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
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	Test #
PG Binder	Select
Tack Coat	Select
Production TSR Testing Required? Yes No If Yes, # of Samples (See CMM 8-36-6.14 & SS 460.2.8.2.1.3.1 (6))

For mix designs submitted and projects Let after December 1, 2018, all mix designs require an ignition oven asphalt binder correction factor and lab-mixed IOCF samples must be submitted to region lab at least 10 days prior to production.

Mix designs approved prior to December 1, 2018, may submit plant-produced IOCF samples to region lab prior to/on first day of production.

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
PG Binder Sampler
WisDOT QC Retain Sample Custody-Contact & Process

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.

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
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.

Inspection Reminders

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

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

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

Region DOT pavement & material contacts

Tech Services Supervisor
HMA Specialist/ IA
Aggregate / Concrete IA
Material Lab Coordinator
Soils/Pvmnt/Mat’ls Assistant
Materials Engineer
Pavement Engineer
Statewide IRI Ride	Chris Norton	Office: (608) 267-0990 Cell: (608) 516-6360