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Construction

Office of Construction / Asphalt

Asphalt Forms for Contractor Quality Control

Picture of a Florida Roadway
Retrieve Forms by Number            Retrieve Forms by Title

 

Contractor Forms      
Name of Form Form # Submit CQR
Asphalt Roadway - Daily Report of Quality Control 675-030-20 Daily NA
Asphalt Roadway - Daily Report of Quality Control 675-030-20a Daily NA
Asphalt Plant Worksheet 675-030-25 Per Lot **
Cross Slope Measurement Data Form 700-010-98 Daily **
       

* When the pavement layer or milling depth is completed or changed, document the information of the 
as-build  pavement structures. 
** Certain results of the worksheets will be transferred to other Forms required to be entered in CQR.
       
FDOT Forms      
Name of Form Form # Submit CQR
Asphalt Roadway - Verification Report 675-030-21 Per Lot NA
       
Asphalt Plant - Pay Factor Worksheets  675-030-22    
Asphalt Plant – Lot Information & Packet Cover Sheet Per Lot **
Asphalt Plant - Random Number Worksheet Per Lot **
Asphalt Roadway - Random Number Worksheet Per Lot **
Asphalt Plant - Composite Pay Factor Worksheet for Superpave Per Lot **
Asphalt Plant - Composite Pay Factor Worksheet for OGFC Per Lot **
Verification/Resolution Worksheet for A/C and Gradation Per Lot **
Verification/Resolution Worksheet for Rdwy. Density Cores Per Lot **
       
Cross Slope Measurement Data Form 700-010-98 Daily NA
Roadway – As-Build Pavement Data 700-050-12 * *
       
* When the pavement layer or milling depth is completed or changed, document the information of the as-build  pavement structures. 
** Certain results of the worksheets will be transferred to other Forms required to be entered in CQR.
The reports may require either Adobe PDF or Microsoft Excel 2003 or higher.
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