Project Project Info

Soils Requirements Asphalt Requirements

Requirements
Structures & Misc Concrete Requirements
Concrete Summary Tracking Concrete Trend
Concrete Bridge Summary Tracking
Concrete QC/QA Field Testing

Misc Summary
Misc. Footnotes
Non-Conforming Materials Report (NCM)

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 Project Name: Date:
State Number:

Federal Number:

Contractor:
Contract Administrator:

Rev. 03/21/2011
 Back Project Name: 0 Contractor: 0 Date: Dec 30, 1899
State Number: 0 Contract Administrator: 0
Federal Number: 0

NHDOT Guide To Frequency Of Sampling And Testing

Soils

Item Acceptance5,9 Testing Independent Assurance Test

Project
Quantity Source App./ Process
(Volume, Area,
No. of Structures
Cont.
and/or Sources) Min # Comp. Min. # Grad.
Number Description/Material Compaction Gradation PH & Organics Min. # Tests Wear
Tests Tests

In Place
203 Embankment 0 n/a n/a n/a
1/2000 CY 1

In Place
In Place
209._ Granular Backfill (Bridge) 2/Abut. or substructure n/a n/a Contractor4
1/Structure/Source
location

In Place In Place
304.1 Sand 0 0 n/a n/a
1/1200 CY 1 1/4000 CY 1,2
System-Based Program28
304.2 0 0
304.3 0 0
In Place
304.4 0 0 1/Source7 Contractor4
1/1200 CY1 In Place
304.5 Select Materials 0 0 n/a
304.6 0 1/4000 CY 1,2 0
In Place
306._ 0 0 n/a
1/2250 SY 1

In Place In Place
508 Structural Fill n/a 1/Source7
1/2 Lifts/Location9 1/Structure/Source9

At Source At Source
641 Loam None n/a 0 0 n/a
1/Source/Project26 1/Source/Project26
 Back Project Name: 0 Contractor: 0 Date: Dec 30, 1899
State Number: 0 Contract Administrator: 0
Federal Number: 0

Asphalt
Item Acceptance9 Testing Independent Assurance Test

N
u Project Min. # Verification Test8 Source App./ Process Cont.
m Quantity Min # Comp. Asphalt Min. #
Description/Material Compaction Gradation Grad.
b Tests Content of Tests
Tests
e
r

Asphalt Cement Asphalt Plant Yearly Approvals

(Relevant AASHTO Test) 1/day 10,13
403
411 -Asphalt Plants
Emulsified Asphalt Asphalt Plant
(Relevant AASHTO Test) 1/day15 -Lab Equipment

-Commercial Aggregate 1/Yr

In Place (T 1,2) In Place (T 1,2)
In Place
403 HMA (QC/QA) 0 At Plant (T 3) 0 At Plant (T 3) 0
1Core/750 Tons 9,15
1/750 Tons11,12 1/750 Tons -Project Agg. 1 Before Use

In Place (1" or >) -Commercial Aggregate 1/Yr

1 Core/Lane At Plant At Plant
403 HMA (Method) 0 0 System-Based Program28
Mile (4 cores 1/750 Tons11,12 1/750 Tons11,12
min/segment) -Project Agg. 1 Before Use

-Commercial Aggregate 1/Yr

At Plant At Plant
411 HMA (Method) None 0 0
1/750 Tons11,12 1/750 Tons11,12
-Project Agg. 1 Before Use

From Distributor Truck

1/Project Min7, 1/Week7
Tack Coat
410 (Random) (Obtain
(Relevant AASHTO Test)
Sample Containers from
Lab)

From Melter 1/Lot7

Crack Sealant
413 (Obtain Sample
(Relevant AASHTO Test)
Containers from Lab)
 Back Project Name: 0 Contractor: 0 Date: Dec 30, 1899
State Number: 0 Contract Administrator: 0
Federal Number: 0

Concrete
Item Acceptance9 Testing Independent Assurance Test

N
u
m Gradation Moisture Rapid Chloride Verification Test8 Source App./ Process Cont.
Description/Material Cylinders Air,W\C23
b & FM Content Permeability
e
r

Yearly Approvals
Concrete Plant
Structural Concrete
The # of tests determined by the Acceptance Testing Schedule in the Spec Book Transit Mixer
(QC/QA)
Lab Equipment
Design Mixes

Yearly Approvals
For 1st 100 CY Concrete Plant
2/200 CY16,17
Structural Concrete 1/50 CY16,18,19 Transit Mixer
Min.
(Method) After 100 CY Lab Equipment
2/Placement
1/200 CY16 Design Mixes for Certain
Classes

520
608 System-Based Program28
615 -Aggregates:
616 Fine & Coarse Aggregates
n/a n/a n/a Gradation, L.A. Wear,
(QC\QA)
Absorption

At Plant or Source -Aggregates:

Fine & Coarse Aggregates At Plant As
Before First Gradation, L.A. Wear,
(Method) Needed18,29
Placement18 Absorption

Blaine & Cubes

Portland Cement/Slag/Fly Ash
1/Source/Year7,10

2/Member, Bed or 1/Member, Bed or 1/Member, Bed or Lot

ALL Pre-Cast Concrete
Lot 24 Lot24 24
 Back Project Name: 0 Contractor: 0
State Number: 0 Contract Administrator: 0
Federal Number: 0 Date: Dec 30, 1899

Structures (Independent Assurance Tests Not Required)

Item Verification Test8 Acceptance Test

N
u
Tensile Strength
m Tensile Strength (All Relevant Relevant
Description/Material (Mechanical Hardness Test Compression Tests Retroreflectivity
b Other Bars) AASHTO Tests AASHTO Tests
Connectors Only)
e
r

On Project 2 Bars From 5 Different

544 Reinforcing Steel 2/Size/Lot/Structure Projects
7,10,21
(Randomly)/Year8

Manufacturer
550
Field Paint27 Sampled10
556
1 Quart Required

Miscellaneous (Independent Assurance Tests Not Required)

Paint
Manufacturer
1 Quart Test Feq. Per Section
632 Pavement Markings Sampled10
Sample/Color/A 632.3.2.88
1 Quart Required
pplication 7
Footnotes: Back

1. Or fraction thereof.

2. Gradation testing frequency may be reduced to one per 8000 CY (6000 m3) if the minus #200 (0.075 mm) sieve content is less than 7% on the previous test (10% for crushed
stone base course), based on the washed sample.

3. Partial gradation will still be performed to check for stone content at the frequency of one test per 4000 CY (3000 m3).

4. Project personnel will assist the contractor to help ensure that sampling and testing procedures are correct.

5. On projects with 4000 CY (3000 m3) or less of each select materials and embankment the acceptance testing will be done by Materials & Research Bureau (LAB) with no
assurance testing required. The Contract Administrator is responsible for scheduling and ensuring the proper number of tests are performed.

6. Reference Item Specifications for lot size and sublot requirements.

7. Sampled by project personnel & tested by LAB.

8. Sampled & tested, observed, or inspected by LAB, unless otherwise noted.

9. Sampled & tested by project personnel, unless otherwise noted.

10. Certificate of Compliance, Certified Bill of Lading or Mill Test Report required, as applicable.

11. Minimum one sample / day's production.

12. None required for less than 100 T (100 t); minimum 1 sample per project.

13. Sampled from tanker and or storage tank; only one sample per plant per lot per fourth day will be tested to limit duplication. If specifications are not met, additional samples
will be tested to establish the limits of failing material.

14. Pavement overlay two cores per mile (kilometer) and minimum of 2 per project, (thickness, density & % asphalt on 10% of cores). This is a guideline only and not required.
Actual cores taken, if any, will be determined by the Lab.

15. Additional samples will be required when source or grade of emulsion changes. Only one sample per plant per lot per fourth day will be tested to limit duplication. If
specifications are not met, additional samples will be tested to establish the limits of failing material.

16. Or fraction thereof.

17. Additional cylinders are necessary for early breaks, also cylinders should be made from concrete being tested.

18. Aggregate sampling and testing (gradation, moisture, F.M.) will be done once per year, per project, per aggregate source and at the discretion of the Engineer. When deciding
whether additional testing is required, the Engineer will consider the size of the aggregate stockpile, how often additional aggregate is added, and whether the source or production
of aggregates has changed.

19. First load of concrete will be tested and each change in additives or mix design requires additional tests.

20. Also required for each bridge deck.

21. Each Mechanical Connector shall include two 12 inch (300mm) sections of reinforcing steel.

22. There should be an additional test if the pour is over 200 CY (160 m3) or there is an observed change in the moisture of the aggregate.

23. Slump may be tested for conformance to the spec. if required.

24. Sampled and tested at pre-cast plants by Lab or Consultant personnel (Member, Bed or Lot determined by Specification).

25. Sampled by the IA inspector and split with the Process Control Technician.

26. Visual acceptance of loam is okay for projects with less than 2500 CY (2 000 m3).

27. Paint must be supplied to the project 10 days before its anticipated use to allow time for testing, unless pre- approved by LAB. Label should include, paint number, name, color,
lab and/or batch number, date of manufacture, volume and name and address of manufacturer.

28. NHDOT conducts a system-based Independent Assurance Program, meaning that each acceptance tester must participate in at least one IA test per calendar year for each
material test performed. The acceptance tester must be present when Independent Assurance sampling is performed.

29. Under normal conditions, the concrete plant's moisture sensors are considered adequate.There may be conditions where the Engineer determines that it is in the State's best
interest to check the moisture content manually such as when there is an observed change in the moisture of the aggregate.

703.5 – GUIDE TO ACCEPTABLE DEVIATIONS

This Guide is to be used in the comparison of acceptance test results and independent assurance test results.
Sieve Analysis-All Items %
Deviatio
(A) 4.75 mm sieve and larger ± n5%
(B) Smaller than 4.75 mm sieve (Sand Portion) ± 4%
Compaction Testing
All Items ± 2.5%
Bituminous Mix Extraction
(A) 4.75 mm sieve and larger ± 3%
(B) Smaller than 4.75 mm sieve ± 2%
(C) Asphalt Content ± 0.4%
Portland Cement Concrete
Air Content ± 0.8%
W/C Ratio ±
0.03%
F.M. (variation above and below mix design target) ± 0.20
 ACCEPTANCE TESTS INDEPENDENT ASSURANCE TESTS
AVE. HEIGHT OF
LOCATION NO. OF GRANULAR BACKFILL STRUCTURAL FILL (508) GRANULAR BACKFILL STRUCTURAL FILL (508)
BRIDGE NUMBER NO. OF SOURCES1 NO. OF LOCATIONS2 BACKFILL/LOCATION
DESCRIPTION3 LIFTS/LOCATION3
(FT)
COMPACTION GRADATION COMPACTION GRADATION COMPACTION GRADATION COMPACTION GRADATION

0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0
0 0 System-Base Program
0 0
0 0
0 0
0 0
0 0
BRIDGE TOTAL 0 0 0 0

AVE. HEIGHT OF ACCEPTANCE TESTS INDEPENDENT ASSURANCE TESTS

LOCATION NO. OF
BRIDGE NUMBER NO. OF SOURCES 1
NO. OF LOCATIONS 2
BACKFILL/LOCATION GRANULAR BACKFILL STRUCTURAL FILL (508) GRANULAR BACKFILL STRUCTURAL FILL (508)
DESCRIPTION3 LIFTS/LOCATION3
(FT) COMPACTION GRADATION COMPACTION GRADATION COMPACTION GRADATION COMPACTION GRADATION

0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0
0 0 System-Base Program
0 0
0 0
0 0
0 0
0 0
BRIDGE TOTAL 0 0 0 0
AVE. HEIGHT OF ACCEPTANCE TESTS INDEPENDENT ASSURANCE TESTS
LOCATION NO. OF
BRIDGE NUMBER NO. OF SOURCES1 NO. OF LOCATIONS2 BACKFILL/LOCATION GRANULAR BACKFILL STRUCTURAL FILL (508) GRANULAR BACKFILL STRUCTURAL FILL (508)
DESCRIPTION3 LIFTS/LOCATION3
(FT) COMPACTION GRADATION COMPACTION GRADATION COMPACTION GRADATION COMPACTION GRADATION

0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0
0 0 System-Base Program
0 0
0 0
0 0
0 0
0 0
BRIDGE TOTAL 0 0 0 0
AVE. HEIGHT OF ACCEPTANCE TESTS INDEPENDENT ASSURANCE TESTS
LOCATION NO. OF
BRIDGE NUMBER NO. OF SOURCES1 NO. OF LOCATIONS2 BACKFILL/LOCATION GRANULAR BACKFILL STRUCTURAL FILL (508) GRANULAR BACKFILL STRUCTURAL FILL (508)
DESCRIPTION3 LIFTS/LOCATION3
(FT) COMPACTION GRADATION COMPACTION GRADATION COMPACTION GRADATION COMPACTION GRADATION

0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0
0 0 System-Base Program
0 0
0 0
0 0
0 0
0 0
BRIDGE TOTAL 0 0 0 0

SHEET TOTALS 0 0 0 0
 Back To Conc Sublot size Air Meter Check load #
pay(QA)
To Conc WC Ratio back-up
lab(IA)
QC1
QC2
QC/QA Field Test Results QC3

Project: Location:

Date: Contract Administrator:

Test Concrete Total QA Air % QA Micro- IA Micro-

Sublot # Load Truck # Air Temp. Temp. Weight Tare Net Weight (pay) wave(pay) IA Air % wave

10

Plan Admin: QC Testing:

QA Air Testing: IA Air Testing:

QA Cylinders: IA Cylinders:
QA Microwave: IA Microwave:
 SUBLOT SIZE CALCULATION SHEET
Back

For Information Only

FOR CLASS AA FOR CLASS A & B

SIZE OF DAY'S PLACEMENT (CY): 100 SIZE OF DAY'S PLACEMENT (CY): 100
TRUCK CAPACITY (CY): 9 Press F9 to TRUCK CAPACITY (CY): 9 Press F9 to
Calculate Calculate
Calculate Calculate
NUMBER OF SUBLOTS: 3 NUMBER OF SUBLOTS: 3

SUBLOT RANDOM TEST LOAD * SUBLOT RANDOM TEST LOAD *

SIZE NUMBER AT (CY) # SIZE NUMBER AT (CY) #
SUBLOT 1 33.3 0.218 7.3 1 SUBLOT 1 33.3 0.116 3.9 1
SUBLOT 2 33.3 0.938 64.6 8 SUBLOT 2 33.3 0.057 35.2 4
SUBLOT 3 33.3 0.255 75.2 9 SUBLOT 3 33.3 0.571 85.7 10
SUBLOT 4 SUBLOT 4
SUBLOT 5 SUBLOT 5
SUBLOT 6 SUBLOT 6
SUBLOT 7 SUBLOT 7
SUBLOT 8 SUBLOT 8
SUBLOT 9 SUBLOT 9
SUBLOT 10 SUBLOT 10
SUBLOT 11 SUBLOT 11
SUBLOT 12 SUBLOT 12
SUBLOT 13 SUBLOT 13
SUBLOT 14 SUBLOT 14
SUBLOT 15 SUBLOT 15
SUBLOT 16 SUBLOT 16
SUBLOT 17 SUBLOT 17
SUBLOT 18 SUBLOT 18
SUBLOT 19 SUBLOT 19
SUBLOT 20 SUBLOT 20

* AASHTO T-141 REQUIRES TEST TO BE TAKEN IN MIDDLE THIRD OF LOAD.

Rev. 3/07 STATE OF NEW HAMPSHIRE
DEPARTMENT OF TRANSPORTATION
Back
MICROWAVE WATER/CEMENT RATIO
* See Procedure Below From Spec. 520 Appendix A.

Project: 0 Date: 12/04/24 Load #

State # 0 Class: AA Truck #

Fed # 0 Target: 0.444 Lot #

Location: Max Water: (Gals/CY) Sublot #

Test Load Information

(From Batch Ticket)

Moisture Batch Wt. Dry Wt.
CEMENT ---- ----
POZZOLAN ---- ----
COURSE AGGREGATE (3/8) 0.0
COURSE AGGREGATE (3/4) 0.0
COURSE AGGREGATE (1-1/2) 0.0
FINE AGGREGATE 0.0

ABSORPTION FACTOR COURSE AGGREGATE = ACA

ABSORPTION FACTOR FINE AGGREGATE = AFA

N = #DIV/0! FA = #DIV/0!

Microwave Test Results

TIME WEIGHT (g)

(minutes) Sample + Tare TARE (g) Net Wt. LOSS (g) % DIFF.
Initial 0 0.0 ---- ----
30 0.0 0.0 0.0 #DIV/0!
40 0.0 0.0 0.0 #DIV/0!
50 0.0 0.0 0.0 #DIV/0!
60 0.0 0.0 0.0 #DIV/0!
70 0.0 0.0 0.0 #DIV/0!
Final 80 0.0 0.0 0.0 #DIV/0!

MD = #DIV/0!

W/C = (N+1)MD - N[ACA(1-FA)+AFA(FA)] = #DIV/0!

Actual - Target = #DIV/0!

Additional Test Load Results

Slump Air Temp

% Air Concrete Temp
Unit Wt.
Yield Tested By
 APPENDIX A

NHDOT MICROWAVE PROCEDURE

FOR WATER/CEMENT RATIO

1. Tare microwave safe container.

2. Place sample of 2000 +/- 300 grams of concrete in container.
3. Weigh sample in container to nearest gram.
4. Place sample in container into microwave oven at 50% power for one half hour.
5. Weigh container and sample to nearest gram.
6. Place into microwave oven at 50% power for ten minutes.
7. Weigh to nearest gram.
8. Repeat steps 6 & 7 until constant weight is achieved.
9. Calculate Water/Cement (W/C) ratio with the following formula;

W/C = (N+1) MD-N {ACA (1-FA) + AFA (FA)}

Where: MD = WET WT. – DRY WT. (Concrete Sample)

DRY WT.
N* = TOTAL AGGREGATE
CEMENT
FA* = RATIO OF SAND TO TOTAL AGGREGATE (DECIMAL)
ACA = ABSORPTION OF COARSE AGGREGATE (DECIMAL)
AFA = ABSORPTION OF FINE AGGREGATE (DECIMAL)

* = Use Actual Batch Weights, not Mix Design