Mix Design Forms
Mix Design Forms
Mix Design Forms
PROJECT
MIX CLASS
CONTRACT NO.
MIX PRODUCER
CMDT
LEVEL (2,3,4)
PROJECT MANAGER
CMDT JMF MIX ID NO.
BID ITEM #
COMMENTS:
BLEND CHOSEN?
REASON? :
Blend
CA
FA
FA Average
FA Std Dev.
Asphalt content, % (Pb)
RAP AC, % (Pbr)
Virgin Binder Repl, %
Antistrip, %
Agg. Treatment, %
Asphalt Brand
Asphalt Grade
Mixing temp. range
Placement temp. range
Asphalt SpGr (Gb) 77 F
Asphalt SpGr (Gb) 60 F
CA & FA
Ratios
Average
Average
Average
Average
Average
Average
Source
A) Mass of Dry Sample
B) Mass of SSD Sample
C) Mass of Sample Immersed
Bulk Specific Gravity (Gsb)
Bulk Specific Gravity (SSD)
Apparent Specific Gravity (Gsa)
Absorption (%)
Average
Average
Source
S) Mass of SSD Sample
B) Mass of Pyc. + Water
C) Mass of Pyc.+H2O+Sample
Mass of Dry Sample + Pan
Mass of Pan
A) Mass of Dry Sample
Bulk Specific Gravity (Gsb)
Bulk Specific Gravity (SSD)
Apparent Specific Gravity (Gsa)
Absorption (%)
RAP WORKSHEET
Gb@77F
Separated Size
Mass Final, Mf
%I = [(Mi - Mf)/Mi]x100
Average
Average
Source
Size
Split Sieve
Absorption (%)
Absorption (%)
Size
S) Mass of SSD Sample
RAP Gsa
Source
C) Mass of Pyc.+H2O+Sample
Mass of Dry Sample + Pan
Mass of Pan
A) Mass of Dry Sample
Bulk Specific Gravity (Gsb)
Bulk Specific Gravity (SSD)
Apparent Specific Gravity (Gsa)
Absorption (%)
Certified Technician and Card Number:
Average
RAP Gradation
SAMPLE 1
Sieve
Size
1"
3/4"
1/2"
3/8"
1/4"
#4
#8
#16
#30
#50
#100
#200
Pan
Mass
% Retained
Retained
% Pass
SAMPLE 2
Initial Dry Mass
Dry Washed Mass
Mass After Sieve
Sieve Loss
Sieve
Size
1"
3/4"
1/2"
3/8"
1/4"
#4
#8
#16
#30
#50
#100
#200
Pan
Mass
% Retained
Retained
SAMPLE 3
Sieve
Size
1"
3/4"
1/2"
3/8"
1/4"
#4
#8
#16
#30
#50
#100
#200
Pan
Mass
% Retained
Retained
% Pass
Sieve
Size
1"
3/4"
1/2"
3/8"
1/4"
#4
#8
#16
#30
#50
#100
#200
Pan
Mass
% Retained
Retained
% Pass
Average
Mass
% Retained
Retained
% Pass
SAMPLE 4
SAMPLE 5
Sieve
Size
1"
3/4"
1/2"
3/8"
1/4"
#4
#8
#16
#30
#50
#100
#200
Pan
% Pass
Sieve Size
1"
3/4"
1/2"
3/8"
1/4"
#4
#8
#16
#30
#50
#100
#200
Pan
% Pass
Sieve Size
25.0
1"
19.0 3/4"
12.5 1/2"
9.5 3/8"
6.35 1/4"
4.75 #4
2.36 #8
1.18 #16
0.600 #30
0.300 #50
0.150 #100
0.075 #200
Upper Control
Point
Aggregate
Source
Gsb
Lower Control
Point
Coarse
Blend
Gsa
Dust Pull
Aggregate
Percent
Sieve Size
25.0
1"
19.0
3/4"
12.5
1/2"
9.5
3/8"
6.35
1/4"
4.75
#4
2.36
#8
1.18
#16
0.600
#30
0.300
#50
0.150
#100
0.075
#200
Gsb
Medium
Blend
Gsa
Dust Pull
Aggregate
Percent
Sieve Size
25.0
1"
19.0
3/4"
12.5
1/2"
9.5
3/8"
6.35
1/4"
4.75
#4
2.36
#8
1.18
#16
0.600
#30
0.300
#50
0.150
#100
0.075
#200
Fine Blend
Gsb
Gsa
Stockpile
Percent AC in RAP
1. Bulk Specific Gravity (Gmb), Compacted Mix
2. SSD Maximum Specific Gravity (Gmm) Total Mixture
Specific Gravity
Coarse
Medium
Fine
Asphalt
Medium
2
Fine
2
Blend
Pb
Va
VMA
VFA
Pbe
%VirginRepl
P200/Pbe
Coarse
Medium
Fine
Coarse Medium
Fine
JMF Criteria
MASS 1
MASS 2
TOTAL MASS
% RET
% PASS
RAP %
RAP
COMBINED
% PASS
% PASS
TARGET
TOLERANCE
SIEVE
SIZE
1"
1"
3/4"
3/4"
1/2"
1/2"
3/8"
3/8"
1/4"
1/4"
#4
#4
#8
#8
#16
#16
#30
#30
#50
#50
#100
#100
#200
#200
PAN
TOTAL MASS (g)
INIT. DRY MASS (g)
SIEVE LOSS %
STAGE 2 TESTING
AASHTO T-209: Theoretical Maximum Specific Gravity and Density of Bituminous Paving Mixtures
Percent Asphalt Content (Pb)
Pycnometer + Lid + Mix
Pycnometer + Lid
Mass of Dry Sample
Mass of SSD Sample
Pycnometer + Lid + Water
Pycnometer + Lid + Water + Mix
Uncorrected Maximum Specific Gravity (Gmm)
Uncorrected Effective Specific Gravity (Gse)
SSD Maximum Specific Gravity (SSD Gmm)
SSD Effective Specific Gravity (Gse)
Gse Difference
Average Gse
Back-Calculated Design Maximum Specific Gravity Determination
Pb
Ps
Gse
Gb
Gmm
AASHTO T 166/275: Bulk Specific Gravity of Compacted Hot Mix Asphalt (HMA)
Mixing Temp, F
Gyration Level
Compaction Temp, F
% AC
Height
Dry Mass
Average
Average
Average
Average
Certified Technician and Card Number:
HMAC Mix Design Forms 1-2012
Gmb
Voids
Immersed to
Geom. Ratio
Gma
Gma - Gmb
Blend %
Specific Gravity
Mixing Temp, F
Compaction Temp, F
Design Gyrations
Air Voids Designed to, %
Dryback Rices / Gmm (YES / NO)
Optimum
Asphalt
Content
Asphalt Cement
Percent AC in RAP
Pb Contributed by RAP
Dust Pull
Sieve Size
Blend
Target
25.0mm ( 1" )
19.0mm ( 3/4" )
12.5mm ( 1/2" )
9.5mm ( 3/8" )
6.35mm ( 1/4" )
4.75mm ( #4 )
2.36mm ( #8 )
1.18mm ( #16 )
0.600mm ( #30 )
0.300mm ( #50 )
0.150mm ( #100 )
0.075mm ( #200 )
JMF
Tolerance
STAGE 3 - TSR's
AASHTO T-283: Resistance of Compacted Bituminous Mixture to Moisture Induced Damage
Compaction Temp:
Sample:
Blows / Gyrations:
Gmm:
Sample Number
%AC:
Diameter, in
Height, in
Weight in Air, g
SSD Weight, g
Weight in Water, g
Volume, cm3
Bulk Specific Gravity, Gmb
Average
Average
Average
Sdry = 2P/ (t x D x )
Average
Swet = 2'P/ (t x D x )
Comments:
5 = Significant Stripping