Click here to enter a date.

Project info

Project ID	Highway
Contract ID	County
Description

Introductions / pAVing day contacts

Name (Company)	Phone	Attended Mtg
Project Leader
Paving Inspector
Paving Foreman
Plant Foreman
WPMC
CPMC
Region Independent Assurance/Approve JMF
Additional Meeting Attendees

Asphalt Mixtures AND MATERIALS

Asphalt Plant Name/Location	Phone:
Plant Contact	Email:
Back up Plant Name / Location	Phone:
Back up Plant Contact	Email:
Contractor Mix ID	Mix Type	Plant Name/Location	Ignition Oven Correction Factor (IOCF)	DOT Approved Mix #
0-250-
0-250-
0-250-
0-250-
Material	Type	Supplier/Location	Sample Needed & Quantity	QV Random Numbers Created?
PG Binder	Select
Tack Coat	Select
Production TSR Testing Required? * Yes No (See CMM 8-36-6.14 & SS 460.2.8.2.1.3.1 (6))	*Contractor tracking

Sample AC according to https://wisconsindot.gov/rdwy/cmm/cm-08-50-e0001.pdf#cm8-50e1

Sampling and testing

Mix Testing (SS 460.2.8.2 / 460.2.8.3)

Name	Phone	HTCP #
QC Mix Tester
Qualified Lab # from APL:
WisDOT QC Retain Sample Custody-Contact & Process	Security tape the QC-Retain box, sign taped area, and leave at the asphalt plant.

Copies of running average calc sheets for blended aggregate, mix properties, asphalt content, and mix adjustment records are to be submitted daily to Region HMA Specialist/IA and Project Material Coordinator.

Testing frequency is based on planned daily plant production. If production is other than planned, conform to CMM 8-36.

Sampling and testing

Density Testing (460.3.3.2 / 460.3.3.3 / Specials)

Name	Phone	HTCP #
QC Density Tester
QV Density Tester

QC/QV testers need to coordinate test number system.

Stationing needs to be established for locating testing locations. OnStation can be used for locating stations only, offsets need to be measured.

Gauges can only be moved for uneven surfaces, see MOTP Jan. 2025 WTM T355 Section 9.1

Perform gauge comparison (QMP Projects)

Establish reference site (WTM T355 Section 8.4)

Construction Schedule

Start Date	Click here to enter a date.	Estimated Completion	Click here to enter a date.
Start Location
Truck Access / Traffic Control
Proposed Schedule

Cold weather paving (ss 450.3.2.1.2)

Submitted	Click here to enter a date.	Accepted	Click here to enter a date.
Yes	No	Remarks
Warm Mix Additive: Product on APL?	Record Dosage Rate:
Modified Compaction Process

Communication reminders

NOTIFY DEPARTMENT PERSONNEL EACH DAY OF PAVING. Contact:

Random Numbers need to be submitted daily to Department Personnel (HMA Specialist/IA and Project Material Coordinator)

QV & QC are required to inform each other of failing or warning band test results immediately

Final test records and control charts need to be submitted to project staff within 10 days of completing HMA paving.

Contractor to notify department of change in AC source/ supplier

Inspection Reminders

Batch tickets required with each load for mix and tack. (SS 450.4 & 455.4)

Check and record tack application rate in inspectors DWR, also ensure it is conforming to SS 455.3.2

Milled surfaces need to be prepped and swept prior to paving.

Paving Inspector will be observing and documenting QC test procedures and equipment.

Check and record the following in inspectors DWR: underlying surface, cross slope, depth checks, paving widths, temperature behind paver and at truck bed, rolling pattern, longitudinal joint type, location of start and end of paving, location of any stops, and paver speed (ft/min.). Also take pictures as the day progresses.

Verify yield daily and record in inspectors DWR.

Region DOT pavement & material contacts

Tech Services Supervisor	Rebecca Rooyakkers	920-492-2394
HMA Specialist/ IA	Bryce Cibulka	920-360-6413
Aggregate / Concrete IA	Jamie Cynor	920-366-8096
Material Lab Coordinator	Greg Kollross	920-492-5677
Soils/Pvmnt/Mat’ls Assistant	Hunter Schultz	920-492-2387
Materials Engineer	Travis Maatta	920-492-5637
Pavement Engineer	Matt Bertucci	920-492-4158
Statewide IRI Ride	Chris Norton	Office: (608) 267-0990 Cell: (608) 516-6360