Click here to enter a date.

Project info

Project ID	Highway
Contract ID	County
Description

Introductions / pAVing day contacts

Name (Company)	Phone	HTCP # / Cert	Attended Mtg
Project Leader
Paving Inspector
Paving Foreman
WPMC
CPMC
Region Independent Assurance/Approve JMF
QC Mix Tester
QC PG Binder Sampler
QC Density
QV Density
WisDOT Core Custody
Additional Meeting Attendees

Asphalt Mixtures AND MATERIALS / Sampling and testing

Asphalt Plant Name/Location	Phone:
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

Mix Testing (SS 460.2.8.2 / 460.2.8.3)

Plant Name / Location	Phone
Mix and Core Testing Lab
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 WisDOT Project Material Coordinator.

Sampling and testing - Density

Density Testing (460.3.3.2 / 460.3.3.3 / Specials)

QC/QV testers need to coordinate test number system.

Stationing needs to be established for locating testing locations.

Density readings are 3 independent random numbers for transverse and longitudinal locations.

Concrete Patching Project: Test at location and use the asphalt offset or Move test 10 ft from patch

Inspector and Contractor to mark out questionable areas together.

Test strip spacing for gauges to be agreed upon by engineer & contractor on or before prepave in writing.

Construction Schedule – TEST STRIP

Lower Layer Test Strip Date	Click here to enter a date.	Paving Start Time	Tonnage
Lower Layer Test Strip Location
LL Production Paving Start Date	Click here to enter a date.
Upper Layer Test Strip Date	Click here to enter a date.	Paving Start Time	Tonnage
Upper Layer Test Strip Location
UL Production Paving Start Date	Click here to enter a date.
Core Diameter	Core Fill Material
Core Transportation Method
Truck Access / Traffic Control

Construction Schedule – Main Production

Paving Date	Click here to enter a date.	Paving Start Time	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 to Department Personnel (HMA Specialist/IA and Project Material Coordinator) for the entire project prior to 1st day of paving.

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.

Verify yield daily.

Region DOT pavement & material contacts

Technical 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