BMT-36e (Rev 9/97) ALABAMA DEPARTMENT OF TRANSPORTATION BUREAU OF MATERIALS AND TESTS Copies: Division Engineer BITUMINOUS DISTRIBUTOR Project No.: District Engineer DAILY REPORT FORM County: File Division: District: Project Location: Report No.: Date: Project Length: Pay Item: Description: Contractor: STA No.: To STA No.: Weather: Temp: F Low F High MATERIAL HOT CUT BACK COARSE FINE INFORMATION: PRIME APPLICATION OR EMULSION AGGREGATE AGGREGATE Kind and Grade Producer Plant Shipped from No. of Sq. BITUMEN USED AGGREGATE USED Station To Station Yds. Temp F Liter Equivalent Rate Per Cu. Yds. Cu. Ft. per Sq. Kind of Gross Applied at 60 F Sq. Yd. Used Yd. Work WORK DONE THIS DATE WORK DONE TO DATE DAILY TOTAL: PREVIOUS TOTAL: TO DATE TOTAL: Remarks: Inspector: Project Engineer: NOTE: In Kind of Work Column record on each line whether work involved is priming, placing aggregate, hot application, tack coat, etc. Send copies of this report to Division Office for each day's work. Under Work Done to Date, show totals to date for each stage of the work, use first line for the prime, second line for coarse aggregate, etc. Under Remarks state width of application; record any notes of interest.
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