CDOT Form 194 "Structure Backfill Density Report" - Colorado

What Is CDOT Form 194?

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 March 1, 2014;
  • 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;
  • Fill out the form in our online filing application.

Download a fillable version of CDOT Form 194 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 194 "Structure Backfill Density Report" - Colorado

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Region
COLORADO DEPARTMENT OF TRANSPORTATION
STRUCTURE BACKFILL
Contract ID
Date Submitted
DENSITY REPORT
Project No.
Project Location
Major Structures
Class 1
No. of
Number of Structures: (1 test/200 cu. yds.; minimum 1/structure)
Class 2
No. of
(cu. yds.)
tests
(cu. yds.)
tests
Total cu. yds. structure backfill:
Cross Drains
Class 1
No. of
Number of Cross Drains: (1 test/200 cu. yds.; minimum 1/structure)
Class 2
No. of
(cu. yds.)
tests
(cu. yds.)
tests
Total cu. yds. structure backfill:
Side Drains
Class 1
No. of
Number of Side Drains: (1 test/200 cu. yds.; minimum 1/structure)
Class 2
No. of
(cu. yds.)
tests
(cu. yds.)
tests
Total cu. yds. structure backfill:
Other
.
Class 1
No. of
Class 2
No. of
(cu. yds.)
tests
(cu. yds.)
tests
Remarks
Print name
Signed
Title
Resident Engineer
Previous editions are obsolele and may not be used.
CDOT Form #194 3/14
Region
COLORADO DEPARTMENT OF TRANSPORTATION
STRUCTURE BACKFILL
Contract ID
Date Submitted
DENSITY REPORT
Project No.
Project Location
Major Structures
Class 1
No. of
Number of Structures: (1 test/200 cu. yds.; minimum 1/structure)
Class 2
No. of
(cu. yds.)
tests
(cu. yds.)
tests
Total cu. yds. structure backfill:
Cross Drains
Class 1
No. of
Number of Cross Drains: (1 test/200 cu. yds.; minimum 1/structure)
Class 2
No. of
(cu. yds.)
tests
(cu. yds.)
tests
Total cu. yds. structure backfill:
Side Drains
Class 1
No. of
Number of Side Drains: (1 test/200 cu. yds.; minimum 1/structure)
Class 2
No. of
(cu. yds.)
tests
(cu. yds.)
tests
Total cu. yds. structure backfill:
Other
.
Class 1
No. of
Class 2
No. of
(cu. yds.)
tests
(cu. yds.)
tests
Remarks
Print name
Signed
Title
Resident Engineer
Previous editions are obsolele and may not be used.
CDOT Form #194 3/14