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G&B-001 (7/23/2013)

TP-02115-03

GRADING AND BASE REPORT


Grading & Base Manual 5-692.301
Project No: Project Engineer: Date of Schedule of Materials Control: T.H.: Contractor:
Schedule Used (i.e. MnDOT Standard or State Aid Version?

Report: Preliminary Final


Date:

Project Inspector:

Projected Start Date:


Contact #'s Office

Completion Date:
Cell

Excavation & Aggregate Class

m3, yd3,
Pay Item Material Spec QUANTITY tons, t,

COMPACTION TESTS
Mod Penetration Index, Specified Density, Quality Compaction, etc. MINIMUM TEST RATE # TESTS
REQUIRE COMPLETED D

MOISTURE TESTS
# TESTS MINIMUM TEST RATE # TESTS
REQUIRE COMPLETED D

GRADATION TESTS
# TESTS MINIMUM TEST RATE # TESTS
REQUIRE COMPLETED D

m2, yd2,

# TESTS

Remarks:

Uncorrected Tests shall be listed and adressed in the Materials Certification Exceptions Form.
CC: Grading and Base Office, District Materials Engineer, and Project Engineer/Supervisor

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