CDOT Form 43 "Project Specific Asphalt Job Mix Formula" - Colorado

What Is CDOT Form 43?

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

Form Details:

  • Released on January 1, 2018;
  • The latest edition provided by the Colorado Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of CDOT Form 43 by clicking the link below or browse more documents and templates provided by the Colorado Department of Transportation.

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Download CDOT Form 43 "Project Specific Asphalt Job Mix Formula" - Colorado

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Project No:
Region
Contract ID
COLORADO DEPARTMENT OF TRANSPORTATION
PROJECT SPECIFIC
Project Location:
ASPHALT JOB MIX FORMULA
This Job Mix Formula defines the specifiec gradation, asphalt cement content, and admixture dosage for the grading and project
SUPERPAVE MIX
Form 43 No:
Mix Type
N(Design):
# of Blows:
Effective Date:
Mix Designer:
Contractor:
Material Code:
Producer:
Material Description:
Plants:
Components:
Percentage
Material
Supplier
Comp 1
Comp 2
Comp 3
Comp 4
Comp 5
Comp 6
Comp 7
Comp 8
Comp 9
Comp 10
Comp 11
Additive 1
Additive 2
Remarks:
%
%AC in 1st Rcyl Mat's
%
%AC in 2nd Rcyl Mat's
Gradation Acceptance
Voids Acceptance
%
%AC in 3rd Rcyl Mat's
%
%AC in 4th Rcyl Mat's
Job Mix Gradation
Sieve Size
% Pass Min % Pass Max
% AC:
± 0.3
1 1/2"
AC Type
1"
Source of AC:
3/4"
Max. Sp. Gr. at % AC:
± 0.01
1/2"
Fine Aggregate Angularity:
%
3/8"
Bulk Sp. Gr. (dry) Fine Agg:
#4
Bulk Sp. Gr.(dry) of Combined Agg:
#8
Absorption of Combined Agg:
%
#16
#30
New Mix Design with Changes
#50
Mix Design Modified
#100
New Mix Design With No Change
#200
Voids Data at
Property
Tolerance
Ndes Target Value
Stability
Minimum
Signed
Date
± 1.2
% Voids
Project Engineer:
% VMA
± 1.2
Print Name
% VFA min
max
Project Engineer:
Flow
Signed
Date
Regional Materials Engineer:
Region Materials Engineer
Print Name
Resident Engineer
Regional Materials Engineer:
Project Engineer
Signed
Date
Contractor
Contractor's Representative:
Print Name
Contractor's Representative:
CDOT Form 43 01/18
Project No:
Region
Contract ID
COLORADO DEPARTMENT OF TRANSPORTATION
PROJECT SPECIFIC
Project Location:
ASPHALT JOB MIX FORMULA
This Job Mix Formula defines the specifiec gradation, asphalt cement content, and admixture dosage for the grading and project
SUPERPAVE MIX
Form 43 No:
Mix Type
N(Design):
# of Blows:
Effective Date:
Mix Designer:
Contractor:
Material Code:
Producer:
Material Description:
Plants:
Components:
Percentage
Material
Supplier
Comp 1
Comp 2
Comp 3
Comp 4
Comp 5
Comp 6
Comp 7
Comp 8
Comp 9
Comp 10
Comp 11
Additive 1
Additive 2
Remarks:
%
%AC in 1st Rcyl Mat's
%
%AC in 2nd Rcyl Mat's
Gradation Acceptance
Voids Acceptance
%
%AC in 3rd Rcyl Mat's
%
%AC in 4th Rcyl Mat's
Job Mix Gradation
Sieve Size
% Pass Min % Pass Max
% AC:
± 0.3
1 1/2"
AC Type
1"
Source of AC:
3/4"
Max. Sp. Gr. at % AC:
± 0.01
1/2"
Fine Aggregate Angularity:
%
3/8"
Bulk Sp. Gr. (dry) Fine Agg:
#4
Bulk Sp. Gr.(dry) of Combined Agg:
#8
Absorption of Combined Agg:
%
#16
#30
New Mix Design with Changes
#50
Mix Design Modified
#100
New Mix Design With No Change
#200
Voids Data at
Property
Tolerance
Ndes Target Value
Stability
Minimum
Signed
Date
± 1.2
% Voids
Project Engineer:
% VMA
± 1.2
Print Name
% VFA min
max
Project Engineer:
Flow
Signed
Date
Regional Materials Engineer:
Region Materials Engineer
Print Name
Resident Engineer
Regional Materials Engineer:
Project Engineer
Signed
Date
Contractor
Contractor's Representative:
Print Name
Contractor's Representative:
CDOT Form 43 01/18