Spreadsheet: 15034c81-c9de-4803-8bbe-bb3997d98574
Sheet: Sheet1

STATE OF NEVADA
DEPARTMENT OF TRANSPORTATION
ACCEPTANCE TESTING FREQUENCY REPORT
(TO BE CONTINUALLY UPDATED AND SUBMITTED AT THE END OF EACH CONTRACT)
CONTRACT NO.
PROJECT NO. (s)
BID | [NAME] |  |  |  |  |  |  | REQD. MIN. | NO. OF |  |  |  |  | REQD. MIN. | NO. OF | NO. OF
ITEM |  |  |  | PLAN | FINAL |  |  | NO. OF | TESTS |  |  |  |  | NO. OF | TESTS | FAILING AUDITS
NO. |  |  |  | QUANTITY | QUANTITY | UNITS | TEST | TESTS | COMPLETED | * REMARKS |  |  |  | TESTS - IA | COMPLETED - IA | TESTS - IA | * REMARKS
2030540 | Borrow Embankment |  |  |  |  | CUYD | Source Acceptance
 |  |  |  |  |  |  | Density
2070540 | [NAME] |  |  |  |  | CUYD | Density
 |  |  |  |  |  |  | Sieve Analysis
 |  |  |  |  |  |  | [NAME]
3020500 | Type 1 Class B Aggregate Base |  |  |  |  | TON | Sieve Analysis
 |  |  |  |  |  |  | [NAME]
 |  |  |  |  |  |  | Fractured Face
 |  |  |  |  |  |  | Moisture
 |  |  |  |  |  |  | Density
4026002 | Plantmix Surfacing (Type 2C)(Wet) |  |  |  |  | TON | Sieve Analysis
 |  |  |  |  |  |  | Bit. Ratio
 |  |  |  |  |  |  | Moisture Content
 |  |  |  |  |  |  | Percent Air Voids
 |  |  |  |  |  |  | Stability
 |  |  |  |  |  |  | Lottmans
 |  |  |  |  |  |  | Compaction
 | [NAME] |  |  |  |  |  | [NAME]
 |  |  |  |  |  |  | Fractured Face
 |  |  |  |  |  |  | Absorption of Coarse Aggregate
4036002 | Plantmix Open Grade (1/2 inch)(Wet) |  |  |  |  | TON | Sieve Analysis
 |  |  |  |  |  |  | Bit. Ratio
 |  |  |  |  |  |  | Moisture Content
 | [NAME] |  |  |  |  |  | [NAME]
 |  |  |  |  |  |  | Fractured Face
 |  |  |  |  |  |  | Absorption of Coarse Aggregate
402 xxxx   403 xxxx | PG-76-22NV |  |  |  |  | TON | Materials Division
4070560 | Sand Blotter |  |  |  |  | TON | Sieve Analysis
502xxxx | Class A Concrete (Minor) |  |  |  |  | CUYD | Sieve Analysis
 | Concrete Barrier Rail (Type A) |  |  |  |  | LINFT | Sand Equivalent
502xxxx | Class A Concrete (Minor) |  |  |  |  | CUYD | Cleanness Value
 | Concrete Barrier Rail (Type A) |  |  |  |  | LINFT | [NAME]
 |  |  |  |  |  |  | Unit Weight
502xxxx | Cement |  |  |  |  |  | Materials Division
502xxxx | Pozzolan |  |  |  |  |  | Materials Division
5050500 | Reinforcing Steel |  |  |  |  | POUND | Materials Division
6080548 | 12-Inch Downdrain Pipe |  |  |  |  | LINFT | Materials Division
6080556 | 12-Inch Metal End Section (Downdrain) |  |  |  |  | EACH | Materials Division
6160536 | Type A-832-3B Fence (Metal Post, Fencing, & Barbed Wire) |  |  |  |  | LINFT | Materials Division
6190077 | Object Markers, Type 2 (Modified) (Post Only) |  |  |  |  | EACH | Materials Division
6190080 | Object Markers, Type 3 (Post Only) |  |  |  |  | EACH | Materials Division
6190094 | Milepost Markers (Posts Only) |  |  |  |  | EACH | Materials Division
6270508 | Permanent [NAME], ([NAME]) ([NAME]) |  |  |  |  | SQFT | Materials Division
632xxxx | Polyurea Pavement Striping (White) |  |  |  |  | [NAME] | Paint
 |  |  |  |  |  |  | Beads
 |  |  |  |  |  |  | Retroreflectivity
 |  |  |  |  |  |  | Thickness
632xxxx | Polyurea Pavement Striping (Yellow) |  |  |  |  | [NAME] | Paint
 |  |  |  |  |  |  | Beads
 |  |  |  |  |  |  | Retroreflectivity
 |  |  |  |  |  |  | Thickness
6340646 | Permanent Pavement Marking Film (Type 2) (24-Inch Solid White) |  |  |  |  | LINFT | Adhesion
*Remarks are required when the minimum number of tests are not completed.
NOTE: ALL ITEMS THAT REQUIRE FIELD SAMPLES AND SAMPLES FROM THE "MATERIALS SAMPLING AND TESTING CHECKLIST" MUST BE INCLUDED.  REFER TO THE "MATERIALS SAMPLING AND TESTING CHECKLIST", SPECIAL PROVISIONS, AND ANY OTHER ADDITIONAL ITEMS ADDED TO THE CONTRACT.
Prepared by: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | I.A. Tester:
 |  |  |  |  |  | Date |  |  |  |  |  |  |  |  |  |  |  |  |  | Date
Resident Engineer: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Reviewed by:
 |  |  |  |  |  | Date |  |  |  |  |  |  |  |  |  |  | QA Representative |  |  | Date
NDOT
040-075
Rev. 3/12
Distribution: Headquarters Construction, District, Resident Engineer