Illinois Department of Transportation, Milton R. Sees, Secretary Rod R. Blagojevich, Governor
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ILLINOIS DEPARTMENT OF TRANSPORTATION
BUREAU OF MATERIALS AND PHYSICAL RESEARCH
 Standard Materials Forms

The standard* materials inspection and testing forms are listed below.  The files are Microsoft Word documents that can be viewed or downloaded.

 

Form Number Form Name Revised
 
Aggregate
MI504 Field / Lab Gradations 10/97
 

Hot Mix Asphalt (HMA)

MI303c Bituminous Core Density Testing 3/96
MI303n Nuclear Density Report 2/99
 

Miscellaneous

BMPR ACCTY1 Yellow Traffic Paint Certification Statement 5/07
BMPR ACCTW1 White Traffic Paint Certification Statement 5/07
BMPR ACCTG1 Glass Bead Certification Statement 03/13/08
BMPR LM6 Sample Identification 3/07
BMPR MI082 Assignment of Material – Aggregate 12/06/07
BMPR MI083  Assignment of Materials – Miscellaneous 12/06/07
BMPR MT01 Fastener Identification 04/01/08
 

Portland Cement Concrete (PCC)

BMPR CM01 Cement / Finely Divided Materials PRE / PRO Sample Identification 12/06
BMPR CM02 Portland Cement Producer's Test Report 12/06
BMPR PCC001 Concrete Plant Survey 1/07
BMPR PCC002 Annual Inspection Certification for Concrete Plant 1/07
BMPR PCC003 Annual Inspection Certification for Concrete Delivery Trucks 1/07
BMPR MI654 Concrete Air, Slump and Quantity 5/07
BMPR MI655 P.C. Concrete Strengths 5/07
 

Prestressed Concrete Products

BMPR PS02 Notice of Unacceptable Product at Plant or Jobsite  
 

Soils

BMPR MI701N Field Soil Compaction – Nuclear (formerly MI701N) 10/17/07
BMPR SL01 Sieve Analysis Worksheet  
BMPR SL02 Moisture-Density Worksheet  

* Please contact your IDOT district materials office prior to using these forms.

Research Forms

BMPR PROD01 Preliminary Information for Product Evaluation
*The Preliminary Information for Product Evaluation (PIPE) form is not required for products that meet current IDOT specifications.
12/06
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