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GDOT, Keeping Georgia on the Move Georgia Department of Transportation


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MATERIALS AUDIT UNIT

FORMS AND REPORTS

(Listed in Alphabetical Order)

 

NUMBER (if applicable)
NAME
   
DOT-658 Aggregate Quality Report
   
  Airport Draft Materials Certificate- Prepared when a local government or qualified Consultant is responsible for acceptance testing of airport projects.
   
DOT-159 Asphaltic Concrete Lot Worksheet - Extraction, Gradation, Lime, and Compaction results on asphalt.
   
  Certificate of Disposal
   
C5-00 Certification of Final Acceptance
   
DOT-164-A Concrete Pipe Report - Manufacturer's certification of pre-inspection (has CPT #, Pipe Size, and Quantities.
   
DOT-164-AM Concrete Pipe Report (Metric) - Manufacturer's certification of pre-inspection (has CPT #, Pipe Size, and Quantities.
   
DOT-319 Concrete Test Report - Has all minor structure descriptions, quantity, air test, slump test, and cylinders, and their test results.
   
DOT-319M Concrete Test Report (Metric) - Has all minor structure descriptions, quantity, air test, slump test, and cylinders, and their test results.
   
DOT-291 Corrugated Aluminum or Steel Pipe Report - Manufacturer's certification of pre-inspection (has CMPT Tag #).
   
DOT-291M Corrugated Aluminum or Steel Pipe Report (Metric) - Manufacturer's certification of pre-inspection (has CMPT Tag #).
   
OMR-INSP-72 Decal Certification - Manufacturer's certification of highway signs.
   
  Draft Materials Certificate - Prepared when a local government or qualified consultant is responsible for acceptance testing of city and county projects.
   
  Fiber Optic Approval Letter
   
  Hazardous Waste Manifest
   
DOT-549 Highway Guardrail, Posts, and Offset Blocks - prepared for type, number of panels, length of panels, total quantity, source and number of steel posts, and all requested information for wood posts and offset blocks.
   
DOT-549M Highway Guardrail, Posts, and Offset Blocks (Metric) - prepared for type, number of panels, length of panels, total quantity, source and number of steel posts, and all requested information for wood posts and offset blocks.
   
DOT-627-4 Inspector's Report for Length - also need galvanized steel post quantities and QPL Source.
   
DOT-627-22 Inspector's Report for Square Feet - needed for highway sign quantities and QPL source.
   
  Materials Certification Statement - certifies sponsor or consultant used materials from approved sources, their installation complies with approved plans and specifications and materials were sampled and tested in accordance with GDOT Standards. (NOT AVAILABLE AT THIS TIME)
   
DOT-633 Materials Disposition - To explain failures, missing materials, and materials not inspected.
   
OMR-INSP-113 Materials Sample Record
   
  Non-Hazardous Waste Manifest
   
OMR-INSP-89 Polyethylene (PE) Plastic Corrugated Underdrain Pipe - has pre-inspection CPPT number.
   
OMR-INSP-89M Polyethylene (PE) Plastic Corrugated Underdrain Pipe (Metric) - has pre-inspection CPPT number.
   
OMR-122 Precast/Prestressed Shipping Report - has DOT Stamp
   
DOT-166 Reinforcement Steel Shipment Report - Manufacturer's certification (has heat numbers, bar size, weights, and QPL Source).
   
DOT-166M Reinforcement Steel Shipment Report (Metric)- Manufacturer's certification (has heat numbers, bar size, weights, and QPL Source).
   
DOT-553 Roadway Compaction Report - has aggregate compaction tests and depth measurements.
   
DOT-495 Soil Report - Has soil gradation results.
   
DOT-546 Steel Piling and Bridge Rail Report
   
DOT-546M Steel Piling and Bridge Rail Report (Metric)
   
  TCLP Report - Test results of lead content in bridge paint removed.

 

 

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