Instructions for Form 675-060-10 "Asphalt Pavement Straightedge Test Report" - Florida

This document contains official instructions for Form 675-060-10, Asphalt Pavement Straightedge Test Report - a form released and collected by the Florida Department of Transportation. An up-to-date fillable Form 675-060-10 is available for download through this link.

Instruction Details:

  • This 1-page document is available for download in PDF;
  • Actual and applicable for the current year;
  • Complete, printable, and free.

Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Florida Department of Transportation.

ADVERTISEMENT
ADVERTISEMENT

Download Instructions for Form 675-060-10 "Asphalt Pavement Straightedge Test Report" - Florida

Download PDF

Fill PDF online

Rate (4.7 / 5) 29 votes
Instruction for Completion of
Asphalt Pavement Straightedge Test Report
No erasures accepted, strikeout mistakes only
1. Date - Indicate the date this report was generated.
2. Page Number - Indicate the page number of this sheet.
3. District - Enter the name of the County on which the project is located.
4. County/Section No. - Indicate the county's name and the section number on which the project is
located.
5. Fin. Project ID - Enter the Financial Project ID on which the test was performed.
6. Type of Mix - Indicate asphalt mix type, e.g., FC - 5, FC - 6, SP - 9.5, etc.
7. Type of Pavement - Enter X in the □ to indicate the type of pavement on which the testing is
performed.
8. Type of Straightedge - Enter X in the □ to indicate the type of straightedge being used for the
testing.
9. Contractor - Enter the name of the Contractor for this project.
10. Engineer - Enter X in the □ to indicate the name of Engineer.
11. Lanes - The lane where the test was performed. Right or left should be determined by standing
on the centerline on the median, facing the direction of increasing stations, and number the lanes L1,
L2, L3 etc., or R1, R2, R3 etc. This indicates that L1 is the first lane to the left of the centerline.
Center lanes should be identified with the latter C. Turn lane is identified by RTL (right turn lane), LTL
(left turn lane).
12. Width - Indicate the width of the lane being tested.
13. Station to Station - Enter the beginning and the ending stations of the lane being tested.
14. Description of the Deficiencies or Surface Problem(s) - Describe the smoothness
deficiencies such as + 5/16 inch or - 1/4 inch and/or pavement surface problem(s) such as rutting
depth 0.3 inch, cracking 1/8 inch with 15 inches in length, raveling with 25 feet in length, segregation
10 square feet, etc.
15. Remarks - Comments pertinent to the straightedge testing which are not shown elsewhere on the
report. Any immediate corrections are needed and instruction was issued to the Contractor, etc. If no
deficiencies were found during straightedge testing, the Report shall specifically state "No
Deficiencies Were Found" in the Remarks.
16. QC Technician Signature - To be signed by the Qualified Asphalt QC Technician who performed
the testing.
17. Verification Technician Signature - To be signed by the Qualified Asphalt Verification
Technician who verified the report at the job site during Contractor's testing.
18. QC TIN Number - Enter the QC Technician TIN Number.
19. VT TIN Number - Enter the VT Technician TIN Number.
20. Proposed Disposition Code – Contractor enters the proposed correction work for the Deficiency
by using the following Disposition Code:
RR: Remove and Replace.
LN: Leave in Place with No Payment.
LR: Leave in Place with Reduced Payment.
LF: Leave in Place with Full Payment
Instruction for Completion of
Asphalt Pavement Straightedge Test Report
No erasures accepted, strikeout mistakes only
1. Date - Indicate the date this report was generated.
2. Page Number - Indicate the page number of this sheet.
3. District - Enter the name of the County on which the project is located.
4. County/Section No. - Indicate the county's name and the section number on which the project is
located.
5. Fin. Project ID - Enter the Financial Project ID on which the test was performed.
6. Type of Mix - Indicate asphalt mix type, e.g., FC - 5, FC - 6, SP - 9.5, etc.
7. Type of Pavement - Enter X in the □ to indicate the type of pavement on which the testing is
performed.
8. Type of Straightedge - Enter X in the □ to indicate the type of straightedge being used for the
testing.
9. Contractor - Enter the name of the Contractor for this project.
10. Engineer - Enter X in the □ to indicate the name of Engineer.
11. Lanes - The lane where the test was performed. Right or left should be determined by standing
on the centerline on the median, facing the direction of increasing stations, and number the lanes L1,
L2, L3 etc., or R1, R2, R3 etc. This indicates that L1 is the first lane to the left of the centerline.
Center lanes should be identified with the latter C. Turn lane is identified by RTL (right turn lane), LTL
(left turn lane).
12. Width - Indicate the width of the lane being tested.
13. Station to Station - Enter the beginning and the ending stations of the lane being tested.
14. Description of the Deficiencies or Surface Problem(s) - Describe the smoothness
deficiencies such as + 5/16 inch or - 1/4 inch and/or pavement surface problem(s) such as rutting
depth 0.3 inch, cracking 1/8 inch with 15 inches in length, raveling with 25 feet in length, segregation
10 square feet, etc.
15. Remarks - Comments pertinent to the straightedge testing which are not shown elsewhere on the
report. Any immediate corrections are needed and instruction was issued to the Contractor, etc. If no
deficiencies were found during straightedge testing, the Report shall specifically state "No
Deficiencies Were Found" in the Remarks.
16. QC Technician Signature - To be signed by the Qualified Asphalt QC Technician who performed
the testing.
17. Verification Technician Signature - To be signed by the Qualified Asphalt Verification
Technician who verified the report at the job site during Contractor's testing.
18. QC TIN Number - Enter the QC Technician TIN Number.
19. VT TIN Number - Enter the VT Technician TIN Number.
20. Proposed Disposition Code – Contractor enters the proposed correction work for the Deficiency
by using the following Disposition Code:
RR: Remove and Replace.
LN: Leave in Place with No Payment.
LR: Leave in Place with Reduced Payment.
LF: Leave in Place with Full Payment