CDOT Form 69 "Field Report of Bituminous Pavement and Joint Density" - Colorado

What Is CDOT Form 69?

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 November 1, 2017;
  • 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 69 by clicking the link below or browse more documents and templates provided by the Colorado Department of Transportation.

ADVERTISEMENT
ADVERTISEMENT

Download CDOT Form 69 "Field Report of Bituminous Pavement and Joint Density" - Colorado

250 times
Rate (4.7 / 5) 18 votes
Contract ID
Region:
COLORADO DEPARTMENT OF TRANSPORTATION
FIELD REPORT OF BITUMINOUS
Project No.
Form #43 Date:
Form #43 No.:
PAVEMENT AND JOINT DENSITY
Project location:
Item #:
Grading:
Field Wet
Core
Max Wet
Distance
Mat (M)
% Rel.
SMM/LIMS Sample ID
Density
Project Spec
or
Density
Station or Location
from
Specific
IA
Daily Rice
Comp.
(or Test # [Date])
(Daily Rice
Control line
Joint (J)
(Corrected)
Gravity
x 62.4)
Tester: (print name)
Remarks:
Action taken:
Title:
Supervisor: (Project Engineer)
Title:
Final report:
Yes
No
CDOT Form #69
11/17
Previous editions are obsolete and may not be used.
Distribution: Original - Project file
Contract ID
Region:
COLORADO DEPARTMENT OF TRANSPORTATION
FIELD REPORT OF BITUMINOUS
Project No.
Form #43 Date:
Form #43 No.:
PAVEMENT AND JOINT DENSITY
Project location:
Item #:
Grading:
Field Wet
Core
Max Wet
Distance
Mat (M)
% Rel.
SMM/LIMS Sample ID
Density
Project Spec
or
Density
Station or Location
from
Specific
IA
Daily Rice
Comp.
(or Test # [Date])
(Daily Rice
Control line
Joint (J)
(Corrected)
Gravity
x 62.4)
Tester: (print name)
Remarks:
Action taken:
Title:
Supervisor: (Project Engineer)
Title:
Final report:
Yes
No
CDOT Form #69
11/17
Previous editions are obsolete and may not be used.
Distribution: Original - Project file