TRANSFORMER BASE

Effective Date: 11/25/2015

Document Identifier: CM-646-2.2-01

Printed copies are for reference only; they are not controlled. Latest version is on-line.

FDOT Traffic Engineering Research Laboratory (TERL) Transformer Base Compliance Matrix	By signing this form, the applicant declares that he/she has read and understands the provisions of Section 646 of the FDOT Standard Specifications for Road and Bridge Construction and all implemented modifications. The requirements listed on this matrix are derived from Section 646, and are the basis for determining a product’s compliance and its acceptability for use on Florida’s roads.

Date:	Click here to enter a date.	Applicant’s Name (print):
Manufacturer:
Item, Model No.:	Signature:

ID No	Section	Requirement	Item Comply? (Yes/No)	Comments (Applicant must provide information as indicated)	TERL Evaluation Method
1	646-2.2 (1)	Material meets the requirement of Aluminum Association Alloy 319 or 356-T6 and ASTM B26 or ASTM B108.	Provide documentation demonstrating compliance with required standards.	Document Review
Indicate location of requested information in submittal.
2	646-2.2 (2)	Base is 12 to 18 inches in height.	Provide technical drawing showing product details and dimensions.	Document Review and Physical Inspection
Indicate location of requested information in submittal.
3	Base includes a threaded hub at the top for mounting a nominal 4-inch Schedule 40 aluminum pole.	Provide technical drawing showing product details and dimensions.	Document Review and Physical Inspection
Indicate location of requested information in submittal.
4	The threaded hub is tapped to allow full pole engagement.	Provide technical drawing showing product details and dimensions.	Document Review and Physical Inspection
Indicate location of requested information in submittal.
5	646-2.2 (3)	The base fastens to a foundation using four ¾-inch anchor bolts located 90 degrees apart with a bolt circle diameter of 14 inches.	Provide technical drawing showing product details and dimensions.	Document Review and Physical Inspection
Indicate location of requested information in submittal.
6	The base allows for bolts that are placed off-center.	Provide technical drawing showing product details and dimensions.	Document Review and Physical Inspection
Indicate location of requested information in submittal.
7	646-2.2 (4)	The base door opening is no less than 8 inches by 8 inches.	Provide technical drawing showing product details and dimensions.	Document Review and Physical Inspection
Indicate location of requested information in submittal.
8	The base door is constructed of fiberglass or other non-combustible, non-aluminum material.	Provide technical drawing showing product details and dimensions.	Document Review and Physical Inspection
Indicate location of requested information in submittal.
9	The base door is attached with cleats and one stainless steel socket button head screw or by other means suitable for NEMA 3 electrical enclosures.	Provide technical drawing showing product details and dimensions.	Document Review and Physical Inspection
Indicate location of requested information in submittal.
10	646-2.2 (5)	The base supports an ultimate moment capacity of 10,000 foot-pounds without breaking, cracking, or rupturing.	Provide calculations and certified test reports verifying that each base model meets this requirement.	Document Review
Indicate location of requested information in submittal.
11	646-2.2 (6)	The base meets the requirements in the latest revision of the AASHTO Standard Specifications for Structural Supports for Highway Signs, Luminaires, and Traffic Signals.	Provide the FHWA certification letter for the product.	Document Review
Indicate location of requested information in submittal.
12	646-2.2 (7)	The base is legibly and visibly marked with the manufacturer’s name or logo and the model number.	Provide technical drawing showing product details and dimensions.	Document Review and Physical Inspection
Indicate location of requested information in submittal.