Rideability Test Report
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Kentucky Transportation Cabinet TC 63-43
Division of Construction 06/2007
PROPOSAL CODE NO: RIDEABILITY TEST REPORT
DISTRICT NO. :
LETTING DATE: MARS JOB NUMBER :
CONTRACTOR:
PROJECT NO. : ROUTE: COUNTY :
LOCATION FROM: MI. PT.
TO: MI. PT.
COMMENTS: LENGTH:
REQUESTED BY: PROJECT ENGINEER DISTRICT OFFICE DIV. OF CONST. CONTRACTOR
NAME:
COMMENTS:
DATE: DATE RI NEEDED REQUIRED RI
OLD PAVEMENT AC PCC COMPOSITE OTHER
THICKNESS DGA PCC AC. SURF BASE BINDER OGFC
SURF. PREP: MILLING SCRATCH COURSE LEVEL & WEDGE
OTHER EDGE DRAIN (TYPE)
NEW PAVEMENT NEW CONST. OVERLAY MILL & AC INLAY BK. & ST w/ OVERLAY
SUBGRADE: SOIL ROCK LIME MOD CEMENT MOD MECH MOD
THICKNESS OF: DGA CSB TR DR BLK UNT DR BLK PCC
AC SURF: (CLASS) SURF BINDER BASE DESIGN EAL
EDGE DRAIN (TYPE) CBR ADT SAMI Yes No
Was MTD (Material Transfer Device) used: Yes No If 'YES' indicate Pavement Type: Surface Base
TEST DATE: DEGREES F: WEATHER
TESTED BY: PVMT TYPE
STRIP CHARTS TO: DATE:
PURPOSE OF TEST CHECK ACCEPTANCE AFTER CORR. OTHER
COMMENTS:
IRI RIDEABILITY INDEX PERCENT PAY
DIRECTION MILEPOINTS LANE 1 LANE 2 LANE 3 LANE 1 LANE 2 LANE 3 LANE 1 LANE 2 LANE 3
1
2
3
4
5
6
7
8
9
10
11
12
13
14
RESULTS VALIDATED BY: DATE:
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