spanish Career Development: Coursework through UC Cooperative Extension and Achievements Association of Environmental Professionals; Trainings/Seminars by regulatory Activities agencies (Regional Water Quality Control Board, Office of Historic Preservation, US Army Corps of Engineers) Gamma Theta Upsilon: Geography Honors Society California Geographic Society Presentations Internships and Special Studies Labs: Undergraduate and Graduate JanisBoulant,PE Updated2022 California License # C 78958 SUMMARY Licensed Civil Engineer with over 14 years of engineering, design and project management experience in a highly regulated work environment including managing consultants and making engineering decisions with an emphasis on employee, public and contractor safety in the Civil Land Development, Natural Gas, and Hydro Power Generation fields. EXPERIENCE Pacific Gas and Electric ProjectEngineer 2022 –Present Provide guidance to Project Engineering and Project Management staff on various projects and initiatives. Manage contractual relationships with engineering consulting firms supporting Hydro Generation projects, including rehabilitation, upgrade, and new construction throughout PG&E’s service territory. Key involvement with significant construction projects and initiatives including the following: o Poe Reservoir Trail Improvements o Poe Beach Trail Improvements o Sandy Beach Recreation and Parking Improvements o Bucks Creek Penstocks Erosion Mitigation Gas Transmission Systems, Inc. Supervising Engineer 2011 – 2022 Lead Engineer/Supervising Engineer for a large variety of projects including Regulator Station and Large Volume Customer Meter Set Design, Steel and Plastic Pipeline Replacement, and Corrosion Protection. Major programs worked on included: District Regulator Replacement, HPR Replacement, Aldyl-A Plastic Replacement, Paradise Underground and Rehabilitation Program, and Mobile Home Park Master Meter Replacement Program. Work included public meetings and workshops, budget management, right of way, utility coordination, design, and preparation of construction documents all over PG&E’s service area. Northstar Engineering Engineer 2006 – 2009 Created construction packages for the design of proposed residential, commercial and municipal projects. Packages included civil design drawings and details, grading plans and material specification packages. Engineered storm water retention basins and provided storm water runoff reports. SKILLS Excellent Technical Writing and Communication Skills Able to work independently and as part of multidiscipline teams Computer Skills - proficient with the following: Microsoft Office Suite (Word, Excel, Outlook, Teams, OneNote & PowerPoint), AutoCAD, Adobe Pro, Blue Beam, SAP EDUCATION Graduate of CSU Chico, Chico CA (2006) Bachelor of Science, Civil Engineering D.6 Robert W. Raibley Pacific Gas & Electric Company Hydro Generation, Project Execution, Inspection 12840 Bill Clark Way Room #2143 Auburn, CA 95602 (530)889-6449 Office (530)906-3280 Cell Seminars/Certifications: Aberdeen's World of Concrete 1991Asphalt Seminar by Asphalt Institute Excavation Safety by ASCEConfined Space Rescue, by California State Fire Marshal Confined Space Operations Safety at Heights PG&E sponsored seminars and training classes in welding, concrete technology, projectOSHA Maritime Training management, and hazardous waste management Radiation Safety & Use of Nuclear Soil Gauge. Radiation Safety Officer. Licensed Underground Safety Rep & Gas Tester,40 Hour Hazardous Waste Training, and 8 Hour for the State of Calif.Supervisor Training. OSHA 30 CertifiedOSHA SA Certified Summary: Mr. Raibley has 37 years of construction and inspection experience on various PG&E hydro projects. Experience includes: inspection and testing of concrete, gunite, shotcrete, grout, compacted engineered fill; hydraulic turbine jet deflectors, setting rotating equipment, testing all types of rock anchors, erecting structural steel, underground construction, Tunnel inspection, job site safety, Public safety, project permit adherence, and environmental stewardship. Mr. Raibley is also familiar with the applicable ACI, AISC and ASTM codes and standards. Experience: 1993 to present: Quality Control Foreman Mr. Raibley currently supervises the Hydro Generation Department Technical Support Group. This is a combined group of Civil, Electrical, and Mechanical inspectors, and all associated laboratory work for the Department. Also oversees all surveying, and drafting responsibilities for the Construction Department. 1989 to 1993: Construction Foreman Mr. Raibley was a Construction Foreman, Supervised heavy construction crews in both Hydro Electric, and Steam Generation power plants throughout the PG&E service area. Typical jobs consisted of large engineered earth fills, Penstocks, elevated steel structures, concrete, gunite, and grout jobs. Large piping and plant oily water separators. Etc. 1981 to 1989: Surveyor Mr. Raibley was a Surveyor, Surveyed on all types of heavy construction jobs throughout the PG&E service system. Jobs included layout of Hydro Power Plants, Dams, Flumes, Roads, and Penstocks. Etc. D.7 1974 to 1981: Surveyor, Burgess Land Surveying, and Griffith & Associates Mr. Raibley was a Party Chief, responsible for completion of cadastral surveys, property surveys and other various land surveying jobs. Education: 1 Year College, Drafting &GE. Shasta Junior College Redding Calif. D.8 John Carmichael Pacific Gas & Electric Company Hydro Generation, Project Execution, Inspection 12840 Bill Clark Way Room #2143 Auburn, CA 95602 (530) 889-6450 Office (530) 328-8059 JOB TITLE: SENIOR FIELD INSPECTOR Certifications: ACI – Field Testing Technician -Level 1 CTM 231 Radiation Safety & Use of Nuclear Soil GaugeCTM 375 DOT - CaltransCTM 382 JTCP – Soil & Aggregate CTM 521 JTCP HMA1CTM 523 JTCP HMA2CTM 533 JTCP PCCCPR, AED, First Aid CTM 125 30 Hr. OSHA Summary: Mr Carmichael has extensive knowledge Field / Lab testing and inspection services in accordance with Caltrans, DSA, OSHPD, Federal and local Quality Assurance/Quality Control test methods related to mass grading, roadway subgrades, aggregate base, asphalt concrete paving, underground utilities, and structural concrete on Hospitals, Schools, major highways, roadway, bridges and interchange projects. Poven track record for adhering to ASTM, AASHTO, AC!, and Caltrans specifications. Proficient with Microsoft Office and Deltek applications. Objective: Review and understand all project documents including project description, drawings, QCIP, specifications, permits, and other related project information. Perform, document, and communicate the expectations identified in the QCIP to the project team. Experience: D.9 PG&E Sept 2021 – Present Fordyce Dam Leakage Reduction. The project scope includes repairing the upstream surface of the dam, and installing a non pervious liner over it. This will require installing a coffer dam upstream of the dam to provide access to the dam’s upstream face. Spring Gap Forebay Paving Project. The project scope consisted of re-grading and pavinf approximately 30,000 SF of improved area. Work included vegetation removal, re-grading to improve drainage, placement of engineered fill, and asphalt surface. Tiger Creek Forebay Low Level Outlet Inspection. The project scope consisted of creating access into the LLO pipe, pressure washing the inside of the pipe, then inspecting the pipe with an ROV. KLEINFELDER May 2005 – 2021 9969 Horn Road, Sacramento, California 95827 HWY96 Klamath River Bridge project, Yreka, California. Provided onsite materials testing and laboratory testing for Caltrans on bridge replacement. Services included materials testing on soil, aggregate, asphalt paving, and structural concrete. l-5 Dunsmuir Grade Project, Dunsmuir/Mt Shasta, California. Provided onsite materials testing and laboratory testing for Caltrans on 10 miles of new concrete highway. Services included materials testing on soil, aggregate, asphalt paving, structural concrete paving, and batch plant inspection. Sacramento Municipal Utility District, Substations, Sacramento Area, California. Provided construction materials testing and special inspection services at multiple substations throughout the Sacramento area related to soils, concrete, and asphalt. 1-5 Crag View/Sims Rd Bridge Replacement Project, Dunsmuir, California. Provided onsite materials testing and laboratory testing for Caltrans on bridge replacement. Services included materials testing on soil, aggregate, asphalt paving, structural concrete, and batch plant inspection. 1-5 South Weed Project, Weed, California. Provided onsite materials testing and laboratory testing for Caltrans on 12 miles of asphalt rehabilitation. Services included materials testing on soil, asphalt paving, and structural concrete. Energy Transfer Compressor Facility, Defiance, Ohio. Project Inspector responsible for site safety, QA testing and inspection services for 21 Acre site. Provided construction inspection and materials testing services related to soils observation and concrete foundations. D.:2 D.21 D.22 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX D GENERAL INSPECTION REQUIREMENTS 1. GENERAL 1.1 The design drawings and specifications are the main criteria for inspection. In addition to the Field Inspector’s normal inspection practices in monitoring and verifying the construction work, the following are general inspections and testing requirements for a typical small construction project. Additional specific project inspection requirements are provided in Appendix B, when applicable. 1.2 The project construction may be subject to inspection and approval by FERC and DSOD. Where applicable, the Field Inspector shall coordinate with the Responsible Engineer to ensure that the critical inspections are performed and sufficient notice is provided to the key parties of the inspection. 1.3 The Engineer of Record will review the construction plan, method and procedures with the Construction Foreman and the Field Inspectors prior to construction and will inspect the operation and field test results regularly during construction. 2. LAYOUT AND SURVEY Field Inspectors shall verify that proper survey controls are established to allow accurate survey and location of the proposed modifications. 3. EXCAVATION AND FOUNDATION TREATMENT 3.1 The Field Inspectors shall monitor all excavations to assure that the excavated slopes or trenches are stable and conform to safety standards and specified limits in the drawings. 3.2 The excavations shall be inspected and approved by the Engineer-Of-Record and representatives from the FERC and DSOD, where applicable, prior to placement of earthfill and/or concrete. 4. EARTHFILL 4.1 The earthfill material shall be visually inspected to assure that it is substantially free of vegetation, organics, roots, and unsuitable substance. The grade and layout of the earthfill shall be surveyed for conformance with the drawings. 4.2 The earthfill and drain/filter material placement method and compaction results shall be reviewed and verified during the early stage of the placement process by Engineer-Of- Record and representatives from FERC and DSOD, as applicable. 4.3 TESTING FOR EARTHFILL: - Earthfill material shall be tested in accordance with the following standards. The Engineer-Of-Record shall specify the type and schedule of tests in Appendix B of the QCIP. 4.3.1 Particle size analysis of soil per ASTM D-422. 4.3.2 Compaction test using the nuclear method per ASTM D-6938. 4.3.3 Sand cone tests per ASTM D-1556 and Compaction test per ASTM D-1557. 4.3.4 Sieve Analysis per ASTM C-136 and washing for material finer than 75 m (No. 200) per ASTM C-117. 4.3.5 Moisture Content per ASTM D-2216 D-1 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX D 5.CONCRETE 5.1 Concrete surface preparation operations shall be closely monitored and visually inspected to ensure that proper procedures and measures are implemented to prevent damage to the remaining structures. 5.2 Cleaned concrete surfaces shall be inspected visually before placement of new concrete. Surface receiving fresh concrete shall be sound, free of deleterious material, and cleaned with pressurized water jet. 5.3 Size and depth of drilled holes for dowels shall be measured and verified. 5.4 Field Inspectors shall visually inspect dowel installations to ensure that dowel holes are properly cleaned and the proper type of grout and procedures are used for grouting of the dowels. 5.5 Field Inspectors shall visually inspect the formwork and rebar installation to ensure that the dimension, spacing, clearance, and location are in conformance with the design drawings. 5.6 The following tests of freshly mixed concrete shall be performed at least once a day during days of concrete placement, for the first batch produced and every 50 cubic yards thereafter. Samples for the tests shall be taken from the discharge point of the concrete transit mixer or the pump hose. 5.6.1 Slump test per ASTM C-143. 5.6.2 Air entrainment test per ASTM C-231 5.6.3 Temperature per ASTM C-172 5.6.4 Three cylinders specimens shall be cast, stored and tested in accordance with ASTM C-172, C-31, and C-39. 6. STEEL 6.1 Field Inspectors and/or shop inspectors shall visually inspect fabricated structural steel in the shop before and after coating or galvanizing to verify the dimension, quality of workmanship, and coating before acceptance for delivery. 6.2 All welds shall be inspected visually to ensure free of defects. The weld size shall be measured and verified. 6.3 Field Inspectors shall visually inspect all bolted connections to ensure that all required bolts are installed in accordance with AISC standards. 7. ENVIRONMENTAL The Environmental Lead and Field Inspectors shall verify compliance with the regulatory requirements. Field Inspectors and Environmental Lead shall monitor the project site and observe for signs of potential erosion, hazardous material spills, and dust control problems. The Field Inspector and Environmental Lead shall inspect the construction operation to ensure that the proper erosion control, dust abatement and spill prevention measures, including installation of water bars and water spraying, are implemented, if necessary. D-2 8.FIELD TESTING 8.1 The following field tests will be performed in accordance with the applicable ASTM standards. Standard Practice for Making and Curing Concrete Test Specimens ASTM C-31 in the Field Test Method for Compressive Strength of Cylindrical Concrete ASTM C-39 Specimens ASTM C-143 Test Method for Slump of Hydraulic Cement Concrete ASTM C-172 Standard Practice for Sampling Freshly Mixed Concrete Test Method for Air Content of Freshly Mixed Concrete by the ASTM C-231 Pressure Method ASTM D-1557 Compaction characteristic of soil using modified effort STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX F QCIP REPORTING TEMPLATES 1. The following inspection reporting templates will be used by the field inspectors, as appropriate: Daily Inspection Log Non-Conformance Report Environmental Deficiency Report Design Change/RFI Form F-1 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX F SAMPLE DAILY INSPECTION REPORT Company Name: Project Execution Inspection Job # Click here to enter text. Report #: Click here to enter text. Date: Click here to enter text. Project Name: Click here to enter text. Supervisor: Click here to enter text. Weather: Click here to enter text. Job Location: Click here to enter text. Daily Tailboard/Safety Tailboard: Click here to enter text. Details of labor, equipment usage, and standby equipment time: Click here to enter text. Work Plan for Today: Click here to enter text. Today’s Progress: Click here to enter text. Problems/Discussions/Delays: Click here to enter text. Material/Equipment Deliveries/Equipment Departures: Click here to enter text. Instructions to Constructor, inspections, acceptances, and rejections: Click here to enter text. Comments: Click here to enter text. Field Workers Field Worker TradeQuantity SIGNATURE: F-2 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX F NON-CONFORMANCE REPORT NON-CONFORMANCE: 1. Date Identified: _________________________________________________________________________ 2. Identified by: __________________________________________________________________________ 3. Department: ___________________________________________________________________________ 4. Location: ___________________________________________________________________________ 5. Description of nonconformance: 6. Cause of problem: 7. Analysis of the problem: Prepared by: _____________________ Date: _____________ CORRECTIVE MEASURES: 1. Description of corrective measures: 2. Date corrective measures completed:________________________________ 3. Inspected and Approved by: Field Inspector: _______________________ Date: ________________ Engineer-Of-Record: ___________________ Date: ________________ Responsible Engineer: _____________________ Date: ________________ cc: Field Inspectors License Compliance Lead Construction Foreman Project Manager Engineer-Of-Record File Responsible Engineer F-3 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX F ENVIRONMENTAL DEFICIENCY REPORT DEFICIENCY: 1. Date Identified: _________________________________________________________________________ 2. Identified by: __________________________________________________________________________ 3. Department: ___________________________________________________________________________ 4. Location: ___________________________________________________________________________ 5. Description of Deficiency: 6. Cause of problem: 7. Analysis of the problem: Prepared by: _____________________ Date: _____________ CORRECTIVE MEASURES: 1. Description of corrective measures: 2. Date corrective measures completed:________________________________ 3. Inspected and Approved by: Field Inspector: _____________________ Date: ________________ Environmental Lead: __________________ Date: ________________ cc: Field Inspectors License Compliance Lead Construction Foreman Environmental Lead Lead Engineer Project Manager Engineer-Of-Record File F-4 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX F DESIGN CHANGENOTIFICATION/ REQUEST FOR INFORMATIONFORM RFI#:____ DCN#:____ Description of Change / Question: Reference Drawings: Construction Impact: Need Response / Answer by: ________________________________ Prepared by: __________________ Date: ____________ Submitted to: _________________ Date: ____________ Solution to Design Change or Response to Design Question: Drawing Change: ____________________________________________________ Regulatory Agencies Approvals (as Required): DSOD: _____________ Date: ____________ FERC: ______________ Date: ____________ Approved by: Engineer-Of-Record: __________________ Date: ____________ Responsible Engineer: ____________________ Date: ___________ cc: Field Inspectors License Compliance Lead Construction Foreman File Responsible Engineer Engineer-Of-Record Project Manager F-5 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX G ENVIRONMENTAL COMPLIANCE PLAN 1. GENERAL 1.1. Prudent actions shall be taken in performance of the work consistent with PG&E’s Best Management Practices for protection of sensitive species to minimize impacts to the Project environment as agreed to by PG&E and the resource agencies. Construction procedure, process, equipment and temporary construction facilities shall be provided to manage and control environmental conditions at the construction site and related areas under the Constructor’s control. 1.2. Construction personnel shall be informed and trained to ensure compliance with the environmental protection requirement/s for the project. Best construction industry and management practices shall be applied during construction to minimize disturbance to the environment. 1.3. The construction area shall be limited to the minimal space necessary for access, equipment, and construction activities. Construction personnel shall be informed of the limits of the work area so that precautionary mitigation measures to prevent potential erosion problems can be put in place if necessary. 2. HAZARDOUS MATERIALS AND WASTE 2.1. The construction methods and plans shall minimize the exposure of the Project environment to hazardous materials and wastes. 2.2. Good construction practices and preventive measures shall be implemented to minimize turbidity in waterway(s) from waste, disposal, and suspended particles generated from construction activities. Collection and disposal systems and barriers shall be installed to prevent dust, slurry and debris generated from the construction activities from entering the waterways. Disposal of all hazardous wastes and their containers shall be disposed in compliance with Federal and State laws listed in 49 Code of Federal Regulations (CFR) and the California Code of Regulations. 2.3. All hazardous materials shall be transported to and from site in compliance with all Federal and State regulations, including those specified in the California Code of Regulations and the California Vehicle Code. 2.4. Spill prevention barrier and protection shall be provided around barges and equipment, which are located in waterways to contain and prevent potential spill material from entering the water. 2.5. Equipment, containers, absorbents, personal protective equipment, and other clean-up material supplies shall be available on-site for use in the event of an accidental spill. 3. CULTURAL RESOURCES: In the event that a previously unidentified archaeological or historic site is discovered during construction, construction activities in the identified area shall be stopped and the cultural resource specialist and environmental agencies shall be notified immediately. Appropriate actions shall be taken to properly record and protect any such discovered sites. 4. WATER QUALITY: Construction activities shall comply with the water quality standards, monitoring or control measures required by CDF&G, RWQCB and other agencies. Temporary barriers and settling basin\\s shall be provided where necessary to ensure that water quality standards for the Project are met. 5. NOISE ABATEMENT: Noise emissions shall be limited to the extent possible to minimize impacts to the identified nesting sites. 6. AIR QUALITY: Dust emission from construction activities shall be minimized by the frequent use of water to spray unpaved roads and in earth disturbance areas. Vehicle speed limits below 25 G-1 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX G mph shall be maintained to reduce traffic generated dust. Vehicles shall be maintained to meet vehicle emission standards and shall encourage carpooling among employees to minimize vehicle emissions and dust in the Project area. Portable generators will comply with applicable requirements. 7. EROSION CONTROL: Measures shall be implemented to prevent erosion of excavated areas, stockpiled earth materials, and other erodible areas, and to control sediment-carrying water from contaminating the reservoir or nearby waterways. 8. IMPACTS TO AQUATIC AND WILDLIFE RESOURCES: Disturbances to aquatic and wildlife resources in the Project area shall be minimized consistent with PG&E’s Best Management Practices for the protection of sensitive species. Mitigation measures required by the permits and agreed to by PG&E and the resource agencies shall be implemented. If the existing fishery and wildlife condition changes during construction, the resource agencies shall be consulted to identify if any additional mitigation measures will be required. 9. ROAD MAINTENANCE: All roads used for the Project construction shall be repaired and maintained in accordance with the agreements, conditions, and permits issued. 10. WEATHER: Weather and temperature shall be monitored. Precautionary measures shall be taken, when necessary, to protect the Work against potential erosion and damage from rain and weather conditions. 11. HAZARDOURS SUBSTANCES. Use of Hazardous Substances shall comply with regulating agencies rules, fees, permits, and licenses. 12. POLLUTION CONTROL 12.1. Methods, means and facilities shall be provided to prevent contamination of soil, water or atmosphere by the discharge of noxious substances from construction operations. 12.2. Equipment and personnel shall be available to contain any spillage, and to remove contaminated soils or liquids. All contaminated earth shall be excavated and disposed off-site, and replaced with suitable compacted fill and topsoil. 12.3. Special measures shall be taken to prevent harmful substances from entering public waters, and prevent disposal of wastes, effluents, chemicals, or other such substances adjacent to reservoir and stream. 12.4. Constructor shall provide for control of atmospheric pollutants, and prevent toxic concentrations of chemicals or harmful dispersal of pollutants into the atmosphere. 13. FIRE PREVENTION AND PROTECTION 13.1. Constructor shall take all necessary precautions to prevent grass, brush and forest fires while performing the Work. 13.2. Constructor shall be responsible for all damage from fire due, directly or indirectly, either to his own activities or those of his employees or sub-Contractors. 13.3. When required, Constructor shall provide spark arrestors, approved by the Division of Forestry, State of California, for all internal combustion engines employed at the site. 13.4. Constructor shall maintain temporary fire protection equipment in accordance with CAL/OSHA 1910 and 1933, including: 13.4.1. Portable fire extinguishing equipment suitable for type of material and hazard. 13.4.2. Portable fire extinguishers within ten feet of welding and cutting operations and of locations where flammable or combustible liquids are stored. 13.4.3. Constructor shall perform work within or adjacent to State or National Forests in conformance with all regulation of the State Fire Marshall, Natural Resources Conservation Commission, Forestry Department, and all other authorities having jurisdiction over work within forests. G-2 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX G 14.HAZARDOUS OR FLAMMABLE CHEMICALS 14.1. Limit the on-site storage of materials such as fuel, oils, and cement products to a minimum. 14.2. Maintain for all hazardous substance on the job site Material Safety Data Sheets at the Constructor’s filed office and provide hazardous spill response equipment such as absorbent pads and booms. 14.3. Use and store hazardous and flammable chemical liquids or gases in acceptable containers conforming to all applicable laws and regulations, and use in a manner that will prevent their accidental release. 14.4. Materials shall not be discarded on the job site, and shall be removed from the premises immediately or disposed of in proper, lawful manner. 15. SAFETY 15.1. Construction shall conform to the rules and regulations pertaining to safety including OSHA Safety Standards for the Construction Industry, California Code of Regulations, Division of Industrial Safety (Safety Orders), Construction Safety Orders, and Division of Safety of Dams. 15.2. Constructor shall provide control of all persons and vehicles entering and leaving the site. 16. SECURITY 16.1. Constructor shall provide and maintain barriers to prevent unauthorized entry and to protect the Work, existing facilities, trees and plants. The project site, existing structures, new and existing materials and equipment shall be protected and secured from theft, vandalism and damages of any kind. 16.2. Barriers and barricades shall be provided, wherever needed, to provide safe working conditions and removed when progress of the Work permits. 16.3. Constructor shall preserve and protect existing trees and plants designated to remain including root zone by erecting temporary barrier. 16.4. Constructor shall relocate barriers as required by construction progress. G-3 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX H WATER DIVERSION AND CONTROL 1. Constructor shall provide measures to collect, divert, treat, dispose and discharge any surface and subsurface water that may be encountered in the course of excavation and foundation treatment. All water collected from excavations shall be processed or treated to remove silt and turbidity to meet the water quality requirement prior to discharging into the reservoir or creeks in the Project area. 2. Dewatering may include the use of sump pumps, wells and/or well points, temporary pipelines for water disposal, rock or gravel placement, or other means. 3. Standby pumping equipment shall be maintained on the jobsite at all times during performance of the Work. Pumping equipment shall be in good working condition and Constructor shall have competent personnel available at all times for operation of the pumping equipment, including operations during power failure. 4. Constructor shall ensure that excavation and site grading promote drainage. Surface runoff shall be diverted from the excavation. Water entering the excavation shall be collected in shallow ditches around the perimeter of the excavation, drained to sumps, and pumped or drained by gravity from the excavation to maintain the bottom free of standing water. 5. If well points or wells are used, they shall be adequately spaced to provide the necessary dewatering and shall be sand packed and/or other means to prevent pumping of fine sands or silts from the subsurface. 6. Water from the dewatering system and/or other construction activities shall not be directly discharged into the reservoir. Discharge water shall be pumped to an adequately sized siltation basin or treated with a portable water treatment plant or other means to meet the water quality standards. Constructor shall dispose of silt in designated spoil areas. 7. All temporary measures needed for dewatering and diversion of ground and surface water shall be removed upon completion of the Work. 8. Protection of sensitive aquatic resources during canal outages shall be conducted in accordance with PG&E’s Best Management Practice PG-2590S, PG-2592P-01. H-1 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX I EROSION AND SEDIMENT CONTROL 1.Constructor shall plan and execute construction and earthwork by methods to control surface drainage from cuts and fills, and from borrow and waste disposal areas, to prevent erosion and sedimentation. Constructor shall follow all Erosion and Sediment Control Plans and SWPPP’s applicable to the project. 2. Constructor shall control its operations so that sediment or siltation, due to its operations, shall not be introduced into the stream or lake. Constructor shall provide sump pumps, temporary water treatment plants, settling basin and other facilities with adequate capacity for treatment and removal of silt or other suspended substance in any seepage or drainage resulting from excavation or other construction activities to meet the required water quality and turbidity standards before discharging into the lake. 3. Constructor shall periodically inspect earthwork to detect any evidence of the start of erosion and shall apply corrective measures as necessary. 4. Constructor shall implement mechanical and vegetative erosion control measures, where applicable. Remedial measures for controlling potential erosion in areas affected by the proposed construction activities and unseasonable storms, including thunderstorms, are described below. 5. Constructor shall install mechanical erosion control measures, including mulching, hay bale checks, erosion control fabric, diversion ditches or berms, silt fencing and drainage devices, where appropriate, along the borrow areas, the excavation limits of the buttress foundation, and the disposal areas with heavy earth excavation, hauling and placement activities. 6. Constructor shall protect open excavations and stockpiled earth materials with polyethylene sheets or other waterproof coverings and construct berms or drainage trenches around such stockpiles to prevent erosion. 7. Trapping sediment may be accomplished with silt fencing, hay bales, sedimentation basins, and wattles. Trapping may be used to prevent sedimentation into any water course or drainage channel, roadway, sensitive areas or adjacent property. 8. Berming, diversion ditches, sand bags and piping can be used to divert water to safe areas. Areas not susceptible to erosion include bedrock channels or outcropping, heavily vegetated areas receiving low impact water or energy dissipating rocked areas. Such areas should be well- drained. Diverting may be used along access roads, canal access pads and above slopes susceptible to erosion. 9. Disturbed loose, erosional soil will be mulched with cereal straw. Straw may be rice, barley or oats and will be as specified by the Forest Service when on National Forest properties. Wood fiber mulch applied by hydro mulch seeding may also be used. In exceptional cases, sheet plastic, jute matting or other erosion control blankets may be used as an emergency cover if necessary. 10. Drainage will be provided to prevent saturating soil in construction fill areas and other vulnerable conditions. I-1 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX J CERTIFICATION By Licensee CERTIFICATION OF CONSTRUCTION FERC Project No.: ______ Description: ______________________________________________________________________ Design Drawings/Specifications: PG&E Drawing List Drawing NumberDrawing Title Quality Control and Inspection Program (QCIP), Dated: _____________________ This is a certification by the Licensee that the construction fulfills the design intent and was constructed in accordance with the plans and specifications reviewed by the FERC. (per written request by FERC) ******************************************************************************************* A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. VERIFICATION STATE OF CALIFORNIA \] COUNTY OF \], SS: The undersigned, being first duly sworn, states that he/she has read the above document and knows the contents of it, and that all of the statements contained in that document are true and correct, to the best of his/her knowledge and belief. (per 18CFR Part 12, Paragraph 12.13) For Licensee (Print Name) __________________________________________ Signature \[STAMP\] Subscribed and sworn to (or affirmed) before me on this day of , 20___, by , Proved to me on the basis of satisfactory evidence to be the person (s) who appeared before me. . NOTARY PUBLIC \[SEAL\] J-1 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX J CERTIFICATION By Design Engineer CERTIFICATION OF CONSTRUCTION FERC Project No.: ______ Description: ______________________________________________________________________ Design Drawings/Specifications: PG&E Drawing List Drawing Number Drawing Title Quality Control and Inspection Program (QCIP), Dated: _____________________ This is a certification by the Design Engineer that the project constructed in accordance with the design intent. (per written request by FERC) ******************************************************************************************* A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. VERIFICATION STATE OF CALIFORNIA \] COUNTY OF \], SS: The undersigned, being first duly sworn, states that he/she has read the above document and knows the contents of it, and that all of the statements contained in that document are true and correct, to the best of his/her knowledge and belief. (per 18CFR Part 12, Paragraph 12.13) Design Engineer (Print Name) __________________________________________ Signature \[STAMP\] Subscribed and sworn to (or affirmed) before me on this day of , 20___, by , Proved to me on the basis of satisfactory evidence to be the person (s) who appeared before me. . NOTARY PUBLIC \[SEAL\] J-2 STANDARD QUALITY CONTROL & INSPECTION PROGRAM FOR HYDRO PROJECTS APPENDIX J CERTIFICATION By Quality Control Manager CERTIFICATION OF CONSTRUCTION FERC Project No.: ______ Description: ______________________________________________________________________ Design Drawings/Specifications: PG&E Drawing List Drawing Number Drawing Title Quality Control and Inspection Program (QCIP), Dated: _____________________ This is a certification by the Quality Control Manger that the results of the inspection and testing program results in the conclusion that the project was constructed in accordance with the plans and specifications. (per written request by FERC) ******************************************************************************************* A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. VERIFICATION STATE OF CALIFORNIA \] COUNTY OF \], SS: The undersigned, being first duly sworn, states that he/she has read the above document and knows the contents of it, and that all of the statements contained in that document are true and correct, to the best of his/her knowledge and belief. (per 18CFR Part 12, Paragraph 12.13) Quality Control Manager (Print Name) __________________________________________ Signature Subscribed and sworn to (or affirmed) before me on this day of , 20___, by , Proved to me on the basis of satisfactory evidence to be the person (s) who appeared before me. . NOTARY PUBLIC \[SEAL\] J-3