OCTO 03-22-0753 Page 1 of 6 1 2/94 LOUISIANA DEPARTMENT OF TRANSPORTATION AND DEVELOPMENT BASE COURSE CENTRAL MIX PLANT CERTIFICATION REPORT District: .. Name Nllmber Plant: ..-~ Name Matt Plant Code 0 o M k -. a e Model/Serial No. Meiling Address Plant Type: 0 Batch D Continuous Capacity: Yd3/Hr Tons/Hr Date: Remarks: Inspected By: Date: Signature Approved By: Date: District Labolatory Engineer MATERIAL STORAGE AND HANDLING SOILS, AGGREGATES, OR SOIL/AGGREGATES 0 Loader 0 Dragline Other: Describe Remarks: MatE!rial: Material: 0 yes 0 no 0 yes D no Approved Source: Approved Source: D no 0 yes 0 no Satisfactory Drainage: Satisfactory Drainage: 0 yes Separation: 0 spacing 0 partitions Separation: 0 spacing 0 partitions 0 yes 0 no Dyes D no Contamination: Contamination: D no 0 no Segregation: Segregation: 0 yes 0 yes D no 0 no Uniform: Uniform: Dyes 0 yes
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BASE COURSE CENTRAL MIX PLANT CERTIFICATION REPORT
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OCTO 03-22-0753Page 1 of 61 2/94
LOUISIANA DEPARTMENT OF TRANSPORTATION AND DEVELOPMENT
BASE COURSE CENTRAL MIX PLANT CERTIFICATION REPORT
District: ..Name Nllmber
Plant:..-~Name Matt Plant Code
0 oM k -.a e Model/Serial No.
Meiling Address
Plant Type: 0 Batch D Continuous Capacity:Yd3/Hr Tons/Hr
Date:
Remarks:
Inspected By: Date:Signature
Approved By: Date:District Labolatory Engineer
MATERIAL STORAGE AND HANDLING
SOILS, AGGREGATES, OR SOIL/AGGREGATES
0 Loader 0 Dragline Other:Describe
Remarks:
MatE!rial: Material:
0 yes 0 no 0 yes D noApproved Source: Approved Source:
D no 0 yes 0 noSatisfactory Drainage: Satisfactory Drainage:0 yes
Partitions Extend 1 Ft Above Bins:Individual Bin For Each Material:Number of Bins Adequate for Production:Designed for Efficient Discharge:No Material Accumulation In Corners:Free of Holes:Load Without Segregation:
Discharge Without Segregation:Vibrators Working:Bins Leak Free:Automatic Cutoff for Material Flow Interruption:
Rectangular:Positive Mechanized Adjustment:Locks in Position:
Proportioning by Cold Feed: 0 Applicable 0 Not ApplicableDetermined by: 0 Belt Speed 0 Gate OpeningCalibration Curve/Each Bin per Material Type Used: Dyes
Automatic Shut-off on Each Bin: 0 yesAdjusted & Operating Correctly: 0 yes
Platforms and ladders Safe and Adequate: 0 yes
000D
Remarks:
SILOS: Number of Silos: Capacity of Each:Itonsl
Dyes D noDyes D noDyes 0 noDyes 0 noDyes 0 noDyes D noDyes D noDyes 0 noDyes 0 no0 yes D noDyes 0 no
Weatherproof:Holes:
Individual Silo For Each Material:
Number of Silos Adequate for Production:
Designed for Efficient Discharge:
Vibrators:
Air:Feed Controlled to Proper Percentage:
leaks:Excessive Dusting:
Platforms and ladders Safe and Adequate:
Remarks:
nonononononononononono
other
nononono
DOTD 03-22-0753Page 4 of 6, 2/94
CONVEYOR SYSTEMS
0 yes0 yes0 yes0 yes0 yes0 yes
000000
Adequately Transport Materials:
Spillage:Holes or Tears in Belts:
Platforms & Ladders -Meet Safety Standards:
-Cover Inspection Points:
Material Diversion System (each component):
Remarks:
MEASURING DEVICES.
Dr.JDDDDDD
Protected: DyesClean: DyesZero: DyesVisible to Operator: DyesCertification Report for Scales & Meters on File: DyesWater Measuring Device Accurate to 1 % of Measured Quantity: DyesWater Meter -Maximum Graduation is 1 gal: DyesAdditives measured to 3% of required weight: Dyes
Remarks:
* Volumetric Calibrations will be documented in a field book.
PLATFORM SCALES
Make Capacity:(tons)
Maximum Error, %:Date Calibrated:
Type Panel Indicated:
DyesDyesDyesDyes
D noD noD noD no
Sufficient Length to Weigh Entire Unit at One Time:
Prints Tare Weight:Prints Total Weight of Mixture:Prints Total Weight of Mixture & Unit:
Remarks
nononononono
nononononononono
DOTD 03-22-0753Pegs 5 of 61 2/94
PUG MILL
D Continous0 BatchType:
cu yd/hrRated Capacity:
Number of Shafts:
Mixing Time (Batch): raw
w/limewi cementMixing Time (Batch):
00000
0 yes0 yes0 yes0 yes0 yes
Paddles All In Place:
Paddles In Good Condition:
Liner In Good Condition:
Spray Bar Operating:
Uniform Moisture/Cement Blend:
DyesDyesDyesDyesDyes
DDDDD
Mixes Without Segregation:
Platforms and Ladders Safe and Adequate:
No Gate Leaks: (Batch Plant Only)
Positive Gate Lock During Mixing: (Batch Plant Only)
Soil/Aggregate Feeder Interlocked with Cement, Additives & Water Feed:
Remarks:
SAMPLING PLATFORM
DDDD
DDDD
Sturdy:Acceptable Location:
Safe:
Satisfactory:
Remarks:
PLANT LABORATORY
sq ftft AreaWidthLength ftSize:
No. of Windows:Number of Doors:
nonononono
no
nono
nono
no
no
no
no
yes
yes
yes
yes
DOTD 03-22-0753Page 6 of 6'2/94
PLANT LABORATORY (Continued)
00000000000000
00000000000000
Acceptable Location:
Proper Construction:
Dedicated to Testing Personnel/DOTD & Contractor:
Air Conditioned:
Heated:
Weatherproof:
Adequate Power Outlets:
Adequate Electric Lights:
Fume Hood With Exhaust Fan Suitably Located:
Running Water:
Desks, Work Benches, Chairs, File Cabinets:
Approved Sanitary Facilities (toilet & basin):
Quality Control Equipment:
Suitable Locks With Keys:
Remarks:
TESTING EQUIPMENT
All contractor's testing equipment calibrated and approved in accordance with current DClTD requirements:
0 yes D no
0 yes 0 noAll equipment in-place and approved prior to production:
PERFORMANCE
0 yes 0 noPlant produces mixture that meets specifications: