CS-4211 (2-12)
MATERIAL PLANT BOOK TABLE OF CONTENTS
PLEASE TYPE OR PRINT IN BLUE OR BLACK INK ALL INFORMATION
FORM NO.
DESCRIPTION
www.dot.state.pa.us
AGGR. PLANT
BITC. PLANT
PCC PLANT
CS-4211
TABLE OF CONTENTS
X
X
X
CS-4211A
MATERIAL TEST RESULTS
X
X
X
CS-4211B
PROJECT SUMMARY
X
X
X
CS-4211C
SCALE CHECK
X
X
X
CS-4211D
PLANT SUMMARY
X
X
X
CS-4211E
MTD SAMPLE SUBMISSION RECORD
X
X
X
CS-4211F
COMPRESSION TESTS
CS-4211G
EXTRACTION TESTS
X
CS-4211H
GRADATION OF HOT-BINS AGGREGATE BLEND
X
CS-4211I
#57 AGGREGATE GRADATION
X
X
X
CS-4211J
#8 AGGREGATE GRADATION
X
X
X
CS-4211K
FINE AGGREGATE GRADATION
X
X
X
CS-4219A
DENSITY TEST RESULTS
X
CS-4219C
ASPHALT PENETRATION RECORD
X
CS-4221A
MOISTURE TESTS
X
CS-4221B
MATERIAL TEMPERATURES
X
CS-4221C
RECORD OF DAILY ORDERS AND RELEASES
X
X
X
CS-4221E
EQUIPMENT CALIBRATION RECORD
X
X
X
CS-4221F
401 LOT SAMPLES
CS-4221G
ANTI SKID SUMMARY & MOISTURE RECORD
X
X
X
CS-4211 (2-12)
PLANT BOOK TABLE OF CONTENTS
PLEASE TYPE OR PRINT IN BLUE OR BLACK INK ALL INFORMATION
www.dot.state.pa.us
BITUMINOUS PLANT
FORM NUMBER
DESCRIPTION
CS-4211A
Material Test Results
CS-4211B
Project Summary Record
CS-4211C
Scale Check
CS-4219A
Density Test Results
CS-4219C
Asphalt Penetration
CS-4219D
Bituminous Concrete Plant - Distribution
CONCRETE PLANT
FORM NUMBER
DESCRIPTION
CS-4211A
Material Test Results
CS-4211B
Project Summary Record
CS-4211C
Scale Check
CS-4221A
Moisture Tests
CS-4221B
Material Temperatures
CS-4221C
Record of Daily Orders and Releases
CS-4221D
Cement Concrete Plants - Distribution