Nuclear HMA Density Test Records	Wisconsin Department of Transportation
WS4602
Project ID:	Hwy. No. & Road Name:	Project Engineer:
Course:	Upper Lower	Shoulder Other:	County:	Region:
Required Relative Density %:	Nominal Thickness: (inches)	Asphalt Mix Design No.:	Contractor & Paving Contractor:
Lot No.:	Lot Length:	Lot Limits Station:	Lot Quantity: (Tons) (Nominal)
Test No.
Station
Offset
A/C Used %
Maximum Theoretical Density x (62.24)
Contact Reading
Density Count
Air Gap Reading
Moisture & Density STD
Bulk Density (PCF)
Total / Wet Density
% Maximum Density
Density Sum
Density Average of Lot %
Date Placed
Date Tested
Operator Name
Set Serial No.
Test Remarks
Remarks: