CDOT Form 157 "Field Report for Sample Identification or Materials Documentation" - Colorado

What Is CDOT Form 157?

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 April 1, 2019;
  • 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 157 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 157 "Field Report for Sample Identification or Materials Documentation" - Colorado

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FS# = (Contract ID-Seq.#)
Region
COLORADO DEPARTMENT OF TRANSPORTATION
FIELD REPORT FOR SAMPLE IDENTIFICATION
Contract ID
Date Submitted
OR MATERIALS DOCUMENTATION
Project No.
Project Location
Field
phone
Material Type
Grading
Material Code (LIMS)
Item
Class
Special Provisions
yes
Previously used on Project No.:
Previous CDOT Form #157 F/S No.(s):
CDOT Form #633 (sack)
CDOT Form #634 (can)
Sample Identification: Quantity & Unit of material submitted, describe tests required, precise location sample
Materials Documentation: Field inspected (describe appearance, weight/dimensions, model/serial number), COC &/or CTR provide
Sample ID (#1)
Sample ID (#2)
Sample ID (#3)
Sample ID (#6)
Sample ID (#4)
Sample ID (#5)
Product name:
APL/QML Acceptance: APL Ref. No.
Date checked:
APL/QML Acceptance: APL Ref. No.
Product name:
Date checked:
Preliminary
Construction
Maintenance
Emergency
Date needed
Contractor
Supplier
Sampled from
Pit name or owner
(Pit, roadway, windrow,
stock, etc.)
Quantity represented
Previous quantity
Total quantity to date
Sample submitted:
Shipped specified quantity to:
Date
Yes
No
Central lab
Region lab
Consultant lab
Sampled or inspected by
Title
(print name)
Title
Supervisor
(Pro./Res./Matls. Engr./Maint. Supt.) (print name)
Chemical Lab: cdot_chemlab@state.co.us
Distribution:
Previous editions are obsolete and may not be used.
CDOT Form #157
04/19
Concrete
cdot_conc.lab@state.co.us
Flexible Pavement: cdot_flex.lab@state.co.us
Physical Properties: cdot_phpr.lab@state.co.us
cdot_soils.lab@state.co.us
Region Labs: Send completed form with sample
Project File: SMM – Upload completed form into the attachment icon on the sample record
FS# = (Contract ID-Seq.#)
Region
COLORADO DEPARTMENT OF TRANSPORTATION
FIELD REPORT FOR SAMPLE IDENTIFICATION
Contract ID
Date Submitted
OR MATERIALS DOCUMENTATION
Project No.
Project Location
Field
phone
Material Type
Grading
Material Code (LIMS)
Item
Class
Special Provisions
yes
Previously used on Project No.:
Previous CDOT Form #157 F/S No.(s):
CDOT Form #633 (sack)
CDOT Form #634 (can)
Sample Identification: Quantity & Unit of material submitted, describe tests required, precise location sample
Materials Documentation: Field inspected (describe appearance, weight/dimensions, model/serial number), COC &/or CTR provide
Sample ID (#1)
Sample ID (#2)
Sample ID (#3)
Sample ID (#6)
Sample ID (#4)
Sample ID (#5)
Product name:
APL/QML Acceptance: APL Ref. No.
Date checked:
APL/QML Acceptance: APL Ref. No.
Product name:
Date checked:
Preliminary
Construction
Maintenance
Emergency
Date needed
Contractor
Supplier
Sampled from
Pit name or owner
(Pit, roadway, windrow,
stock, etc.)
Quantity represented
Previous quantity
Total quantity to date
Sample submitted:
Shipped specified quantity to:
Date
Yes
No
Central lab
Region lab
Consultant lab
Sampled or inspected by
Title
(print name)
Title
Supervisor
(Pro./Res./Matls. Engr./Maint. Supt.) (print name)
Chemical Lab: cdot_chemlab@state.co.us
Distribution:
Previous editions are obsolete and may not be used.
CDOT Form #157
04/19
Concrete
cdot_conc.lab@state.co.us
Flexible Pavement: cdot_flex.lab@state.co.us
Physical Properties: cdot_phpr.lab@state.co.us
cdot_soils.lab@state.co.us
Region Labs: Send completed form with sample
Project File: SMM – Upload completed form into the attachment icon on the sample record