Form CEM-3514 "Contractor Job Mix Formula Renewal" - California

What Is Form CEM-3514?

This is a legal form that was released by the California Department of Transportation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2019;
  • The latest edition provided by the California Department of Transportation;
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Page 1 of 6
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
CONTRACTOR JOB MIX FORMULA RENEWAL
CEM-3514 (REV 05/2019)
CONTRACTOR NAME, ADDRESS AND PHONE NUMBER
CONTRACT NUMBER/CO/RTE/PM
DATE
PROJECT INFORMATION/NAME
HOT MIX ASPHALT (HMA) PRODUCER NAME AND ADDRESS
PRODUCER MIX IDENTIFICATION NUMBER
HMA TYPE
RESIDENT ENGINEER
RESIDENT ENGINEER PRESENT WHEN SAMPLES TAKEN?
DATE
YES
NO
Combined Aggregate Gradation
RAP
1
Gradation of
Corrected RAP
Sieve
Sample 1
RAP Gradation
Combined Gradation
2
Target
Meet
Aggregate Recovered
Gradation
Tolerance
Size
% of blend
from AASHTO T 308
Correlation Factor
Sample 1
Values
specifications
% of blend
Method A
% Passing
Yes
No
2"
1 1/2"
1"
3/4"
1/2"
3/8"
No. 4
No. 8
No. 16
No. 30
No. 50
No. 100
No. 200
1
RAP - Reclaimed Asphalt Pavement
2
When determining the combined virgin and RAP aggregate gradation, burn off the RAP sample in accordance with AASHTO T 308, Method A. Perform a sieve analysis on recovered
aggregate in accordance with AASHTO T30. Add the correlation factor established for each ignition oven. Mathematically combine the virgin and corrected RAP aggregate gradations at
the correct proportions to obtain the combined gradation.
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
Page 1 of 6
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
CONTRACTOR JOB MIX FORMULA RENEWAL
CEM-3514 (REV 05/2019)
CONTRACTOR NAME, ADDRESS AND PHONE NUMBER
CONTRACT NUMBER/CO/RTE/PM
DATE
PROJECT INFORMATION/NAME
HOT MIX ASPHALT (HMA) PRODUCER NAME AND ADDRESS
PRODUCER MIX IDENTIFICATION NUMBER
HMA TYPE
RESIDENT ENGINEER
RESIDENT ENGINEER PRESENT WHEN SAMPLES TAKEN?
DATE
YES
NO
Combined Aggregate Gradation
RAP
1
Gradation of
Corrected RAP
Sieve
Sample 1
RAP Gradation
Combined Gradation
2
Target
Meet
Aggregate Recovered
Gradation
Tolerance
Size
% of blend
from AASHTO T 308
Correlation Factor
Sample 1
Values
specifications
% of blend
Method A
% Passing
Yes
No
2"
1 1/2"
1"
3/4"
1/2"
3/8"
No. 4
No. 8
No. 16
No. 30
No. 50
No. 100
No. 200
1
RAP - Reclaimed Asphalt Pavement
2
When determining the combined virgin and RAP aggregate gradation, burn off the RAP sample in accordance with AASHTO T 308, Method A. Perform a sieve analysis on recovered
aggregate in accordance with AASHTO T30. Add the correlation factor established for each ignition oven. Mathematically combine the virgin and corrected RAP aggregate gradations at
the correct proportions to obtain the combined gradation.
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
Page 2 of 6
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
CONTRACTOR JOB MIX FORMULA RENEWAL
CEM-3514 (REV 05/2019)
CONTRACTOR NAME
CONTRACT NUMBER/CO/RTE/PM
DATE
HOT MIX ASPHALT PRODUCER NAME
PROJECT INFORMATION/NAME
RESIDENT ENGINEER
PRODUCER MIX IDENTIFICATION NUMBER
HMA TYPE
Aggregate
1
Meet
Test
Contractor
Specification
Specifications
Quality Characteristic / Property
Method
Test Results
Limits
Yes
No
Crushed particles, coarse aggregate
AASHTO T 335
One fractured face (%)
Method A
Crushed particles, coarse aggregate
(Passing number 4 sieve and retained on
AASHTO T 335
number 8 sieve)
Method A
One fractured face (%)
Crushed particles, coarse aggregate
AASHTO T 335
Two fractured faces (%)
Method A
Los Angeles Rattler
AASHTO T 96
Percent loss at 100 revolutions
Los Angeles Rattler
AASHTO T 96
Percent loss at 500 revolutions
Sand equivalent
AASHTO T 96
AASHTO T 304
Fine aggregate angularity
Method A
Flat and elongated particles
ASTM
(% by mass 5:1)
D 4791
Plasticity index
CT 204
Sodium sulfate soundness
AASHTO T 104
Cleanness value
CT 227
Fine aggregate durability index
AASHTO T 210
Course aggregate durability index
AASHTO T 210
Notes
1
Aggregate must comply with the quality specifications before it is treated with lime. Lime treated aggregate will not be tested.
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
Page 3 of 6
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
CONTRACTOR JOB MIX FORMULA RENEWAL
CEM-3514 (REV 05/2019)
CONTRACTOR NAME
CONTRACT NUMBER/CO/RTE/PM
DATE
HOT MIX ASPHALT PRODUCER NAME
PROJECT INFORMATION/NAME
RESIDENT ENGINEER
PRODUCER MIX IDENTIFICATION NUMBER
HMA TYPE
Hot Mix Asphalt
Meet
Test
Contractor
Specification
Specifications
Quality Characteristics
Method
Test Results
Limits
Yes
No
AASHTO T 308
Asphalt binder content (%)
Method A
1
2
3
AVG
Briquette bulk specific gravity
AASHTO T 275
N/A
Maximum specific gravity
AASHTO T 209
N/A
1
2
3
AVG
SP-2
Air voids content (design value ± 2%)
Asphalt Mixtures
1
2
3
AVG
Core bulk specific gravity
AASHTO T 275
1
2
3
AVG
% of maximum theoretical density
SP-2
1
2
3
AVG
Voids in mineral aggregate (%)
1
Asphalt Mixtures
Effective specific gravity of RAP
SP-2
1
2
3
AVG
N/A
aggregate
Asphalt Mixtures
1
2
3
AVG
SP-2
Dust proportion
Asphalt Mixtures
SP-2
Effective specific gravity aggregate
N/A
Asphalt Mixtures
SET 1
SET 2
HAMBURG wheel tracker
AASHTO T 324
Surface abrasion
CT 360
Tensile strength ratio dry untreated
1,2
AASHTO T 283
Tensile strength ratio dry treated
1,2
AASHTO T 283
Use aggregate specific gravity from mix verification form (CEM-3513) for calculating HMA qualities.
1
2
Attach Table 1 from AASHTO T 283.
Notes
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
Page 4 of 6
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
CONTRACTOR JOB MIX FORMULA RENEWAL
CEM-3514 (REV 05/2019)
CONTRACTOR NAME
CONTRACT NUMBER/CO/RTE/PM
DATE
HOT MIX ASPHALT PRODUCER NAME
PROJECT INFORMATION/NAME
RESIDENT ENGINEER
PRODUCER MIX IDENTIFICATION NUMBER
HMA TYPE
Meet
Test
Contractor
Specification
Specifications
Quality Characteristics
Method
Test Results
Limits
Yes
No
Asphalt Modifier for Asphalt Rubber Binder
Supplier
Product Identification
-6
ASTM D 445
19 - 36
Viscosity, m²/s, (x 10
) at 100 ºC
Flash Point, CL.O.C., ºC
ASTM D 92
207 minimum
ASTM D
Asphaltenes, percent by mass
0.1 maximum
2007
ASTM D
Aromatics, percent by mass
55 minimum
2007
Crumb Rubber Modifier (CRM)
Supplier
Product Identification
Scrap tire CRM gradation
CT 385
100
(% passing No. 8 sieve)
High natural CRM gradation
CT 385
100
(% passing No. 10 sieve)
Wire in CRM (% max.)
CT 385
0.01
Fabric in CRM (% max.)
CT 385
0.05
CRM particle length (inch max.)
3/16
CRM specific gravity
CT 208
1.1 ― 1.2
Natural rubber content in high natural CRM (%)
ASTM D 297
40.0 ― 48.0
Notes
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
Page 5 of 6
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
CONTRACTOR JOB MIX FORMULA RENEWAL
CEM-3514 (REV 05/2019)
CONTRACTOR NAME
CONTRACT NUMBER/CO/RTE/PM
DATE
HOT MIX ASPHALT PRODUCER NAME
PROJECT INFORMATION/NAME
RESIDENT ENGINEER
PRODUCER MIX IDENTIFICATION NUMBER
HMA TYPE
Meet
Test
Contractor
Specification
Specifications
Quality Characteristics
Method
Test Results
Limits
Yes
No
Asphalt Rubber Binder
Cone penetration @ 77 ºF, 0.10-mm
ASTM D 217
25 - 70
ASTM D
Resilience @ 77 ºF, percent rebound
18 minimum
5329
Softening point, ºF
ASTM D 36
125 - 165
ASTM D
Viscosity @ 375 ºF, centipoises
1,500 - 4,000
7741
Asphalt Rubber Binder Reaction Design Profile
Minutes of Reaction
Test
Limits
45
60
90
120
240
360
1440
Cone penetration @ 77 ºF, 0.10-mm
25 - 70
(ASTM D 217)
Resilience @ 77 ºF, percent rebound
18 minimum
(ASTM D 5329)
Field softening point, ºF
125 - 165
(ASTM D 36)
Viscosity, centipoises
1,500 - 4,000
(ASTM D 7741)
1
Six hours (360 minutes) after CRM addition, reduce the oven temperature to 275 ºF for a period of 16 hours. After the 16-hour cool down (1320 minutes after
CRM addition), reheat the binder to the reaction temperature expected during production (350 ºF) for sampling and testing at 24 hours (1440 minutes).
Notes
JOB MIX FORMULA RENEWAL
All test results for job mix formula renewal are in compliance with the specifications.
Submitted By (Sign)
Date
Print Name
Title
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
Page of 6