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RAW MATERIALS REQUEST FORM

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    The following checklist of items is necessary to complete your laboratory analysis of your initial EZ Street® mix design.

    Asphalt Cement Sample, Used at plant for Hot Mix PG Grade

    Average aggregate gradations.
    (Locally available crushed aggregates and manufactured sand currently in use by your plant, Max size: 1/2” (12.5mm))

    Specific Gravity (Bulk and Effective)

    Name of Quarry, Source of Aggregate

    Sample from
    Asphalt PlantQuarry Stockpile

    Cost per ton of aggregates

    Name and/or code number of aggregates

    ASTM C 29 – Unit weight of Aggregate

    ASTM C 117 – Materials finer than No. 200 in Mineral Aggregates washing

    ASTM C 131 – Resistance to abrasion of small size coarse aggregates by the use of the Los Angeles Machine

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