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WV Department of Transportation

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There are numerous forms and worksheets used to perform and document work pertinent to the quality assurance and acceptance of materials. The following is a list of these forms available for your use.”

HL-468 New​ ​Pro​ducts Evaluation Form
AWP Material Codes (pdf), (zip​)​​
Materials Certification Submission Template (MC-8)​​ - February 12, 2025
ST-1 Fo​rm
ST-2 Form
DMIR Form​
​WVDOH Compass Access - Link ​to Site​​ (DOH Only)​

Optimized Aggregat​e Gradation and Average Moving ​​Worksheet​

Hot-Mix Asphalt Design Worksheets
T400 Corrections
District Check List for Marshall Asphalt Designs
District Check List for Superpave Asphalt Designs
Attachment #1 – Marshall OAC Summary 03-11
Attachment #1 – Superpave OAC Summary 03-11
Attachment #2 – Marshall Mix Design Property Charts 01-07
Attachment #3 – Marshall Design Summary Data 01-07
Attachment #4 – Effective Specific Gravity 01-07
Attachment #4a – Effective Specific Gravity-RAP 01-07
Attachment #5 – Maximum Specific Gravity 01-07
Attachment #6 – Aggregate Gsb and Percent VMA Calculations 03-11
Attachment #6a – Aggregate Gsb and Percent VMA Calculations-RAP 03-11
Attachment #7 – HMA Maximum Specific Gravity 01-07
Attachment #8 – Coarse Aggregate Specific Gravity 01-07
Attachment #8a – Fine Aggregate Specific Gravity 01-07
Attachment #9 – 0.45 Power Chart 01-07
Attachment #10 – Aggregate Blending Worksheet 01-07
Attachment #11 – Washed Sieve Analysis 01-07
Attachment #13 – Fine Aggregate Angularity 01-07
Attachment #14 – Effective Asphalt Content Calculation 01-07
T400 – Marshall JMF 04-10
T400SP – Superpave JMF 04-10

Hot-Mix Asphalt Testing Worksheets​
T401 – Lot-by-Lot​ Density​ 2023-04-10
T401b – Lot-by-Lot Density Comparison 2023-11-15​​
T401 – Lot-by-Lot Density 05-09
T406 – HMA Marshall Property Worksheet 01-00
T407 – Rollerpass Density​ 2025-09-15​
T408 – Marshall Design Verification 04-01
T409 HMA Verification Gsb Calculation Worksheet 01-15
T416 – Ignition Oven Calibration Worksheet 01-07
T417 – Ignition Oven Gradation Worksheet 01-01
T419 – Superpave Volumetric Property Worksheet 01-00
T421 – HMA Design Gradation Verification 01-00
T422 – Superpave Design Verification 01-02
T423 – HMA QC Moving Average Worksheet 01-00
T425 – HMA QC Gradations 01-00
T426 – HMA Core Location Gauge Readings 04-08
T427A – Control Strip Cores 04-08
T427B – Control Strip Cores – Paraffin Method 04-08
T427C – Control Strip Cores – Vacuum Method 04-08
T428 – Nuclear Gauge Comparison Worksheet 2019-03-20
T428 – Nuclear Gauge Comparison Worksheet 03-07
T429 – HMA Data Entry Worksheet – Marshall 07-08
T430 – HMA Data Entry W​orksheet – Superpave 07-08

Cold-Mix Asphalt Testing Worksheets
T-410-Cold-Mix Asp Coating Test-D2489-08-11

Fuel and Asphalt Adjustment Spreadsheet​ (zipped excel files)

Pavement 

Pavement Testing Requests​
PrePS&E Smoothness Request Form (use save-as: must use Adobe Acrobat or Equivalent)
Post Construction Smoothness/Skid ​Resi​stance Request Form​​ (use save-as: must use Adobe Acrobat or Equivalent)

Metals Forms
HS-10
HS-29
HS-29 Continuation

Aggregate Forms
HS-9 Form ​(zipped excel file)
Aggregate Form T-302​ (zipped excel file)
T301E​ A-Bar Form​



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