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Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) • A step by step guide

Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

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Page 1: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Asphalt RoadwayDaily Report of Quality Control

(Form No. 675-030-20)

• A step by step guide

Page 2: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Asphalt Roadway - Daily Report of Quality Control

Fin. Project ID: Material No. / ID: Type of Mix: Mix Design No.:

Intended use: Plant No.: Lot No.: Intended Lot Size:

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

Pay Item No.

Record Of Bituminous MaterialsTotal=

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Gallons Prev. Adj. Tot.

Page 3: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

This LotMeasured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Pay Item No.

Record Of Bituminous MaterialsTotal=

Linear Ft SY Tons SpreadSublot Lanes / Lift # of # Station To Station Loads

Lot No.: Intended Lot Size:Intended use: Plant No.:

Type of Mix: Mix Design No.:Fin. Project ID: Material No. / ID:

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Page 4: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

This LotMeasured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Pay Item No.

Record Of Bituminous MaterialsTotal=

Linear Ft SY Tons SpreadSublot Lanes / Lift # of # Station To Station Loads

Lot No.: Intended Lot Size:Intended use: Plant No.:

Type of Mix: Mix Design No.:Fin. Project ID: Material No. / ID:

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Page 5: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

This LotMeasured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Pay Item No.

Record Of Bituminous MaterialsTotal=

Linear Ft SY Tons SpreadSublot Lanes / Lift # of # Station To Station Loads

Lot No.: Intended Lot Size:Intended use: Plant No.:

Type of Mix: Mix Design No.:Fin. Project ID: Material No. / ID:

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1 ? ?

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Page 6: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

Fin. Project ID: 411667-1-52-01 Material No. / ID: Type of Mix: Mix Design No.:

Intended use: Plant No.: Lot No.: Intended Lot Size:

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

Pay Item No.

Record Of Bituminous MaterialsTotal=

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Page 7: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

This LotMeasured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Pay Item No.

Record Of Bituminous MaterialsTotal=

Linear Ft SY Tons SpreadSublot Lanes / Lift # of # Station To Station Loads

Lot No.: Intended Lot Size:Intended use: Plant No.:

Type of Mix: Mix Design No.:Fin. Project ID: 411667-1-52-01 Material No. / ID: 123L

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Page 8: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

This LotMeasured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Pay Item No.

Record Of Bituminous MaterialsTotal=

Linear Ft SY Tons SpreadSublot Lanes / Lift # of # Station To Station Loads

Lot No.: Intended Lot Size:Intended use: Plant No.:

Type of Mix: 12.5 Mix Design No.:Fin. Project ID: 411667-1-52-01 Material No. / ID: 123L

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Page 9: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

This LotMeasured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Pay Item No.

Record Of Bituminous MaterialsTotal=

Linear Ft SY Tons SpreadSublot Lanes / Lift # of # Station To Station Loads

Lot No.: Intended Lot Size:Intended use: Plant No.:

Type of Mix: 12.5 Mix Design No.: SP 04-3211AFin. Project ID: 411667-1-52-01 Material No. / ID: 123L

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Page 10: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

Fin. Project ID: 411667-1-52-01 Material No. / ID: 123L Type of Mix: 12.5 Mix Design No.: SP 04-3211A

Intended use: Structural Plant No.: Lot No.: Intended Lot Size:

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

Pay Item No.

Record Of Bituminous MaterialsTotal=

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Page 11: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

Fin. Project ID: 411667-1-52-01 Material No. / ID: 123L Type of Mix: 12.5 Mix Design No.: SP 04-3211A

Intended use: Structural Plant No.: A0739 Lot No.: Intended Lot Size:

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

Pay Item No.

Record Of Bituminous MaterialsTotal=

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Page 12: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

Fin. Project ID: 411667-1-52-01 Material No. / ID: 123L Type of Mix: 12.5 Mix Design No.: SP 04-3211A

Intended use: Structural Plant No.: A0739 Lot No.: 2 Intended Lot Size:

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

Pay Item No.

Record Of Bituminous MaterialsTotal=

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Page 13: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

Fin. Project ID: 411667-1-52-01 Material No. / ID: 123L Type of Mix: 12.5 Mix Design No.: SP 04-3211A

Intended use: Structural Plant No.: A0739 Lot No.: 2 Intended Lot Size: 4000

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

Pay Item No.

Record Of Bituminous MaterialsTotal=

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Page 14: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

Fin. Project ID: 411667-1-52-01 Material No. / ID: 123L Type of Mix: 12.5 Mix Design No.: SP 04-3211A

Intended use: Structural Plant No.: A0739 Lot No.: 2 Intended Lot Size: 4000

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal=

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

This is calculated from the Gmm on the Mix Design. It is Gmm times 43.3 times thickness

of the lift.

Page 15: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

Fin. Project ID: 411667-1-52-01 Material No. / ID: 123L Type of Mix: 12.5 Mix Design No.: SP 04-3211A

Intended use: Structural Plant No.: A0739 Lot No.: 2 Intended Lot Size: 4000

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

2

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal=

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Page 16: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

Fin. Project ID: 411667-1-52-01 Material No. / ID: 123L Type of Mix: 12.5 Mix Design No.: SP 04-3211A

Intended use: Structural Plant No.: A0739 Lot No.: 2 Intended Lot Size: 4000

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

2 R1 / 1 of 1

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal=

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Page 17: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

Fin. Project ID: 411667-1-52-01 Material No. / ID: 123L Type of Mix: 12.5 Mix Design No.: SP 04-3211A

Intended use: Structural Plant No.: A0739 Lot No.: 2 Intended Lot Size: 4000

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

2 R1 / 1 of 1 629 42.15

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal=

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Page 18: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

Fin. Project ID: 411667-1-52-01 Material No. / ID: 123L Type of Mix: 12.5 Mix Design No.: SP 04-3211A

Intended use: Structural Plant No.: A0739 Lot No.: 2 Intended Lot Size: 4000

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

2 R1 / 1 of 1 629 42.15 700 00 7057.85

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal=

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Automatic Calculation

Page 19: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

This LotMeasured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal=

700 00 1-55 7057.852 R1 / 1 of 1 629 42.15

Linear Ft SY Tons SpreadSublot Lanes / Lift # of # Station To Station Loads

Lot No.: 2 Intended Lot Size: 4000Intended use: Structural Plant No.: A0739

Type of Mix: 12.5 Mix Design No.: SP 04-3211AFin. Project ID: 411667-1-52-01 Material No. / ID: 123L

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Page 20: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

This LotMeasured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

#VALUE!

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 9410.47

12.00 9410.47 700 00 1-55 7057.852 R1 / 1 of 1 629 42.15

Linear Ft SY Tons SpreadSublot Lanes / Lift # of # Station To Station Loads

Lot No.: 2 Intended Lot Size: 4000Intended use: Structural Plant No.: A0739

Type of Mix: 12.5 Mix Design No.: SP 04-3211AFin. Project ID: 411667-1-52-01 Material No. / ID: 123L

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Automatic Calculation

Page 21: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

This LotMeasured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

212.53

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 9410.47 1000.00

12.00 9410.47 1000.00 212.53700 00 1-55 7057.852 R1 / 1 of 1 629 42.15

Linear Ft SY Tons SpreadSublot Lanes / Lift # of # Station To Station Loads

Lot No.: 2 Intended Lot Size: 4000Intended use: Structural Plant No.: A0739

Type of Mix: 12.5 Mix Design No.: SP 04-3211AFin. Project ID: 411667-1-52-01 Material No. / ID: 123L

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Automatic Calc. If within tolerance, # is Blue,

if not # is Red

Page 22: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

This LotMeasured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

212.53

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 9410.47 1000.00

3

12.00 9410.47 1000.00 212.53700 00 1-55 7057.852 R1 / 1 of 1 629 42.15

Linear Ft SY Tons SpreadSublot Lanes / Lift # of # Station To Station Loads

Lot No.: 2 Intended Lot Size: 4000Intended use: Structural Plant No.: A0739

Type of Mix: 12.5 Mix Design No.: SP 04-3211AFin. Project ID: 411667-1-52-01 Material No. / ID: 123L

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

New sublot MUST be started on separate line

Page 23: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

Fin. Project ID: 411667-1-52-01 Material No. / ID: 123L Type of Mix: 12.5 Mix Design No.: SP 04-3211A

Intended use: Structural Plant No.: A0739 Lot No.: 2 Intended Lot Size: 4000

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

2 R1 / 1 of 1 629 42.15 700 00 1-55 7057.85 12.00 9410.47 1000.00 212.53

3 R1 / 1 of 1

1000.00

212.53

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 9410.47

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Page 24: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

This LotMeasured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

212.53

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 9410.47 1000.00

3 R1 / 1 of 1 700 00

12.00 9410.47 1000.00 212.53700 00 1-55 7057.852 R1 / 1 of 1 629 42.15

Linear Ft SY Tons SpreadSublot Lanes / Lift # of # Station To Station Loads

Lot No.: 2 Intended Lot Size: 4000Intended use: Structural Plant No.: A0739

Type of Mix: 12.5 Mix Design No.: SP 04-3211AFin. Project ID: 411667-1-52-01 Material No. / ID: 123L

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Page 25: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

Fin. Project ID: 411667-1-52-01 Material No. / ID: 123L Type of Mix: 12.5 Mix Design No.: SP 04-3211A

Intended use: Structural Plant No.: A0739 Lot No.: 2 Intended Lot Size: 4000

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

2 R1 / 1 of 1 629 42.15 700 00 1-55 7057.85 12.00 9410.47 1000.00 212.53

3 R1 / 1 of 1 700 00 744 17

1000.00

212.53

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 9410.47

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Page 26: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

Fin. Project ID: 411667-1-52-01 Material No. / ID: 123L Type of Mix: 12.5 Mix Design No.: SP 04-3211A

Intended use: Structural Plant No.: A0739 Lot No.: 2 Intended Lot Size: 4000

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

2 R1 / 1 of 1 629 42.15 700 00 1-55 7057.85 12.00 9410.47 1000.00 212.53

3 R1 / 1 of 1 700 00 744 17 55-90 4417.00

1000.00

212.53

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 9410.47

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Automatic Calculation

Page 27: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

This LotMeasured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

219.48

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 15299.80 1679.03

12.00 5889.33 679.03744 17 55-90 4417.003 R1 / 1 of 1 700 00

12.00 9410.47 1000.00 212.53700 00 1-55 7057.852 R1 / 1 of 1 629 42.15

Linear Ft SY Tons SpreadSublot Lanes / Lift # of # Station To Station Loads

Lot No.: 2 Intended Lot Size: 4000Intended use: Structural Plant No.: A0739

Type of Mix: 12.5 Mix Design No.: SP 04-3211AFin. Project ID: 411667-1-52-01 Material No. / ID: 123L

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Automatic Calculation

Page 28: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

Asphalt Roadway - Daily Report of Quality Control

September 10, 2005 1

Fin. Project ID: 411667-1-52-01 Material No. / ID: 123L Type of Mix: 12.5 Mix Design No.: SP 04-3211A

Intended use: Structural Plant No.: A0739 Lot No.: 2 Intended Lot Size: 4000

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

2 R1 / 1 of 1 629 42.15 700 00 1-55 7057.85 12.00 9410.47 1000.00 212.53

3 R1 / 1 of 1 700 00 744 17 55-90 4417.00 12.00 5889.33 679.03 230.60

1679.03

219.48

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 15299.80

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

If spread is within the allowable tolerance, # is Blue, if not # is Red. If out tell Foreman and

document it in the Remarks at the bottom

of the page.

Page 29: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

AM PM

AM PM

AM PM

Remarks:

Qualif ied Technician ID# (TIN)

Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

Total

Prev. Tons

Todays

Spread Rate Gal/SY

No Density Required Average of 1st 5 SY Covered

Accum. Gallons @ 60F Total Minimum

Average

Today Gallons @ 60F Todays Maximum

Density Required Established

Prev. Gallons @ 60F Prev. Tons

Correction Factor

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total Temperature F

WasteTime of Day after Unloading

Gallons Total

TodaysEnding IN

This Lot

Gallons Prev. Adj. Tot.

Measured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Page 30: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

2 R1 / 1 of 1 629 42.15 700 00 1-55 7057.85 12.00 9410.47 1000.00 212.53

3 R1 / 1 of 1 700 00 744 17 55-90 4417.00 12.00 5889.33 679.03 230.60

1679.03

219.48

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 15299.80

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Gallons Prev. Adj. Tot.

TodaysEnding IN

Gallons Total

Time of Day after Unloading Waste

Temperature F

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total

Correction Factor Density Required Established

Prev. Gallons @ 60F Prev. Tons Average

Today Gallons @ 60F Todays Maximum

Accum. Gallons @ 60F Total Minimum

Proper number and correct spacing is VERY

important!

Page 31: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Average

Density Required Established

Prev. Gallons @ 60F Prev. Tons

Correction Factor

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total Temperature F

WasteTime of Day after Unloading

Gallons Total

TodaysEnding IN

This Lot

Gallons Prev. Adj. Tot. 5000.00 6666.67 1000.00

Measured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

219.48

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 15299.80 1679.03

12.00 5889.33 679.03 230.60744 17 55-90 4417.003 R1 / 1 of 1 700 00

12.00 9410.47 1000.00 212.53700 00 1-55 7057.852 R1 / 1 of 1 629 42.15

Enter previous tons, Sq. Yards & Tons in

This Lot

Page 32: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

2 R1 / 1 of 1 629 42.15 700 00 1-55 7057.85 12.00 9410.47 1000.00 212.53

3 R1 / 1 of 1 700 00 744 17 55-90 4417.00 12.00 5889.33 679.03 230.60

1679.03

219.48

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 15299.80

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Gallons Prev. Adj. Tot. 5000.00 6666.67 1000.00

Todays 1679.04 15299.80Ending IN 1679.04

Gallons Total 6679.04 21966.47 2679.04

Time of Day after Unloading Waste

6679.04 21966.47Temperature F 2679.04

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total

Correction Factor Density Required Established

Prev. Gallons @ 60F Prev. Tons Average

These daily totals go here

Automatic calculation

Page 33: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Width

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

2 R1 / 1 of 1 629 42.15 700 00 1-55 7057.85 12.00 9410.47 1000.00 212.53

3 R1 / 1 of 1 700 00 744 17 55-90 4417.00 12.00 5889.33 679.03 230.60

1679.03

219.48

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 15299.80

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Gallons Prev. Adj. Tot. 5000.00 6666.67 1000.00

Todays 1679.03 15299.80Ending IN 1679.03

Gallons Total 6679.03 21966.47 2679.03

Time of Day after Unloading Waste 10.00 0 10.00

6669.03 21966.47Temperature F 2669.03

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total

Correction Factor Density Required Established

Input the waste from the days

production

Automatic calculation

Page 34: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

1679.03

219.48

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 15299.80

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Gallons Prev. Adj. Tot. 5000.00 6666.67 1000.00

Todays 1679.03 15299.80Ending IN 1679.03

Gallons Total 6679.03 21966.47 2679.03

Time of Day after Unloading Waste 10.00 0 10.00

6669.03 21966.47Temperature F 2669.03

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total

Correction Factor Density Required Established

Prev. Gallons @ 60F Prev. Tons Average

Today Gallons @ 60F Todays Maximum

Accum. Gallons @ 60F Total Minimum

SY Covered No Density Required Average of 1st 5

Spread Rate Gal/SY Prev. Tons

Todays

TotalQualif ied Technician ID# (TIN)

These TonnagesAre Totals forThis Pay Item

Page 35: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

1679.03

219.48

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 15299.80

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Gallons Prev. Adj. Tot. 5000.00 6666.67 1000.00

Todays 1679.03 15299.80Ending IN 1679.03

Gallons Total 6679.03 21966.47 2679.03

Time of Day after Unloading Waste 10.00 0 10.00

6669.03 21966.47Temperature F 2669.03

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total

Correction Factor Density Required Established

Prev. Gallons @ 60F Prev. Tons 1000.00 Average

Today Gallons @ 60F Todays 1600.03 Maximum

Accum. Gallons @ 60F Total 2600.03 Minimum

SY Covered No Density Required Average of 1st 5

Spread Rate Gal/SY Prev. Tons

Todays

TotalQualif ied Technician ID# (TIN)

Density Required Previous Tonnage:

Today’s Tonnage:

Total Density Required:

Page 36: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

1679.03

219.48

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 15299.80

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Gallons Prev. Adj. Tot. 5000.00 6666.67 1000.00

Todays 679.03 6289.33Ending IN 679.03

Gallons Total 5679.03 12956 1679.03

Time of Day after Unloading Waste 10.00 0 10.00

5669.03 12956Temperature F 1669.03

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total

Correction Factor Density Required Established

Prev. Gallons @ 60F Prev. Tons 1000.00 Average

Today Gallons @ 60F Todays 1600.03 Maximum

Accum. Gallons @ 60F Total 2600.03 Minimum

SY Covered No Density Required Average of 1st 5

Spread Rate Gal/SY Prev. Tons 0.00

Todays 69.00

Total 69.00

Qualif ied Technician ID# (TIN)

No Density RequiredPrevious Tonnage:

Today’s Tonnage: No Density

Required Total Tonnage:

Page 37: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

Qualif ied Technician ID# (TIN)

Total 69.00

Prev. Tons 0.00

Todays 69.00

Spread Rate Gal/SY

No Density Required Average of 1st 5 SY Covered

Accum. Gallons @ 60F Total 2600.03 Minimum

Average

Today Gallons @ 60F Todays 1600.03 Maximum

Density Required Established

Prev. Gallons @ 60F Prev. Tons 1000.00

Correction Factor

2669.03

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total 6669.03 21966.47Temperature F

Waste 10.00 0 10.00Time of Day after Unloading

1679.03

Gallons Total 6679.03 21966.47 2679.03

Todays 1679.03 15299.80Ending IN

This Lot

Gallons Prev. Adj. Tot. 5000.00 6666.67 1000.00

Measured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

219.48

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 15299.80 1679.03

These 2 numbers must equal this one:

These 3 numbers must equal this one:

Page 38: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

Qualif ied Technician ID# (TIN)

Total 69.00

Prev. Tons 0.00

Todays 69.00

Spread Rate Gal/SY

No Density Required Average of 1st 5 SY Covered

Accum. Gallons @ 60F Total 2600.03 Minimum

Average

Today Gallons @ 60F Todays 1600.03 Maximum

Density Required Established 300

Prev. Gallons @ 60F Prev. Tons 1000.00

Correction Factor

2669.03

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total 6669.03 21966.47Temperature F

Waste 10.00 0 10.00Time of Day after Unloading

1679.03

Gallons Total 6679.03 21966.47 2679.03

Todays 1679.03 15299.80Ending IN

This Lot

Gallons Prev. Adj. Tot. 5000.00 6666.67 1000.00

Measured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

219.48

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 15299.80 1679.03

Compaction Temperature

from Mix Design

Page 39: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift

1679.03

219.48

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 15299.80

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Gallons Prev. Adj. Tot. 5000.00 6666.67 1000.00

Todays 1679.03 15299.80Ending IN 1679.03

Gallons Total 6679.03 21966.47 2679.03

Time of Day after Unloading Waste 10.00 0 10.00

6669.03 21966.47Temperature F 2669.03

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total

Correction Factor Density Required Established 300

Prev. Gallons @ 60F Prev. Tons 1000.00 Average 295

Today Gallons @ 60F Todays 1600.03 Maximum 310

Accum. Gallons @ 60F Total 2600.03 Minimum 285

SY Covered No Density Required Average of 1st 5 296

Spread Rate Gal/SY Prev. Tons 0.00

Todays 69.00

Total 69.00

Qualif ied Technician ID# (TIN)

Avg. of all temperatures, Max. temp of the day, Min. temp. of

the day & Avg. temp of the 1st 5 loads.

Page 40: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

Qualif ied Technician ID# (TIN)

Total 69.00

Prev. Tons 0.00

Todays 69.00

Spread Rate Gal/SY

No Density Required Average of 1st 5 296SY Covered

310

Accum. Gallons @ 60F Total 2600.03 Minimum 285

Average 295

Today Gallons @ 60F Todays 1600.03 Maximum

Density Required Established 300

Prev. Gallons @ 60F Prev. Tons 1000.00

Correction Factor

2669.03

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total 6669.03 21966.47Temperature F

Waste 10.00 0 10.00Time of Day after Unloading

1679.03

Gallons Total 6679.03 21966.47 2679.03

Todays 1679.03 15299.80Ending IN

This Lot

Gallons Prev. Adj. Tot. 5000.00 6666.67 1000.00

Measured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

219.48

Pay Item No. 2-334--1-13 212.0

Record Of Bituminous MaterialsTotal= 15299.80 1679.03

Enter pay item for tack. If tack is included in the price of the

asphalt, enter the pay item for the type of asphalt being

placed.

Prime calculations can be entered here if prime is

being used

Page 41: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

1679.03

219.48

Pay Item No. 2-334--1-13 212.0

Record Of Bituminous MaterialsTotal= 15299.80

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt RS-1

Measured In Tons SYBeginning IN This Lot

Gallons Prev. Adj. Tot. 5000.00 6666.67 1000.00

Todays 1679.03 15299.80Ending IN 1679.03

Gallons Total 6679.03 21966.47 2679.03

Time of Day after Unloading Waste 10.00 0 10.00

6669.03 21966.47Temperature F 2669.03

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total

Correction Factor Density Required Established 300

Prev. Gallons @ 60F Prev. Tons 1000.00 Average 295

Today Gallons @ 60F Todays 1600.03 Maximum 310

Accum. Gallons @ 60F Total 2600.03 Minimum 285

SY Covered No Density Required Average of 1st 5 296

Spread Rate Gal/SY Prev. Tons 0.00

Todays 69.00

Total 69.00

Qualif ied Technician ID# (TIN)

Enter the type of tack being used.

Page 42: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide
Page 43: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

Qualif ied Technician ID# (TIN)

Total 69.00

Prev. Tons 0.00

Todays 69.00

Spread Rate Gal/SY

No Density Required Average of 1st 5 296SY Covered

310

Accum. Gallons @ 60F Total 2600.03 Minimum 285

Average 295

Today Gallons @ 60F Todays 1600.03 Maximum

Density Required Established 300

Prev. Gallons @ 60F Prev. Tons 1000.00

Correction Factor

2669.03

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total 6669.03 21966.47Temperature F

Waste 10.00 0 10.00Time of Day after Unloading

1679.03

Gallons Total 6679.03 21966.47 2679.03

Todays 1679.03 15299.80Ending IN

This Lot

Gallons Prev. Adj. Tot. 5000.00 6666.67 1000.00

Measured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. 2463 Pay Item

Grade Of Asphalt RS-1

219.48

Pay Item No. 2-334--1-13 212.0

Record Of Bituminous MaterialsTotal= 15299.80 1679.03

Enter the distributor number (FDOT calibration number)

that is being used to place the tack. (From previous slide)

Page 44: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Look up beginning depth reading and the corresponding gallon reading

Page 45: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

Qualif ied Technician ID# (TIN)

Total 69.00

Prev. Tons 0.00

Todays 69.00

Spread Rate Gal/SY

No Density Required Average of 1st 5 296SY Covered

310

Accum. Gallons @ 60F Total 2600.03 Minimum 285

Average 295

Today Gallons @ 60F Todays 1600.03 Maximum

Density Required Established 300

Prev. Gallons @ 60F Prev. Tons 1000.00

Correction Factor

2669.03

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total 6669.03 21966.47Temperature F

Waste 10.00 0 10.00Time of Day after Unloading

1679.03

Gallons Total 6679.03 21966.47 2679.03

Todays 1679.03 15299.80Ending IN

This Lot

Gallons 960.00 Prev. Adj. Tot. 5000.00 6666.67 1000.00

Measured In Tons SYBeginning IN 26/03

Paving CompletedFDOT Calibration

Tank No. 2463 Pay Item

Grade Of Asphalt RS-1

219.48

Pay Item No. 2-334--1-13 212.0

Record Of Bituminous MaterialsTotal= 15299.80 1679.03

Enter the beginning measurement and the

corresponding gallons from the tack chart.REMEMBER:

NO CHART~NO START

Page 46: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Look up ending depth reading and the corresponding gallon reading

Page 47: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

Qualif ied Technician ID# (TIN)

Total 69.00

Prev. Tons 0.00

Todays 69.00

Spread Rate Gal/SY

No Density Required Average of 1st 5 296SY Covered

310

Accum. Gallons @ 60F Total 2600.03 Minimum 285

Average 295

Today Gallons @ 60F Todays 1600.03 Maximum

Density Required Established 300

Prev. Gallons @ 60F Prev. Tons 1000.00

Correction Factor

2669.03

Net Hot Gallons 582 LOT Density Calculations Temperature F

Adj. Total 6669.03 21966.47Temperature F

Waste 10.00 0 10.00Time of Day after Unloading

1679.03

Gallons 378.00 Total 6679.03 21966.47 2679.03

Todays 1679.03 15299.80Ending IN 38/03

This Lot

Gallons 960.00 Prev. Adj. Tot. 5000.00 6666.67 1000.00

Measured In Tons SYBeginning IN 26/03

Paving CompletedFDOT Calibration

Tank No. 2463 Pay Item

Grade Of Asphalt RS-1

219.48

Pay Item No. 2-334--1-13 212.0

Record Of Bituminous MaterialsTotal= 15299.80 1679.03

Enter the ending measurement and the

corresponding gallons from the tack chart after tack is

shot.

This is an automatic

calculation. (Beginning gallons

minus ending gallons.)

Page 48: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

Qualif ied Technician ID# (TIN)

Total 69.00

Prev. Tons 0.00

Todays 69.00

Spread Rate Gal/SY

No Density Required Average of 1st 5 296SY Covered

310

Accum. Gallons @ 60F Total 2600.03 Minimum 285

Average 295

Today Gallons @ 60F Todays 1600.03 Maximum

Density Required Established 300

Prev. Gallons @ 60F Prev. Tons 1000.00

Correction Factor

2669.03

Net Hot Gallons 582 LOT Density Calculations Temperature F

Adj. Total 6669.03 21966.47Temperature F 170

Waste 10.00 0 10.00Time of Day after Unloading 4:30

1679.03

Gallons 378.00 Total 6679.03 21966.47 2679.03

Todays 1679.03 15299.80Ending IN 38/03

This Lot

Gallons 960.00 Prev. Adj. Tot. 5000.00 6666.67 1000.00

Measured In Tons SYBeginning IN 26/03

Paving CompletedFDOT Calibration

Tank No. 2463 Pay Item

Grade Of Asphalt RS-1

219.48

Pay Item No. 1-334--1-13 212.0

Record Of Bituminous MaterialsTotal= 15299.80 1679.03

Enter the time you finished shooting the tack and the

temperature of the tack from the distributor.

Page 49: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Look up temp. on chart and select corresponding Correction

Factor.

Page 50: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

Qualif ied Technician ID# (TIN)

Total 69.00

Prev. Tons 0.00

Todays 69.00

Spread Rate Gal/SY

No Density Required Average of 1st 5 296SY Covered

310

Accum. Gallons @ 60F Total 2600.03 Minimum 285

Average 295

Today Gallons @ 60F Todays 1600.03 Maximum

Density Required Established 300

Prev. Gallons @ 60F Prev. Tons 1000.00

Correction Factor 0.9732

2669.03

Net Hot Gallons 582 LOT Density Calculations Temperature F

Adj. Total 6669.03 21966.47Temperature F 170

Waste 10.00 0 10.00Time of Day after Unloading 4:30

1679.03

Gallons 378.00 Total 6679.03 21966.47 2679.03

Todays 1679.03 15299.80Ending IN 38/03

This Lot

Gallons 960.00 Prev. Adj. Tot. 5000.00 6666.67 1000.00

Measured In Tons SYBeginning IN 26/03

Paving CompletedFDOT Calibration

Tank No. 2463 Pay Item

Grade Of Asphalt RS-1

219.48

Pay Item No. 2-334--1-13 212.0

Record Of Bituminous MaterialsTotal= 15299.80 1679.03

Enter the correction factor for the temperature of the tack.

Page 51: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

1679.03

219.48

Pay Item No. 2-334--1-13 212.0

Record Of Bituminous MaterialsTotal= 15299.80

Paving CompletedFDOT Calibration

Tank No. 2463 Pay Item

Grade Of Asphalt RS-1

Measured In Tons SYBeginning IN 26/03 This Lot

Gallons 960.00 Prev. Adj. Tot. 5000.00 6666.67 1000.00

Todays 1679.03 15299.80Ending IN 38/03 1679.03

Gallons 378.00 Total 6679.03 21966.47 2679.03

Time of Day after Unloading 4:30 Waste 10.00 0 10.00

6669.03 21966.47Temperature F 170 2669.03

Net Hot Gallons 582 LOT Density Calculations Temperature F

Adj. Total

Correction Factor 0.9732 Density Required Established 300

Prev. Gallons @ 60F 0.00 Prev. Tons 1000.00 Average 295

Today Gallons @ 60F 566.40 Todays 1600.03 Maximum 310

Accum. Gallons @ 60F 566.40 Total 2600.03 Minimum 285

SY Covered No Density Required Average of 1st 5 296

Spread Rate Gal/SY Prev. Tons 0.00

Todays 69.00

Total 69.00

Qualif ied Technician ID# (TIN)

Enter the previous gallons of tack.

Automatic calculations.Net gallons * Corr. Factor.& sum of previous gallons

plus today's gallons.

Page 52: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

1679.03

219.48

Pay Item No. 2-334--1-13 212.0

Record Of Bituminous MaterialsTotal= 15299.80

Paving CompletedFDOT Calibration

Tank No. 2463 Pay Item

Grade Of Asphalt RS-1

Measured In Tons SYBeginning IN 26/03 This Lot

Gallons 960.00 Prev. Adj. Tot. 5000.00 6666.67 1000.00

Todays 1679.03 15299.80Ending IN 38/03 1679.03

Gallons 378.00 Total 6679.03 21966.47 2679.03

Time of Day after Unloading 4:30 Waste 10.00 0 10.00

6669.03 21966.47Temperature F 170 2669.03

Net Hot Gallons 582 LOT Density Calculations Temperature F

Adj. Total

Correction Factor 0.9732 Density Required Established 300

Prev. Gallons @ 60F 0.00 Prev. Tons 1000.00 Average 295

Today Gallons @ 60F 566.40 Todays 1600.03 Maximum 310

Accum. Gallons @ 60F 566.40 Total 2600.03 Minimum 285

SY Covered 15299.8 No Density Required Average of 1st 5 296

Spread Rate Gal/SY 0.037 Prev. Tons 0.00

Todays 69.00

Total 69.00

Qualif ied Technician ID# (TIN)

Enter the Square Yards covered with tack.

Automatically calculates tack spread

rate.

Page 53: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

Qualif ied Technician ID# (TIN)

W12345678 Total 69.00

Prev. Tons 0.00

Todays 69.00

Spread Rate Gal/SY 0.037

No Density Required Average of 1st 5 296SY Covered 15299.8

310

Accum. Gallons @ 60F 568.35 Total 2600.03 Minimum 285

Average 295

Today Gallons @ 60F 568.35 Todays 1600.03 Maximum

Density Required Established 300

Prev. Gallons @ 60F 0.00 Prev. Tons 1000.00

Correction Factor 0.9732

2669.03

Net Hot Gallons 584 LOT Density Calculations Temperature F

Adj. Total 6669.03 21966.47Temperature F 170

Waste 10.00 0 10.00Time of Day after Unloading 4:30

1679.03

Gallons 376.00 Total 6679.03 21966.47 2679.03

Todays 1679.03 15299.80Ending IN 38/03

This Lot

Gallons 960.00 Prev. Adj. Tot. 5000.00 6666.67 1000.00

Measured In Tons SYBeginning IN 26/03

Paving CompletedFDOT Calibration

Tank No. 2463 Pay Item

Grade Of Asphalt RS-1

219.48

Pay Item No. 2-334--1-13 212.0

Record Of Bituminous MaterialsTotal= 15299.80 1679.03

Enter your T.I.N. #

Page 54: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:Spread rate was higher than the allowable range. Informed paving foreman and asked him to correct thickness of lift.

1679.03

219.48

Pay Item No. 2-334--1-13 212.0

Record Of Bituminous MaterialsTotal= 15299.80

Paving CompletedFDOT Calibration

Tank No. 2463 Pay Item

Grade Of Asphalt RS-1

Measured In Tons SYBeginning IN 26/03 This Lot

Gallons 960.00 Prev. Adj. Tot. 5000.00 6666.67 1000.00

Todays 1679.03 15299.80Ending IN 38/03 1679.03

Gallons 378.00 Total 6679.03 21966.47 2679.03

Time of Day after Unloading 4:30 Waste 10.00 0 10.00

6669.03 21966.47Temperature F 170 2669.03

Net Hot Gallons 582 LOT Density Calculations Temperature F

Adj. Total

Correction Factor 0.9732 Density Required Established 300

Prev. Gallons @ 60F 0.00 Prev. Tons 1000.00 Average 295

Today Gallons @ 60F 566.40 Todays 1600.03 Maximum 310

Accum. Gallons @ 60F 566.40 Total 2600.03 Minimum 285

SY Covered 15299.8 No Density Required Average of 1st 5 296

Spread Rate Gal/SY 0.037 Prev. Tons 0.00

Todays 69.00

W12345678 Total 69.00

Qualif ied Technician ID# (TIN)

Enter any addition remarks about the

days production

Page 55: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Areas that Vary in Width

• How to calculate them

• How to show them on the report

Page 56: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Date Page No. of

Width

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

This LotMeasured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

210.47

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 5352.35 563.25

5.00 845.56 93.00 219.97705 22 23-27 1522.003 IL / 1 of 1 690 00

12.00 1466.67 149.28 203.56705 22 16-23 1100.003 R1 / 1 of 1 694 22

12.00 562.67 59.97 213.16694 22 13-16 422.003 R1 / 1 of 1 690 00

4.63 689.45 74.00 214.66690 00 9-13 1341.002 IL / 1 of 1 676 59

12.00 1788.00 187.00 209.17690 00 1-9 1341.002 R1 / 1 of 1 676 59

Linear Ft SY Tons SpreadSublot Lanes / Lift # of # Station To Station Loads

Lot No.: 2 Intended Lot Size: 4000Intended use: Structural Plant No.: A0739

Type of Mix: 12.5 Mix Design No.: SP 04-3211AFin. Project ID: 411667-1-52-01 Material No. / ID: 123L

Asphalt Roadway - Daily Report of Quality Control

September 11, 2005 1 1

State Of Florida Department Of Transportation675-030-20

MATERIALS02/05

See remarks below for explanation of difference in shoulder width

Page 57: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

2 3 3 4 1 1 3

AM PM

AM PM

AM PM

Remarks:

563.25

210.47

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 5352.35

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Gallons Prev. Adj. Tot. 5669.03 12956.00 1679.03

Todays 563.25 5352.35Ending IN 563.25

Gallons Total 6232.28 18308.35 2242.28

Time of Day after Unloading Waste 0.00 0 10.00

6232.28 18308.35Temperature F 2232.28

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total

Correction Factor Density Required Established 300

Prev. Gallons @ 60F Prev. Tons 1600.03 Average

Today Gallons @ 60F Todays 396.25 Maximum

Accum. Gallons @ 60F Total 1996.28 Minimum

SY Covered No Density Required Average of 1st 5

Spread Rate Gal/SY Prev. Tons 69.00

Todays 167.00

Total 236.00

Qualif ied Technician ID# (TIN)

Taper area on shoulder. See attached sketch for area calculations.

Page 58: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

(200*5)/2=500 S.F. 1141*5=5705 S.F.500/9= 55.56 S.Y. 5705/9=633.89 S.Y.

55.56+633.89 = 689.45 TOTAL S.Y.

Sta. Sta. Sta.

Area "A" Area "B"

A B

676+59 678+59 690+00

5.00

200.00 1141.00

Page 59: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Base

• How to calculate them

• How to show them on the report

Page 60: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Width

Average Spread Rate =

Target Spread Rate =

1 2 8 5 7 1 5

AM PM

AM PM

AM PM

Fin. Project ID: 411667-1-52-01 Material No. / ID: 123L Type of Mix: 12.5 Mix Design No.: SP 04-3211A

Intended use: Base Plant No.: A0739 Lot No.: 1 Intended Lot Size: 2000

Sublot Lanes / Lift # of # Station To Station Loads Linear Ft SY Tons Spread

3 R2 / 1 of 3 676 59 690 00 1-9 1341.00 12.00 1788.00 187.00 209.17

3 R2 / 1 of 3 690 00 703 75 9-13 1375.00 12.00 1833.33 200.00 218.18

3 R2 / 1 of 3 703 75 718 22 13-16 1447.00 12.00 1929.33 195.00 202.14

582.00

209.70

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 5550.66

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

Measured In Tons SYBeginning IN This Lot

Gallons Prev. Adj. Tot.

TodaysEnding IN

Gallons Total

Time of Day after Unloading Waste

Temperature F Adj. Total

Page 61: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Average Spread Rate =

Target Spread Rate =

1 2 8 5 7 1 5

AM PM

AM PM

AM PM

Remarks:

Qualif ied Technician ID# (TIN)

Total SY =5550.66 /3=1850.22 S.Y. No Density required on 1st lift of base.

Total 582.00

Prev. Tons 0.00

Todays 582.00

Spread Rate Gal/SY

No Density Required Average of 1st 5 SY Covered

Accum. Gallons @ 60F Total 0.00 Minimum

Average

Today Gallons @ 60F Todays 0.00 Maximum

Density Required Established 300

Prev. Gallons @ 60F Prev. Tons 0.00

Correction Factor

582.00

Net Hot Gallons LOT Density Calculations Temperature F

Adj. Total 582.00 1850.22Temperature F

Waste 0.00 0 0.00Time of Day after Unloading

582.00

Gallons Total 582.00 1850.22 582.00

Todays 582.00 1850.22Ending IN

This Lot

Gallons Prev. Adj. Tot. 0.00 0.00 0.00

Measured In Tons SYBeginning IN

Paving CompletedFDOT Calibration

Tank No. Pay Item

Grade Of Asphalt

209.70

Pay Item No. 212.0

Record Of Bituminous MaterialsTotal= 5550.66 582.00

Take total S.Y. and divide it by the number of lifts that the

base will be placed in

That is the prorated S.Y. for lift 1 of 3. Show

calculations in remarks.

No density required on 1st

lift of base

Page 62: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

If the lifts are equal in thickness then the Square Yards can be calculated

by dividing the Square Yards by the number of lifts being placed.

If the lifts are different in thickness, then the Square Yards must be

calculated by the following method:

Area being placed = 41,438.62 S.Y.

Example: First lift (1.25”) of a two inch ( 2”) item: 41,438.62 SY x ( 1.25”/2.00) = 25,899.14 SY

Example: The second lift would then be 0.75”

( 2” – 1.25” ) of the total 2” item:

41438.62 SY x ( 0.75” / 2.00” ) = 15,539.48 SY

Page 63: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Low Pay Factor Material

• How it is calculated

• How to show it on the report

Page 64: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide
Page 65: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide
Page 66: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide
Page 67: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Asphalt Guidelines

• Roadway VT responsibilities

• Roadway QC responsibilities

Page 68: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide
Page 69: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide
Page 70: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide
Page 71: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide
Page 72: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide
Page 73: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide
Page 74: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide
Page 75: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide
Page 76: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide
Page 77: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Asphalt RoadwayVerification Report

(Form No. 675-030-21)

• A step by step guide

Page 78: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Page No. of

AM PM

AM PM

AM PM

AM PM

Intended Lot Size: 4000Plant No.: A0739 2Lot No.:

Qualif ied Technician ID# (TIN)

Load No.

Spread

Intended use: Structural

Date Lane / Lift # of #

Sub.Date

Verification of Established Temp.Record Of Bituminous Materials

Verification of Tack

Date

Sublot

Pay Item No.

Grade Of Asphalt

Gallons

Time of Day after Unloading

Gallons @ 60F

Verification Results

Correction Factor

Beginning IN

Gallons

FDOT Calibration Tank No.

Target Spread Rate

1 1

Verification Results Y/N

TonsLoads Linear Ft

Temp.

11/04

SP 04-3211A

Verification Results Y/N

State Of Florida Department Of Transportation

Width

Verification of Spread Rate

Sublot Station To Station SY

Fin. Project ID: 411667-1-52-01 Material No.: 123L

Ending IN

Asphalt Roadway - Verification Report

212

Type of Mix:

Temperature F

Mix Design No.:12.5

SY

Spread Rate Gal/SY

Net Hot Gallons

Covered

Print Form

+ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ +

Fill in all the above correct information:

1. Page No:2. Fin Project ID:3. Material No:4. Type of Mix:5. Mix Design:6. Intended Use:7. Plant No:8. Lot No:9. Intended Lot Size:

Page 79: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Page No. of

AM PM

AM PM

AM PM

AM PM

SY

Spread Rate Gal/SY

Net Hot Gallons

Covered

Temperature F

Mix Design No.:12.5

Ending IN

Asphalt Roadway - Verification Report

212

Type of Mix:

Fin. Project ID: 411667-1-52-01 Material No.: 123L

Verification of Spread Rate

Sublot Station To Station SY

11/04

SP 04-3211A

Verification Results Y/N

State Of Florida Department Of Transportation

Width

Temp.

TonsLoads Linear Ft

1 1

Verification Results Y/N

Target Spread Rate

Gallons

FDOT Calibration Tank No.

Beginning IN

Verification Results

Correction Factor

Gallons

Time of Day after Unloading

Gallons @ 60F

Grade Of Asphalt

Pay Item No.

Date

Sublot

Record Of Bituminous Materials

Verification of Tack

Sub.Date

Verification of Established Temp.

Intended use: Structural

Date Lane / Lift # of #

Load No.

Spread

Qualif ied Technician ID# (TIN)

Intended Lot Size: 4000Plant No.: A0739 2Lot No.:

Print Form

+ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ +

Enter in Your Target Spread Rate

Page 80: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Page No. of

AM PM

AM PM

AM PM

AM PM

Intended Lot Size: 4000Plant No.: A0739 2Lot No.:

Qualif ied Technician ID# (TIN)

Load No.

Spread

653.00

2 R1 / 1 of 1 635 48

Intended use: Structural

5-10

Date

9/10/2005

Lane / Lift # of #

Sub.Date

Verification of Established Temp.Record Of Bituminous Materials

Verification of Tack

Date

Sublot

Pay Item No.

Grade Of Asphalt

Gallons

Time of Day after Unloading

Gallons @ 60F

Verification Results

Correction Factor

Beginning IN

Gallons

FDOT Calibration Tank No.

Target Spread Rate

1 1

Verification Results Y/N

TonsLoads Linear Ft

Temp.

11/04

SP 04-3211A

Verification Results Y/N

State Of Florida Department Of Transportation

Width

95 642

Verification of Spread Rate

Sublot Station To Station SY

Fin. Project ID: 411667-1-52-01 Material No.: 123L

Ending IN

Asphalt Roadway - Verification Report

212

Type of Mix:

Temperature F

Mix Design No.:12.5

SY

Spread Rate Gal/SY

Net Hot Gallons

Covered

Print Form

+ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ +

Fill in all the above correct information:

10. Date11. Sublot12. Lane/ Lift # of #13. Station to Station14. Loads

# 15 (LOADS) This is an automatic calculation.

Verification of Spread RateVerification of Spread Rate

Page 81: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Page No. of

Y

AM PM

AM PM

AM PM

AM PM

Intended Lot Size: 4000Plant No.: A0739 2Lot No.:

Qualif ied Technician ID# (TIN)

Load No.

Spread

653.00 12.00 870.67 212.48

2 R1 / 1 of 1 635 48

Intended use: Structural

1-55

Date

9/10/2005

Lane / Lift # of #

Sub.Date

Verification of Established Temp.Record Of Bituminous Materials

Verification of Tack

Date

Sublot

Pay Item No.

Grade Of Asphalt

Gallons

Time of Day after Unloading

Gallons @ 60F

Verification Results

Correction Factor

Beginning IN

Gallons

FDOT Calibration Tank No.

Target Spread Rate

Verification Results Y/N

TonsLoads Linear Ft

Temp.

11/04

SP 04-3211A

Verification Results Y/N

State Of Florida Department Of Transportation

Width

95 642

92.5

Verification of Spread Rate

Sublot Station To Station SY

Fin. Project ID: 411667-1-52-01 Material No.: 123L

Ending IN

Asphalt Roadway - Verification Report

212

Type of Mix:

Temperature F

Mix Design No.:12.5

SY

Spread Rate Gal/SY

Net Hot Gallons

Covered

Print Form

+ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ +

Fill in all the above correct information:

16. Width18. Tons

# 15 (LINEAR FEET), 17 (S.Y.) & 19 (SPREAD RATE) Are all automatic calculations.

If measurement “Meets” tolerance y for yes and N for no (see spec 330-

2.2 & 300-8.4

Page 82: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Page No. of

Y

AM PM

AM PM

AM PM

AM PM

SY

Spread Rate Gal/SY

Net Hot Gallons

Covered

Temperature F

Mix Design No.:12.5

Ending IN

Asphalt Roadway - Verification Report

212

Type of Mix:

Fin. Project ID: 411667-1-52-01 Material No.: 123L

Verification of Spread Rate

Sublot Station To Station SY

95 642

92.5

675-030-21MATERIALS

11/04

SP 04-3211A

Verification Results Y/N

State Of Florida Department Of Transportation

Width

Temp.

TonsLoads Linear Ft

Verification Results Y/N

Target Spread Rate

RS-1

Gallons

FDOT Calibration Tank No.

2463

Beginning IN

Verification Results

Correction Factor

Gallons

Time of Day after Unloading

Gallons @ 60F

Grade Of Asphalt

Pay Item No. 2-334-1-13

2

Date 09/10/05

Sublot

Record Of Bituminous Materials

Verification of Tack

Sub.Date

Verification of Established Temp.

Intended use: Structural

6-10

Date

9/10/2005

Lane / Lift # of #

2 R1 / 1 of 1 635 48

Load No.

Spread

653.00 12.00 870.67 212.48

Intended Lot Size: 4000Plant No.: A0739 2Lot No.:

Print Form

+ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ +

English Metric

Record of Bituminous Material BoxRecord of Bituminous Material Box

Record the date and sublot from the above

information

Record the 21. Pay Item22. Grade of Asphalt23. FDOT Calibration chart

Verify Tack Spread RateOnce Per Day (CPAM 5.10)

Page 83: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Page No. of

Y

AM PM

AM PM

AM PM

AM PM

Intended Lot Size: 4000Plant No.: A0739 2Lot No.:

Qualif ied Technician ID# (TIN)

Load No.

Spread

653.00 12.00 870.67 212.48

2 R1 / 1 of 1 635 48

Intended use: Structural

6-10

Date

9/10/2005

Lane / Lift # of #

Sub.Date

Verification of Established Temp.Record Of Bituminous Materials

Verification of Tack

2

Date 09/10/05

Sublot

Pay Item No. 2-334--1-13

Grade Of Asphalt

Gallons

Time of Day after Unloading

Gallons @ 60F

895

Verification Results

Correction Factor

32.00

Beginning IN

Gallons

FDOT Calibration Tank No.

2463

26/13

927

RS-1

Target Spread Rate

Verification Results Y/N

TonsLoads Linear Ft

Temp.

11/04

SP 04-3211A

Verification Results Y/N

State Of Florida Department Of Transportation

Width

95 642

92.5

Verification of Spread Rate

Sublot Station To Station SY

Fin. Project ID: 411667-1-52-01 Material No.: 123L

27/05

Ending IN

Asphalt Roadway - Verification Report

212

Type of Mix:

Temperature F

Mix Design No.:12.5

SY

Spread Rate Gal/SY

Net Hot Gallons

Covered

Print Form

+ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ +

Record the 24. Beginning Measurement25. Gallons26. End Measurement27. Gallons

Page 84: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Page No. of

Y

AM PM

AM PM

AM PM

AM PM

SY

Spread Rate Gal/SY

Net Hot Gallons

Covered

Temperature F

Mix Design No.:12.5

Ending IN

Asphalt Roadway - Verification Report

212

Type of Mix:

27/05

870.67

Fin. Project ID: 411667-1-52-01 Material No.: 123L

Verification of Spread Rate

Sublot Station To Station SY

95 642

92.5

11/04

SP 04-3211A

Verification Results Y/N

State Of Florida Department Of Transportation

Width

Y

Temp.

TonsLoads Linear Ft

Verification Results Y/N

Target Spread Rate

RS-1

Gallons

FDOT Calibration Tank No.

2463

26/13

927

Beginning IN

4:00

32.00

0.036

Verification Results

Correction Factor

Gallons

Time of Day after Unloading

0.9732

Gallons @ 60F 31.1424

895

Grade Of Asphalt

Pay Item No. 2-334--1-13

170

2

Date 09/10/05

Sublot

Record Of Bituminous Materials

Verification of Tack

Sub.Date

Verification of Established Temp.

Intended use: Structural

6-10

Date

9/10/2005

Lane / Lift # of #

2 R1 / 1 of 1 635 48

Load No.

Spread

653.00 12.00 870.67 212.48

Qualif ied Technician ID# (TIN)

Intended Lot Size: 4000Plant No.: A0739 2Lot No.:

Print Form

+ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ +

Record the 28. Time of Day After Unloading29. Temperature of Tack31. Correction Factor33. Square Yard

Automatic Calculations30. NET Hot Gallons32. Gallons/ Liters @ 60*F

Page 85: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Page No. of

Y

AM PM

AM PM

AM PM

AM PM

SY

Spread Rate Gal/SY

Net Hot Gallons

Covered

Temperature F

Mix Design No.:12.5

Ending IN

Asphalt Roadway - Verification Report

212

Type of Mix:

27/05

870.67

Fin. Project ID: 411667-1-52-01 Material No.: 123L

Verification of Spread Rate

Sublot Station To Station SY

95 642

92.5

11/04

SP 04-3211A

Verification Results Y/N

State Of Florida Department Of Transportation

Width

Y

Temp.

TonsLoads Linear Ft

Verification Results Y/N

Target Spread Rate

RS-1

Gallons

FDOT Calibration Tank No.

2463

26/13

927

Beginning IN

4:00

32.00

0.036

Verification Results

Correction Factor

Gallons

Time of Day after Unloading

0.9732

Gallons @ 60F 31.1424

895

Grade Of Asphalt

Pay Item No. 2-334--1-13

170

2

Date 09/10/05

Sublot

Record Of Bituminous Materials

Verification of Tack

Sub.Date

Verification of Established Temp.

Intended use: Structural

6-10

Date

9/10/2005

Lane / Lift # of #

2 R1 / 1 of 1 635 48

Load No.

Spread

653.00 12.00 870.67 212.48

Qualif ied Technician ID# (TIN)

Intended Lot Size: 4000Plant No.: A0739 2Lot No.:

Print Form

+ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ +

Verification Results“Y” for yes/ “N” for noRefer to Spec 300-8.4If there is NO verification, you need

to communicate with the QC Tech, and come up with a resolution.

Page 86: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Page No. of

Y

AM PM

AM PM

AM PM

AM PM

SY

Spread Rate Gal/SY

Net Hot Gallons

Covered

Temperature F

Mix Design No.:12.5

Ending IN

Asphalt Roadway - Verification Report

212

Type of Mix:

27/05

870.67

Fin. Project ID: 411667-1-52-01 Material No.: 123L

Verification of Spread Rate

Sublot Station To Station SY

95 642

92.5

11/04

SP 04-3211A

Verification Results Y/N

State Of Florida Department Of Transportation

Width

Y

Y

Temp.

TonsLoads Linear Ft

295

Verification Results Y/N

Target Spread Rate

6

RS-1

09/05/05 2

Gallons

FDOT Calibration Tank No.

2463

26/13

927

Beginning IN

4:00

32.00

0.036

Verification Results

Correction Factor

Gallons

Time of Day after Unloading

0.9732

Gallons @ 60F 31.1424

895

Grade Of Asphalt

Pay Item No. 2-334--1-13

170

2

Date 09/10/05

Sublot

Record Of Bituminous Materials

Verification of Tack

Sub.Date

Verification of Established Temp.

Intended use: Structural

6-10

Date

9/10/2005

Lane / Lift # of #

2 R1 / 1 of 1 635 48

300

Load No.

Spread

653.00 12.00 870.67 212.48

Qualif ied Technician ID# (TIN)

Intended Lot Size: 4000Plant No.: A0739 2Lot No.:

Print Form

+ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ +

Verify Tack Spread RateOnce Per Day (CPAM 5.10)

Temperature Verification36. Load number (from the truck

the Temperature was taken)37. Temperature (CPAM 5.10-11.3)

Temperatures

Page 87: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide

Y

AM PM

AM PM

AM PM

AM PM

Remarks:

SY

Spread Rate Gal/SY

Net Hot Gallons

Covered

Temperature F

Ending IN

212

27/05

870.67

Sublot Station To Station SY

95 642

92.5

Width

Examples "Time Began", "Time Completed", Any deficiencies found during verification operations"

Y

Y

Temp.

TonsLoads Linear Ft

295

Verification Results Y/N

Target Spread Rate

6

RS-1

09/05/05 2

Gallons

FDOT Calibration Tank No.

2463

26/13

927

Beginning IN

4:00

32.00

W123456789

0.036

Verification Results

Correction Factor

Gallons

Time of Day after Unloading

0.9732

Gallons @ 60F 31.1424

895

Grade Of Asphalt

Pay Item No. 2-334--1-13

170

"Contractor's corrective actions"

MATERIALS11/04

675-030-21

State Of Florida Department Of Transportation

2

Date 09/10/05

Sublot

Record Of Bituminous Materials

Verification of Tack

Sub.Date

Verification of Established Temp.

6-10

Date

9/10/2005

Lane / Lift # of #

2 R1 / 1 of 1 635 48

300

Load No.

Spread

653.00 12.00 870.67 212.48

Qualif ied Technician ID# (TIN)

+ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ +

Qualified Technician ID#First nine characteristics of FLA ID#

Input Any Remarks for the Day’s production

Page 88: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide
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Page 103: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide
Page 104: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide
Page 105: Asphalt Roadway Daily Report of Quality Control (Form No. 675-030-20) A step by step guide