|
NONCOMPLYING TESTS OR MEASUREMENTS OF |
||||||
|
MATERIAL INCORPORATED INTO THE PROJECT |
||||||
|
|
||||||
|
Project No.: |
|
County: |
|
|||
|
|
|
|
|
|||
|
Contractor: |
|
Type of Work: |
|
|||
|
|
||||||
|
|
|
|
||||
|
General information as to type of test, results, and other available data that may be pertinent |
Quantity Involved |
Action Taken |
||||
|
|
||||||
|
|
|
|
||||
|
Noncomplying Field Lab Line number _________ |
one lab |
See letter from XXXXXX (dated) and EWO # ______ for $ZZZ.ZZ |
||||
|
|
||||||
|
Violation of Article 1105.12B and D. Moved sheepsfoot roller on AC-surfaced roadway causing mars and distortions |
Monetary deduct |
See letter from XXXXXX (dated) and EWO # ______ for $Z,ZZZ.ZZ |
||||
|
|
||||||
|
|
|
|
||||
|
Low Air Content 3.8% Required 6.5% + 1.5% |
7 m3 (yd3) |
5 m3 (yd3) placed before air percent is known. Contractor advised, but placed the last 2 m3 (yd3) anyway. 7 m3 (yd3) less than 3% of total quantity, but 100% adjustment on the last 2 m3 (yd3) = $ZZZ,ZZZ. See letter from XXXXXXX. |
||||
|
|
||||||
|
|
|
|
||||
|
Thin Concrete Bands 2 and 3 |
1733 m3 (yd3) |
Item 8005 - $Z,ZZZ.ZZ See EWO # ______ |
||||
|
|
||||||
|
|
|
|
||||
|
Job Mix Gradation 4.75 mm (#4) Sieve – 78% Required 70% + 7% |
10,000 Mg (tons) |
No adjustment. See attached letter from XXXXXX XXXX. |
||||
|
|
||||||
|
|
||||||
|
TOTAL Amount Entered on Form 830436 $Z,ZZZ.ZZ |
||||||
|
|
||||||
|
By _________________________________ |
||||||
|
(Project Engineer) |
||||||
|
|
||||||
|
Date ________________________________ |
||||||