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This report is an archived publication and may contain dated technical, contact, and link information
Publication Number: FHWA-HRT-06-068
Date: March 2006

Long-Term Pavement Performance Maintenance and Rehabilitation Data Collection Guide

Chapter 4. Rehabilitation

Chapter 4. Rehabilitation


LTPP MAINTENANCE DATA
SHEET 1
IMPROVEMENT LISTING		 *STATE CODE
*SHRP ID
 [__ __]
[__ __ __ __]

*1.
DATE
COMPLETED
(mm/dd/yyyy)		 *2.
WORK1 TYPE
CODE
(Table A.16)		 *3.
WORK QUANTITY
(Units from
Table A.16)		 4.
THICKNESS
(inches)		 5. COST2
(thousands of
dollars per
lane mile
[__ __/__ __/__ __ __ __] [__ __] [__ __ __ __ __] [__ __.__] [__ __ __]
[__ __/__ __/__ __ __ __] [__ __] [__ __ __ __ __] [__ __.__] [__ __ __]
[__ __/__ __/__ __ __ __] [__ __] [__ __ __ __ __] [__ __.__] [__ __ __]
[__ __/__ __/__ __ __ __] [__ __] [__ __ __ __ __] [__ __.__] [__ __ __]
[__ __/__ __/__ __ __ __] [__ __] [__ __ __ __ __] [__ __.__] [__ __ __]
[__ __/__ __/__ __ __ __] [__ __] [__ __ __ __ __] [__ __.__] [__ __ __]

NOTES:
  1. For each specific work type, the appropriate set of sheets should be completed (as indexed in table 6). It is recognized that parts of both chapter 3 (Maintenance Data Collection) and chapter 4 (Rehabilitation Data Collection) may be required to adequately record a given set of improvements for a test section.
  2. Cost includes only pavement structure cost. Non-pavement costs such as cut and fill work, work on bridges, culverts, lighting, and guard rails are to be excluded.


LTPP MAINTENANCE DATA
SHEET 2
REVISED LAYER DESCRIPTIONS		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

1.
LAYER 1
NUMBER		 *2.
LAYER 2
DESCRIPTION		 *3.
MATERIAL 3,4
TYPE
CLASSIFICATION		 *4.
<-------------LAYER THICKNESES------------->
(inches)
MEAN MIN MAX STD. DEV.
1 SUBGRADE (7) [__ __]        
2 [__ __] [__ __] [__ __ __.__] [__ __ __.__] [__ __ __.__] [__ __ __.__]
3 [__ __] [__ __] [__ __ __.__] [__ __ __.__] [__ __ __.__] [__ __ __.__]
4 [__ __] [__ __] [__ __ __.__] [__ __ __.__] [__ __ __.__] [__ __ __.__]
5 [__ __] [__ __] [__ __ __.__] [__ __ __.__] [__ __ __.__] [__ __ __.__]
6 [__ __] [__ __] [__ __ __.__] [__ __ __.__] [__ __ __.__] [__ __ __.__]
7 [__ __] [__ __] [__ __ __.__] [__ __ __.__] [__ __ __.__] [__ __ __.__]
8 [__ __] [__ __] [__ __ __.__] [__ __ __.__] [__ __ __.__] [__ __ __.__]
9 [__ __] [__ __] [__ __ __.__] [__ __ __.__] [__ __ __.__] [__ __ __.__]
NOTES:

  1. Layer 1 is subgrade soil, last layer is existing surface.
  2. Layer description codes:
    Overlay...............................................01 Base Layer............... 05 Porous Friction Course...........09
    Seal/Tack Coat...................................02 Subbase Layer...........06 Surface Treatment..................10
    Original Surface..................................03 Subgrade...................07 Embankment (Fill)..................11
    HMAC Layer (Below Surface Layer)......04 Interlayer....................08 Recycled Layer......................12
  3. The material type classification codes for surface, base or subbase, subgrade, and seal coat or interlayer materials appear in Tables A.4, A.5, A.6, and A.7, respectively.
  4. If the materials or thicknesses of a layer has not changed during the rehabilitation, enter "99" as the material type classification and leave the layer thicknesses for that layer blank. If a layer has changed, enter the appropriate codes and thicknesses.


LTPP MAINTENANCE DATA
SHEET 3
ASPHALT CONCRETE OVERLAY
AGGREGATE PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
  COMPOSITION OF COARSE AGGREGATE (Items 2, 3, and 4)
        TYPE PERCENT
  Crushed Stone........1 Crushed Slag..........4 *2. [__] [__ __ __.__]
  Gravel....................2 Manufactured
 *3. [__] [__ __ __.__]
  Crushed Gravel.......3 Lightweight.......5 *4. [__] [__ __ __.__]
  Other (Specify)[_________________________________________] . 6      
*5. GEOLOGIC CLASSIFICATION OF COARSE AGGREGATE     [__ __]
  (See Geologic Classification Codes, Table A.8)      
  COMPOSITION OF FINE AGGREGATE (Items 6, 7, and 8)      
      TYPE PERCENT
  Natural Sand...........................................................1 *6. [__] [__ __ __.__]
  Manufactured Sand (From *7. [__] [__ __ __.__]
  Crushed Gravel or Stone)...................................2 *8. [__] [__ __ __.__]
  Recycled Concrete..................................................3      
  Other (Specify) [____________________________] . 4      
*9. TYPE OF MINERAL FILLER     [__]
  Stone Dust..................1 Portland Cement....3      
  Hydrated Lime.............2 Fly Ash.................4      
  Other (Specify)[_______________________________________] 5      
  AGGREGATE DURABILITY TEST RESULTS (Items 10 through 13)
  (See Durability Test Type Codes, Table A.12)
  TYPE OF AGGREGATE TYPE OF TEST RESULTS
10. COARSE [__ __] [__ __ __.__ __ __]
11. COARSE [__ __] [__ __ __.__ __ __]
12. COARSE [__ __] [__ __ __.__ __ __]
13. COMBINED COARSE AND FINE [__ __] [__ __ __.__ __ __]
14. POLISH VALUE OF COARSE AGGREGATES [__ __]
  (Surface Layer Only) (AASHTO T279, ASTM D3319)  


LTPP MAINTENANCE DATA
SHEET 4
ASPHALT CONCRETE OVERLAY
AGGREGATE PROPERTIES (CONTINUED)		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. GRADATION OF COMBINED AGGREGATES
  Sieve Size or No. % Passing Sieve Size or No. % Passing  
  2"...................... [__ __ __] No. 4................ [__ __]  
  1 1/2"................. [__ __ __] No. 8................ [__ __]  
  1"....................... [__ __ __] No. 10.............. [__ __]  
  7/8".................... [__ __ __] No. 16.............. [__ __]  
  3/4".................... [__ __ __] No. 30.............. [__ __]  
  5/8".................... [__ __ __] No. 40.............. [__ __]  
  1/2"................... [__ __ __] No. 50.............. [__ __]  
  3/8"................... [__ __] No. 80.............. [__ __]  
      No. 100............ [__ __]  
      No. 200............ [__ __]  
  BULK SPECIFIC GRAVITIES (Items 3 through 6)  
*3. COARSE AGGREGATE (AASHTO T85 OR ASTM C127) [__.__ __ __]
*4. FINE AGGREGATE (AASHTO T84 OR ASTM C128) [__.__ __ __]
*5. MINERAL FILLER (AASHTO T100 OR ASTM D854) [__.__ __ __]
*6. AGGREGATE COMBINATION (Calculated - EQ. 1) [__.__ __ __]
7. EFFECTIVE SPECIFIC GRAVITY OF AGGREGATE [__.__ __ __]
  COMBINATION (Calculated - EQ. 2)  


LTPP MAINTENANCE DATA
SHEET 5
ASPHALT CONCRETE OVERLAY
ASPHALT CEMENT PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. ASPHALT GRADE (See Asphalt Code Sheet, Table A.15, Appendix A) [__ __]
  Other (Specify) [_________________________________]  
*3. SOURCE (See Supply Code Sheet, Table A.13, Appendix A) [__ __]
  Other (Specify) [_________________________________]  
*4. SPECIFIC GRAVITY OF ASPHALT CEMENT [__.__ __ __]
  (AASHTO T228, ASTM D70)  
*5. VISCOSITY OF ASPHALT AT 140°F (poises) [__ __ __ __ __ __]
  (AASHTO T202, ASTM D2171)  
*6. VISCOSITY OF ASPHALT AT 275°F (centistokes) [__ __ __ __.__ __]
  (AASHTO T201, ASTM D2170)  
*7. PENETRATION AT 77°F, 100 g, 5 sec. (tenths of a mm) [__ __ __]
  (AASHTO T49, ASTM D5)  
  ASPHALT MODIFIERS (See Type Code, Table A.14, Appendix A) (Items 8 and 9)
    TYPE Quantity (%)
*8. MODIFIER #1 [__ __] [__ __]
*9. MODIFIER #2 [__ __] [__ __]
  Other (Specify) [_________________________________]  
10. DUCTILITY AT 77°F (cm) [__ __ __]
  (AASHTO T51, ASTM D113)  
11. DUCTILITY AT 39.2°F (cm) [__ __ __]
  (AASHTO T51, ASTM D113)  
12. TEST RATE FOR DUCTILITY MEASUREMENT AT 39.2°F (cm/min) [__ __ __]
13. PENETRATION AT 39.2°F, 200 g, 60 sec. (tenths of a mm) [__ __ __]
  (AASHTO T49, ASTM D5)  
14. RING AND BALL SOFTENING POINT (°F) [__ __ __]
  (AASHTO T53, ASTM D36)  


LTPP MAINTENANCE DATA
SHEET 6
ASPHALT CONCRETE OVERLAY
LABORATORY AGED ASPHALT
CEMENT PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
2. TEST PROCEDURE USED TO MEASURE AGING EFFECTS [__]
  ASTM D1754 - Thin Film Oven Test..................................1  
  ASTM D2872 - Rolling Thin Film Oven Test.......................2  
  Other (Specify) [__________________________________] 3  
3. VISCOSITY OF ASPHALT AT 140°F (poises) [__ __ __ __ __ __]
  (AASHTO T202, ASTM D2171)  
4. VISCOSITY OF ASPHALT AT 275°F (centistokes) [__ __ __ __.__]
  (AASHTO T201, ASTM D2170)  
5. DUCTILITY AT 77°F (cm) (AASHTO T51, ASTM D113) [__ __ __]
6. DUCTILITY AT 39.2°F (cm) (AASHTO T51, ASTM D113) [__ __ __]
7. TEST RATE FOR DUCTILITY MEASUREMENT AT 39.2°F (cm/min) [__ __.__]
8. PENETRATION AT 77°F, 100 g, 5 sec. (tenths of a mm) [__ __ __]
  (AASHTO T49, ASTM D5)  
9. PENETRATION AT 39.2°F, 200 g, 60 sec. (tenths of a mm) [__ __]
  (AASHTO T49, ASTM D5)  
10. RING AND BALL SOFTENING POINT (°F) (AASHTO T53, ASTM D36) [__ __ __]
11. WEIGHT LOSS (percent) [__.__]


LTPP MAINTENANCE DATA
SHEET 7
ASPHALT CONCRETE OVERLAY
LABORATORY MIXTURE DESIGN		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
2. MAXIMUM SPECIFIC GRAVITY (No Air Voids) (Eq. 3) [__.__ __ __]
3. BULK SPECIFIC GRAVITY (ASTM D1188) [__.__ __ __]
4. OPTIMUM ASPHALT CONTENT (percent by weight of total mix) [__ __.__]
5. PERCENT AIR VOIDS (Eq. 4) [__ __.__]
6. VOIDS IN MINERAL AGGREGATE (percent) (Eq. 5) [__ __.__]
7. EFFECTIVE ASPHALT CONTENT (Percent) (Eq. 6) [__ __.__]
8. MARSHALL STABILITY (pounds) (AASHTO T245, ASTM D1559) [__.__ __ __]
9. NUMBER OF BLOWS [__ __]
10. MARSHALL FLOW (hundredths of an inch) [__ __ __ __]
  (AASHTO T245, ASTM D1559)  
11. HVEEM STABILITY (AASHTO T246, ASTM D1560) [__ __ __]
12. HVEEM COHESIOMETER VALUE (grams/25 mm of width) [__ __ __ __]
  (AASHTO T246, ASTM D1560)  
13. SUPERPAVE GYRATORY COMPACTION NDESIGN [__ __ __]
14. ASPHALT GRADE (See Asphalt Code Sheet, Table A.15) [__ __]
  Other (Specify) [_____________________________________]  
15. SUPERPAVE ASPHALT BINDER GRADE PG [__ __] - [__ __]


LTPP MAINTENANCE DATA
SHEET 8
ASPHALT CONCRETE OVERLAY
MIXTURE PROPERTIES AS PLACED		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. TYPE OF SAMPLES [__]
  Mixed in Field, Compacted in Laboratory.............................1  
  Mixed and Compacted in Field............................................2  
*3. MAXIMUM SPECIFIC GRAVITY (No Air Voids) (Eq. 3) [__.__ __ __]
*4. BULK SPECIFIC GRAVITY (ASTM D1188)  
  MEAN [__.__ __ __] NUMBER OF TESTS [__ __]
  MINIMUM [__.__ __ __] MAXIMUM [__.__ __ __]
  STD. DEV. [__.__ __ __]    
*5. ASPHALT CONTENT (percent by weight of total mix)  
  (AASHTO T164, ASTM D2172)  
  MEAN [__ __.__] NUMBER OF TESTS [__ __]
  MINIMUM [__ __.__] MAXIMUM [__ __.__]
  STD. DEV. [__ __.__]    
*6. PERCENT AIR VOIDS (Eq. 4)  
  MEAN [__ __.__] NUMBER OF TESTS [__ __]
  MINIMUM [__ __.__] MAXIMUM [__ __.__]
  STD. DEV. [__ __.__]    
7. VOIDS IN MINERAL AGGREGATE (percent) (Eq. 5)  
  MEAN [__ __.__] NUMBER OF TESTS [__ __]
  MINIMUM [__ __.__] MAXIMUM [__ __.__]
  STD. DEV. [__ __.__]    
8. EFFECTIVE ASPHALT CONTENT (percent) (Eq. 6)  
  MEAN [__ __.__] NUMBER OF TESTS [__ __]
  MINIMUM [__ __.__] MAXIMUM [__ __.__]
  STD. DEV. [__ __.__]    


LTPP MAINTENANCE DATA
SHEET 9
ASPHALT CONCRETE OVERLAY
MIXTURE PROPERTIES AS PLACED
(CONTINUED)		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. TYPE OF SAMPLES [__]
  Batch Plant.....................1 Drum Mix Plant...................2  
  Other (Specify) [______________________________________________] 3  
*3. TYPE OF ANTISTRIPPING AGENT (See Type Codes, Table A.20) [__ __]
  Other (Specify) [______________________________________________]  
*4. ANTISTRIPPING AGENT LIQUID OR SOLID CODE [__]
  Liquid..............................1 Solid.................................2  
*5. AMOUNT OF ANTISTRIPPING AGENT [__ __.__]
  (If liquid, enter amount as percent of asphalt cement
weight, if solid, enter amount as percent of aggregate weight.)		  
6. MOISTURE SUSCEPTIBILITY TEST TYPE [__]
  AASHTO T165 (ASTM D1075).............................................................1  
  Texas Freeze-Thaw Pedestal Test (Ref 21)...........................................2  
  Texas Boiling Test (Ref 22)..................................................................3  
  Revised Lottman Procedure (AASHTO T283).........................................4  
  Other (Specify) [_____________________________________________] 5  
7. MOISTURE SUSCEPTIBILITY TEST RESULTS  
  HVEEM STABILITY NO. [__ __]
  PERCENT STRIPPED [__ __]
  TENSILE STRENGTH RATIO (AASHTO T283) [__.__ __]
  INDEX OF RETAINED STRENGTH (AASHTO T165) [__ __ __]


LTPP MAINTENANCE DATA
SHEET 10
ASPHALT CONCRETE OVERLAY
CONSTRUCTION DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
2. MIXING TEMPERATURE (°F) [__ __ __]
  LAYDOWN TEMPERATURES (°F) (Items 3, 4, and 5)  
3. MEAN [__ __ __] NUMBER OF TESTS [__ __]
4. MINIMUM [__ __ __] MAXIMUM [__ __ __]
5. STD. DEV. [__ __ __]    
  ROLLER DATA (Items 6 through 22)  
  Roller
Code		 Roller
Description		 Gross Wgt
(tons)		 Tire Pres.
(psi)		 Frequency
(vibr/min)		 Amplitude
(inches)		 Speed
(mph)
6. A Steel-Whl Tandem [__ __.__]        
7. B Steel-Whl Tandem [__ __.__]        
8. C Steel-Whl Tandem [__ __.__]        
9. D Steel-Whl Tandem [__ __.__]        
10. E Pneumatic-Tired [__ __.__] [__ __ __]      
11. F Pneumatic-Tired [__ __.__] [__ __ __]      
12. G Pneumatic-Tired [__ __.__] [__ __ __]      
13. H Pneumatic-Tired [__ __.__] [__ __ __]      
14. I Single-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
15. J Single-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
16. K Single-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
17. L Single-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
18. M Double-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
19. N Double-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
20. O Double-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
21. P Double-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
22. Q Other (Specify) [______________________________________________________]
  COMPACTION DATA (Items 23 through 31)
  BREAKDOWN: First Lift Second Lift Third Lift Fourth Lift
23. ROLLER CODE # (A-Q) [__] [__] [__] [__]
24. COVERAGES [__ __] [__ __] [__ __] [__ __]
  INTERMEDIATE:        
25. ROLLER CODE # (A-Q) [__] [__] [__] [__]
26. COVERAGES [__ __] [__ __] [__ __] [__ __]
  FINAL:        
27. ROLLER CODE # (A-Q) [__] [__] [__] [__]
28. COVERAGES [__ __] [__ __] [__ __] [__ __]
29. AIR TEMP (°F) [__ __ __] [__ __ __] [__ __ __] [__ __ __]
30. COMPACTED THICKNESS (in.) [__.__] [__.__] [__.__] [__.__]
31. CURING PERIOD (days) [__ __] [__ __] [__ __] [__ __]


LTPP MAINTENANCE DATA
SHEET 11
HOT-MIX RECYCLED ASPHALT PAVEMENT
GENERAL INFORMATION AND
RECLAIMED AGGREGATE PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
  GENERAL INFORMATION  
*2. PROCEDURE USED TO BREAK UP AND/OR REMOVE THE ASPHALT PAVEMENT [__]
  Scarifying......................1 Ripping.............................3  
  Grid Rolling....................2 Cold Milling.......................4  
  Other (Specify)[_________________________________________________________] 5  
*3. PAVEMENT PROCESSING [__]
  None.......................................................................................1  
  Crushed and Screened..............................................................2  
  Pulverized by Hammermill.........................................................3  
  Pulverized by Grid or V-Cleated Roller........................................4  
  Other (Specify)[________________________________________] 5  
  RECLAIMED AGGREGATE PROPERTIES  
*4. GRADATION OF RECLAIMED AGGREGATES  
  Sieve Size or No. % Passing Sieve Size or No % Passing  
  2"................ [__ __ __] No. 4.............. [__ __]  
  1 1/2"........... [__ __ __] No. 8............. [__ __]  
  1"................ [__ __ __] No. 10........... [__ __]  
  7/8"............. [__ __ __] No. 16.......... [__ __]  
  3/4"............. [__ __ __] No. 30.......... [__ __]  
  5/8".............. [__ __ __] No. 40.......... [__ __]  
  1/2".............. [__ __ __] No. 50......... [__ __]  
  3/8"............... [__ __] No. 80......... [__ __]  
      No. 100....... [__ __]  
      No. 200....... [__ __]  
  BULK SPECIFIC GRAVITIES (Items 5 through 8)
*5. COARSE AGGREGATE (AASHTO T85 or ASTM C127) [__.__ __ __]
*6. FINE AGGREGATE (AASHTO T84 or ASTM C128) [__.__ __ __]
*7. MINERAL FILLER (AASHTO T100 or ASTM D854) [__.__ __ __]
*8. AGGREGATE COMBINATION (Calculated - Eq. 1) [__.__ __ __]
9. EFFECTIVE SPECIFIC GRAVITY OF AGGREGATE COMBINATION [__.__ __ __]
  (Calculated - Eq. 2)  


LTPP MAINTENANCE DATA
SHEET 12
HOT-MIX RECYCLED ASPHALT PAVEMENT
UNTREATED AGGREGATE PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
  COMPOSITION OF COARSE AGGREGATE (Items 2, 3, and 4)  
        TYPE PERCENT
  Crushed Stone...........................1 Crushed Slag......................4 *2. [__] [__ __ __]
  Gravel.......................................2 Manufactured *3. [__] [__ __ __]
  Crushed Gravel..........................3 Lightweight...................5 *4. [__] [__ __ __]
  Other (Specify)[________________________________________________] 6      
*5. GEOLOGIC CLASSIFICATION OF COARSE AGGREGATE [__ __]
  (See Geologic Classification Codes, Table A.8)  
  COMPOSITION OF FINE AGGREGATE (Items 6, 7, and 8)  
    TYPE PERCENT
  Natural Sand..................................................................................1 *6. [__] [__ __ __]
  Manufactured Sand (From *7. [__] [__ __ __]
  Crushed Gravel or Stone)..........................................................2 *8. [__] [__ __ __]
  Recycled Concrete.........................................................................3      
  Other (Specify)[___________________________________________] 4  
  SOURCE (Items 9 and 10)  
  Reclaimed Base Material.............1 *9. COARSE [__]
  Pit (Original Use)........................2 *10. FINE [__]
*11. TYPE OF MINERAL FILLER  
  Stone Dust.................................1 Portland Cement.................3 [__]
  Hydrated Lime............................2 Fly Ash..............................4  
  Other (Specify)[_____________________________________________] 5  
  AGGREGATE DURABILITY TEST RESULTS (Items 12 through 15)  
  (See Durability Test Type Codes, Table A.12)  
  TYPE OF AGGREGATE TYPE OF TEST RESULTS
12. COARSE [__ __] [__ __ __. __ __ __]
13. COARSE [__ __] [__ __ __. __ __ __]
14. COARSE [__ __] [__ __ __. __ __ __]
15. COMBINED COARSE AND FINE [__ __] [__ __ __. __ __ __]
16. POLISH VALUE OF COARSE AGGREGATES [__ __]
  (Surface Layer Only) (AASHTO T279, ASTM D3319)


LTPP MAINTENANCE DATA
SHEET 13
HOT-MIX RECYCLED ASPHALT PAVEMENT
UNTREATED AGGREGATE PROPERTIES
(CONTINUED)		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. GRADATION OF UNTREATED AGGREGATES  
  Sieve Size or No. % Passing Sieve Size or No % Passing  
  2"................ [__ __ __] No. 4.............. [__ __]  
  1 1/2"........... [__ __ __] No. 8............. [__ __]  
  1"................ [__ __ __] No. 10........... [__ __]  
  7/8"............. [__ __ __] No. 16.......... [__ __]  
  3/4"............. [__ __ __] No. 30.......... [__ __]  
  5/8".............. [__ __ __] No. 40.......... [__ __]  
  1/2".............. [__ __ __] No. 50......... [__ __]  
  3/8"............... [__ __] No. 80......... [__ __]  
      No. 100....... [__ __]  
      No. 200....... [__ __]  
  BULK SPECIFIC GRAVITIES (Items 3 through 6)  
*3. COARSE AGGREGATE (AASHTO T85 OR ASTM C127) [__.__ __ __]
*4. FINE AGGREGATE (AASHTO T84 OR ASTM C128) [__.__ __ __]
*5. MINERAL FILLER (AASHTO T100 OR ASTM D854) [__.__ __ __]
*6. AGGREGATE COMBINATION (Calculated - Eq. 1) [__.__ __ __]
7. EFFECTIVE SPECIFIC GRAVITY OF AGGREGATE COMBINATION [__.__ __ __]
  (Calculated - Eq. 2)  


LTPP MAINTENANCE DATA
SHEET 14
HOT-MIX RECYCLED ASPHALT PAVEMENT
COMBINED AGGREGATE PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. AMOUNT OF NEW UNTREATED AGGREGATE ADDED [__ __.__]
  (percent by weight of combined aggregate in recycled mix)  
*3. GRADATION OF UNTREATED AGGREGATES  
  Sieve Size or No. % Passing Sieve Size or No % Passing  
  2"................ [__ __ __] No. 4.............. [__ __]  
  1 1/2"........... [__ __ __] No. 8............. [__ __]  
  1"................ [__ __ __] No. 10........... [__ __]  
  7/8"............. [__ __ __] No. 16.......... [__ __]  
  3/4"............. [__ __ __] No. 30.......... [__ __]  
  5/8".............. [__ __ __] No. 40.......... [__ __]  
  1/2".............. [__ __ __] No. 50......... [__ __]  
  3/8"............... [__ __] No. 80......... [__ __]  
      No. 100....... [__ __]  
      No. 200....... [__ __]  
  BULK SPECIFIC GRAVITIES (Items 4 through 7)  
*4. COARSE AGGREGATE (AASHTO T85 OR ASTM C127) [__.__ __ __]
*5. FINE AGGREGATE (AASHTO T84 OR ASTM C128) [__.__ __ __]
*6. MINERAL FILLER (AASHTO T100 OR ASTM D854) [__.__ __ __]
*7. AGGREGATE COMBINATION (Calculated - Eq. 1) [__.__ __ __]
8. EFFECTIVE SPECIFIC GRAVITY OF AGGREGATE COMBINATION [__.__ __ __]
  (Calculated - Eq. 2)  


LTPP MAINTENANCE DATA
SHEET 15
HOT-MIX RECYCLED ASPHALT PAVEMENT
RECLAIMED ASPHALT CEMENT PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. SPECIFIC GRAVITY OF ASPHALT CEMENT [__.__ __ __]
  (AASHTO T228, ASTM D70)  
*3. VISCOSITY OF ASPHALT AT 140°F (poises) [__ __ __ __ __ __]
  (AASHTO T202, ASTM D2171)  
*4. VISCOSITY OF ASPHALT AT 275°F (centistokes) [__ __ __ __.__]
  (AASHTO T201, ASTM D2170)  
*5. PENETRATION AT 77°F, 100 g, 5 sec. (tenths of a mm) [__ __ __]
  (AASHTO T49, ASTM D5)  
6. DUCTILITY AT 77°F (cm) (AASHTO T51, ASTM D113) [__ __ __]
7. DUCTILITY AT 39.2°F (cm) (AASHTO T51, ASTM D113) [__ __ __]
8. TEST RATE FOR DUCTILITY MEASUREMENT AT 39.2°F (cm/min) [__ __.__]
9. PENETRATION AT 39.2°F, 200 g, 60 sec. (tenths of a mm) [__ __]
  (AASHTO T49, ASTM D5)  
10. RING AND BALL SOFTENING POINT (°F) (AASHTO T53) [__ __ __]


LTPP MAINTENANCE DATA
SHEET 16
HOT-MIX RECYCLED ASPHALT PAVEMENT
NEW ASPHALT CEMENT PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. ASPHALT GRADE (See Asphalt Code Sheet, Table A.15) [__ __]
  Other (Specify)[________________________________]  
*3. SOURCE (See Supply Code Sheet, Table A.13) [__ __]
  Other (Specify)[________________________________]  
*4. SPECIFIC GRAVITY OF ASPHALT CEMENT [__.__ __ __]
  (AASHTO T228, ASTM D70)  
*5. VISCOSITY OF ASPHALT AT 140°F (poises) [__ __ __ __ __ __]
  (AASHTO T202, ASTM D2171)  
*6. VISCOSITY OF ASPHALT AT 275°F (centistokes) [__ __ __ __.__]
  (AASHTO T201, ASTM D2170)  
*7. PENETRATION AT 77°F, 100 g, 5 sec. (tenths of a mm) [__ __ __]
  (AASHTO T49, ASTM D5)  
8. DUCTILITY AT 77°F (cm) (AASHTO T51, ASTM D113) [__ __ __]
9. DUCTILITY AT 39.2°F (cm) (AASHTO T51, ASTM D113) [__ __ __]
10. TEST RATE FOR DUCTILITY MEASUREMENT AT 39.2°F (cm/min) [__ __.__]
11. PENETRATION AT 39.2°F, 200 g, 60 sec. (tenths of a mm) [__ __]
  (AASHTO T49, ASTM D5)  
12. RING AND BALL SOFTENING POINT (°F) (AASHTO T53, ASTM D36) [__ __ __]


LTPP MAINTENANCE DATA
SHEET 17
HOT-MIX RECYCLED ASPHALT PAVEMENT
COMBINED ASPHALT CEMENT PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
    TYPE QUANTITY(%)
*2. RECYCLING AGENT (See Type Code, Table A.19) [__ __] [__ __]
  Other (Specify)[________________________________]  
*3. AMOUNT OF NEW ASPHALT CEMENT ADDED [__ __.__]
  (percent by weight of recycled mixture)  
*4. SPECIFIC GRAVITY OF ASPHALT CEMENT [__.__ __ __]
  (AASHTO T228, ASTM D70)  
*5. VISCOSITY OF ASPHALT AT 140°F (poises) [__ __ __ __ __ __]
  (AASHTO T202, ASTM D2171)  
*6. VISCOSITY OF ASPHALT AT 275°F (centistokes) [__ __ __ __.__ __]
  (AASHTO T201, ASTM D2170)  
*7. PENETRATION AT 77°F, 100 g, 5 sec. (tenths of a mm) [__ __ __]
  (AASHTO T49, ASTM D5)  
  ASPHALT MODIFIERS (See Type Code, Table A.14, Appendix A) (Items 8 and 9)  
    TYPE QUANTITY(%)
*8. MODIFIER #1 [__ __] [__ __]
*9. MODIFIER #2 [__ __] [__ __]
  Other (Specify) [_________________________________]  
10. DUCTILITY AT 77°F (cm) [__ __ __]
  (AASHTO T51, ASTM D113)  
11. DUCTILITY AT 39.2°F (cm) [__ __ __]
  (AASHTO T51, ASTM D113)  
12. TEST RATE FOR DUCTILITY MEASUREMENT AT 39.2°F (cm/min) [__ __ __]
13. PENETRATION AT 39.2°F, 200 g, 60 sec. (tenths of a mm) [__ __ __]
  (AASHTO T49, ASTM D5)  
14. RING AND BALL SOFTENING POINT (°F) (AASHTO T53, ASTM D36) [__ __ __]


LTPP MAINTENANCE DATA
SHEET 18
HOT-MIX RECYCLED ASPHALT PAVEMENT
LABORATORY AGED COMBINED ASPHALT
CEMENT PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
2. TEST PROCEDURE USED TO MEASURE AGING EFFECTS [__]
  ASTM D1754 - Thin Film Oven Test................................1  
  ASTM D2872 - Rolling Thin Film Oven Test.....................2  
  Other (Specify)[_________________________________] 3  
3. VISCOSITY OF ASPHALT AT 140°F (poises) [__ __ __ __ __ __]
  (AASHTO T202, ASTM D2171)  
4. VISCOSITY OF ASPHALT AT 275°F (centistokes) [__ __ __ __.__]
  (AASHTO T201, ASTM D2170)  
5. DUCTILITY AT 77°F (cm) (AASHTO T51, ASTM D113) [__ __ __]
6. DUCTILITY AT 39.2°F (cm) (AASHTO T51, ASTM D113) [__ __ __]
7. TEST RATE FOR DUCTILITY MEASUREMENT AT 39.2°F (cm/min) [__ __.__]
8. PENETRATION AT 77°F, 100 g, 5 sec. (tenths of a mm) [__ __ __]
  (AASHTO T49, ASTM D5)  
9. PENETRATION AT 39.2°F, 200 g, 60 sec. (tenths of a mm) [__ __]
  (AASHTO T49, ASTM D5)  
10. RING AND BALL SOFTENING POINT (°F) (AASHTO T53, ASTM D36) [__ __ __]
11. WEIGHT LOSS (percent) [__.__]


LTPP MAINTENANCE DATA
SHEET 19
HOT-MIX RECYCLED ASPHALT PAVEMENT
LABORATORY MIXTURE DESIGN		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
2. MAXIMUM SPECIFIC GRAVITY (No Air Voids) (Eq. 3) [__.__ __ __]
3. BULK SPECIFIC GRAVITY (ASTM D1188) [__.__ __ __]
4. OPTIMUM ASPHALT CONTENT (percent by weight of total mix) [__ __.__]
5. PERCENT AIR VOIDS (Eq. 4) [__ __.__]
6. MARSHALL STABILITY (pounds) (AASHTO T245, ASTM D1559) [__ __ __ __]
7. NUMBER OF BLOWS [__ __]
8. MARSHALL FLOW (hundredths of an inch) [__ __ __ __]
  (AASHTO T245, ASTM D1559)  
9. HVEEM STABILITY (AASHTO T246, ASTM D1560) [__ __ __]
10. HVEEM COHESIOMETER VALUE (grams/25 mm of width) [__ __ __ __]
  (AASHTO T246, ASTM D1560)  


LTPP MAINTENANCE DATA
SHEET 20
HOT-MIX RECYCLED ASPHALT PAVEMENT
MIXTURE PROPERTIES AS PLACED		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. TYPE OF SAMPLES [__]
  Mixed in Field, Compacted in Laboratory 1  
  Mixed and Compacted in Field 2  
*3. MAXIMUM SPECIFIC GRAVITY (No Air Voids) (Eq. 3) [__.__ __ __]
*4. BULK SPECIFIC GRAVITY (ASTM D1188)  
  MEAN [__.__ __ __] NUMBER OF TESTS [__ __]
  MINIMUM [__.__ __ __] MAXIMUM [__.__ __ __]
  STD. DEV. [__.__ __ __]    
*5. ASPHALT CONTENT (percent by weight of total mix) [__ __.__]
  (AASHTO T164, ASTM D2172)  
  MEAN [__ __.__] NUMBER OF TESTS [__ __]
  MINIMUM [__ __.__] MAXIMUM [__ __.__]
  STD. DEV. [__ __.__]    
*6. PERCENT AIR VOIDS (Eq. 4) [__ __.__]
  MEAN [__ __.__] NUMBER OF TESTS [__ __]
  MINIMUM [__ __.__] MAXIMUM [__ __.__]
  STD. DEV. [__ __.__]    
7. VOIDS IN MINERAL AGGREGATE (percent) (Eq. 5)  
  MEAN [__ __.__] NUMBER OF TESTS [__ __]
  MINIMUM [__ __.__] MAXIMUM [__ __.__]
  STD. DEV. [__ __.__]    
8. EFFECTIVE ASPHALT CONTENT (percent) (Eq. 6)  
  MEAN [__ __.__] NUMBER OF TESTS [__ __]
  MINIMUM [__ __.__] MAXIMUM [__ __.__]
  STD. DEV. [__ __.__]    


LTPP MAINTENANCE DATA
SHEET 21
HOT-MIX RECYCLED ASPHALT PAVEMENT
MIXTURE PROPERTIES AS PLACED
(CONTINUED)		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. TYPE ASPHALT PLANT [__]
  Batch Plant...................1 Drum Mix Plant...................2  
  Other (Specify) [___________________________________________] . 3  
*3. TYPE OF ANTISTRIPPING AGENT (See Type Codes, Table A.20) [__ __]
  Other (Specify) [___________________________________________]  
*4. ANTISTRIPPING AGENT LIQUID OR SOLID CODE [__]
  Liquid...........................1 Solid..................................2  
*5. AMOUNT OF ANTISTRIPPING AGENT [__ __.__]
  (If liquid, enter amount as percent of asphalt cement weight,
if solid, enter amount as percent of aggregate weight.)		  
6. MOISTURE SUSCEPTIBILITY TEST TYPE [__]
  AASHTO T165 (ASTM D1075)...........................................................1  
  Texas Freeze-Thaw Pedestal Test (Ref 21).........................................2  
  Texas Boiling Test (Ref 22)...............................................................3  
  Revised Lottman Procedure (AASHTO T283)......................................4  
  Other (Specify) [____________________________________________] 5  
7. MOISTURE SUSCEPTIBILITY TEST RESULTS  
  HVEEM STABILITY NO. [__ __]
  PERCENT STRIPPED [__ __]
  TENSILE STRENGTH RATIO (AASHTO T283) [__.__ __]
  INDEX OF RETAINED STRENGTH (AASHTO T165) [__ __ __]


LTPP MAINTENANCE DATA
SHEET 22
HOT-MIX RECYCLED ASPHALT PAVEMENT
CONSTRUCTION DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
2. MIXING TEMPERATURE (°F) [__ __ __]
  LAYDOWN TEMPERATURES (°F) (Items 3, 4, and 5)  
3. MEAN [__ __ __] NUMBER OF TESTS [__ __]
4. MINIMUM [__ __ __] MAXIMUM [__ __ __]
5. STD. DEV. [__ __ __]    
  ROLLER DATA (Items 6 through 22)  
  Roller
Code		 Roller
Description		 Gross Wgt
(tons)		 Tire Pres.
(psi)		 Frequency
(vibr/min)		 Amplitude
(inches)		 Speed
(mph)
6. A Steel-Whl Tandem [__ __.__]        
7. B Steel-Whl Tandem [__ __.__]        
8. C Steel-Whl Tandem [__ __.__]        
9. D Steel-Whl Tandem [__ __.__]        
10. E Pneumatic-Tired [__ __.__] [__ __ __]      
11. F Pneumatic-Tired [__ __.__] [__ __ __]      
12. G Pneumatic-Tired [__ __.__] [__ __ __]      
13. H Pneumatic-Tired [__ __.__] [__ __ __]      
14. I Single-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
15. J Single-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
16. K Single-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
17. L Single-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
18. M Double-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
19. N Double-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
20. O Double-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
21. P Double-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
22. Q Other (Specify) [______________________________________________________]
  COMPACTION DATA (Items 23 through 31)
  BREAKDOWN: First Lift Second Lift Third Lift Fourth Lift
23. ROLLER CODE # (A-Q) [__] [__] [__] [__]
24. COVERAGES [__ __] [__ __] [__ __] [__ __]
  INTERMEDIATE:        
25. ROLLER CODE # (A-Q) [__] [__] [__] [__]
26. COVERAGES [__ __] [__ __] [__ __] [__ __]
  FINAL:        
27. ROLLER CODE # (A-Q) [__] [__] [__] [__]
28. COVERAGES [__ __] [__ __] [__ __] [__ __]
29. AIR TEMP (°F) [__ __ __] [__ __ __] [__ __ __] [__ __ __]
30. COMPACTED THICKNESS (in.) [__.__] [__.__] [__.__] [__.__]
31. CURING PERIOD (days) [__ __] [__ __] [__ __] [__ __]


LTPP MAINTENANCE DATA
SHEET 23
COLD MIX RECYCLED ASPHALT PAVEMENT
GENERAL INFORMATION AND
ECLAIMED AGGREGATE PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
  GENERAL INFORMATION  
*2. PROCEDURE USED TO BREAK UP AND/OR REMOVE THE ASPHALT PAVEMENT [__]
  Scarifying................................1 Ripping..............................3  
  Grid Rolling..............................2 Cold Milling........................4  
  Other (Specify)[____________________________________________] . 5  
*3. PAVEMENT PROCESSING [__]
  None...............................................................................................1  
  Crushed and Screened......................................................................2  
  Pulverized by Hammermill.................................................................3  
  Pulverized by Grid or V-Cleated Roller................................................4  
  Other (Specify)[___________________________________________] . 5  
  RECLAIMED AGGREGATE PROPERTIES  
*4. GRADATION OF RECLAIMED AGGREGATES  
  Sieve Size or No. % Passing Sieve Size or No % Passing
  2"................ [__ __ __] No. 4.............. [__ __]
  1 1/2"........... [__ __ __] No. 8............. [__ __]
  1"................ [__ __ __] No. 10........... [__ __]
  7/8"............. [__ __ __] No. 16.......... [__ __]
  3/4"............. [__ __ __] No. 30.......... [__ __]
  5/8".............. [__ __ __] No. 40.......... [__ __]
  1/2".............. [__ __ __] No. 50......... [__ __]
  3/8"............... [__ __] No. 80......... [__ __]
      No. 100....... [__ __]
      No. 200....... [__ __]
  BULK SPECIFIC GRAVITIES (Items 5 through 8)  
*5. COARSE AGGREGATE (AASHTO T85 or ASTM C127) [__.__ __ __]
*6. FINE AGGREGATE (AASHTO T84 or ASTM C128) [__.__ __ __]
*7. MINERAL FILLER (AASHTO T100 or ASTM D854) [__.__ __ __]
*8. AGGREGATE COMBINATION (Calculated - Eq. 1) [__.__ __ __]
*9. EFFECTIVE SPECIFIC GRAVITY OF AGGREGATE COMBINATION [__.__ __ __]
  (Calculated - Eq. 2)  


LTPP MAINTENANCE DATA
SHEET 24
COLD MIX RECYCLED ASPHALT PAVEMENT
UNTREATED AGGREGATE PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
  COMPOSITION OF COARSE AGGREGATE (Items 2, 3, and 4)  
        TYPE PERCENT
  Crushed Stone...........................1 Crushed Slag......................4 *2. [__] [__ __ __]
  Gravel.......................................2 Manufactured *3. [__] [__ __ __]
  Crushed Gravel..........................3 Lightweight...................5 *4. [__] [__ __ __]
  Other (Specify)[________________________________________________] 6      
*5. GEOLOGIC CLASSIFICATION OF COARSE AGGREGATE [__ __]
  (See Geologic Classification Codes, Table A.8)  
  COMPOSITION OF FINE AGGREGATE (Items 6, 7, and 8)  
    TYPE PERCENT
  Natural Sand..................................................................................1 *6. [__] [__ __ __]
  Manufactured Sand (From *7. [__] [__ __ __]
  Crushed Gravel or Stone)..........................................................2 *8. [__] [__ __ __]
  Recycled Concrete.........................................................................3      
  Other (Specify)[___________________________________________] 4  
  SOURCE (Items 9 and 10)  
  Reclaimed Base Material.............1 *9. COARSE [__]
  Pit (Original Use)........................2 *10. FINE [__]
*11. TYPE OF MINERAL FILLER  
  Stone Dust.................................1 Portland Cement.................3 [__]
  Hydrated Lime............................2 Fly Ash..............................4  
  Other (Specify)[_____________________________________________] 5  
  AGGREGATE DURABILITY TEST RESULTS (Items 12 through 15)  
  (See Durability Test Type Codes, Table A.12)  
  TYPE OF AGGREGATE TYPE OF TEST RESULTS
12. COARSE [__ __] [__ __ __. __ __ __]
13. COARSE [__ __] [__ __ __. __ __ __]
14. COARSE [__ __] [__ __ __. __ __ __]
15. COMBINED COARSE AND FINE [__ __] [__ __ __. __ __ __]
16. POLISH VALUE OF COARSE AGGREGATES [__ __]
  (Surface Layer Only) (AASHTO T279, ASTM D3319)


LTPP MAINTENANCE DATA
SHEET 25
COLD MIX RECYCLED ASPHALT PAVEMENT
UNTREATED AGGREGATE PROPERTIES (CONTINUED)		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. GRADATION OF COMBINED AGGREGATES
  Sieve Size or No. % Passing Sieve Size or No. % Passing  
  2"...................... [__ __ __] No. 4................ [__ __]  
  1 1/2"................. [__ __ __] No. 8................ [__ __]  
  1"....................... [__ __ __] No. 10.............. [__ __]  
  7/8".................... [__ __ __] No. 16.............. [__ __]  
  3/4".................... [__ __ __] No. 30.............. [__ __]  
  5/8".................... [__ __ __] No. 40.............. [__ __]  
  1/2"................... [__ __ __] No. 50.............. [__ __]  
  3/8"................... [__ __] No. 80.............. [__ __]  
      No. 100............ [__ __]  
      No. 200............ [__ __]  
  BULK SPECIFIC GRAVITIES (Items 3 through 6)  
*3. COARSE AGGREGATE (AASHTO T85 OR ASTM C127) [__.__ __ __]
*4. FINE AGGREGATE (AASHTO T84 OR ASTM C128) [__.__ __ __]
*5. MINERAL FILLER (AASHTO T100 OR ASTM D854) [__.__ __ __]
*6. AGGREGATE COMBINATION (Calculated - EQ. 1) [__.__ __ __]
7. EFFECTIVE SPECIFIC GRAVITY OF AGGREGATE COMBINATION [__.__ __ __]
  (Calculated - EQ. 2)  


LTPP MAINTENANCE DATA
SHEET 26
COLD MIX RECYCLED ASPHALT PAVEMENT
COMBINED AGGREGATE PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. AMOUNT OF NEW UNTREATED AGGREGATE ADDED [__ __.__]
  (percent by weight of combined aggregate in recycled mix)
*3. GRADATION OF COMBINED AGGREGATES
  Sieve Size or No. % Passing Sieve Size or No. % Passing  
  2"...................... [__ __ __] No. 4................ [__ __]  
  1 1/2"................. [__ __ __] No. 8................ [__ __]  
  1"....................... [__ __ __] No. 10.............. [__ __]  
  7/8".................... [__ __ __] No. 16.............. [__ __]  
  3/4".................... [__ __ __] No. 30.............. [__ __]  
  5/8".................... [__ __ __] No. 40.............. [__ __]  
  1/2"................... [__ __ __] No. 50.............. [__ __]  
  3/8"................... [__ __] No. 80.............. [__ __]  
      No. 100............ [__ __]  
      No. 200............ [__ __]  
  BULK SPECIFIC GRAVITIES (Items 4 through 7)  
*4. COARSE AGGREGATE (AASHTO T85 OR ASTM C127) [__.__ __ __]
*5. FINE AGGREGATE (AASHTO T84 OR ASTM C128) [__.__ __ __]
*6. MINERAL FILLER (AASHTO T100 OR ASTM D854) [__.__ __ __]
*7. AGGREGATE COMBINATION (Calculated - EQ. 1) [__.__ __ __]
8. EFFECTIVE SPECIFIC GRAVITY OF AGGREGATE COMBINATION [__.__ __ __]
  (Calculated - EQ. 2)  


LTPP MAINTENANCE DATA
SHEET 27
COLD MIX RECYCLED ASPHALT PAVEMENT
RECLAIMED ASPHALT CEMENT PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. SPECIFIC GRAVITY OF ASPHALT CEMENT [__.__ __ __]
  (AASHTO T228, ASTM D70)  
*3. VISCOSITY OF ASPHALT AT 140°F (poises) [__ __ __ __ __ __]
  (AASHTO T202, ASTM D2171)  
*4. VISCOSITY OF ASPHALT AT 275°F (centistokes) [__ __ __ __.__]
  (AASHTO T201, ASTM D2170)  
*5. PENETRATION AT 77°F, 100 g, 5 sec. (tenths of a mm) [__ __ __]
  (AASHTO T49, ASTM D5)  
6. DUCTILITY AT 77°F (cm) (AASHTO T51, ASTM D113) [__ __ __]
7. DUCTILITY AT 39.2°F (cm) (AASHTO T51, ASTM D113) [__ __ __]
8. TEST RATE FOR DUCTILITY MEASUREMENT AT 39.2°F (cm/min) [__ __.__]
9. PENETRATION AT 39.2°F, 200 g, 60 sec. (tenths of a mm) [__ __]
  (AASHTO T49, ASTM D5)  
10. RING AND BALL SOFTENING POINT (°F) (AASHTO T53, ASTM D36) [__ __ __]


LTPP MAINTENANCE DATA
SHEET 28
COLD MIX RECYCLED ASPHALT PAVEMENT
NEW ASPHALT CEMENT PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. ASPHALT GRADE (See Asphalt Code Sheet, Table A.15, Appendix A) [__ __]
  Other (Specify) [_________________________________]  
*3. SOURCE (See Supply Code Sheet, Table A.13, Appendix A) [__ __]
  Other (Specify) [_________________________________]  
*4. SPECIFIC GRAVITY OF ASPHALT CEMENT [__.__ __ __]
  (AASHTO T228, ASTM D70)  
*5. VISCOSITY OF ASPHALT AT 140°F (poises) [__ __ __ __ __ __]
  (AASHTO T202, ASTM D2171)  
*6. VISCOSITY OF ASPHALT AT 275°F (centistokes) [__ __ __ __.__ __]
  (AASHTO T201, ASTM D2170)  
*7. PENETRATION AT 77°F, 100 g, 5 sec. (tenths of a mm) [__ __ __]
  (AASHTO T49, ASTM D5)  
*8. SAYBOLT FUROL VISCOSITY OF EMULSIFIED ASPHALT AT 77°F (seconds) [__ __ __ __.__ __]
  (AASHTO T72 or ASTM D88)  
*9. RESIDUE BY DISTILLATION (percent) [__ __]
  (AASHTO T59 or ASTM D244)  
10. COATING ABILITY AND WATER TEST  
  (AASHTO T59 or ASTM D244)  
  Good............1 DRY AGGREGATE [__]
  Fair..............2 AFTER SPRAYING [__]
  Poor.............3 WET AGGREGATE [__]
    AFTER SPRAYING [__]
11. DUCTILITY AT 77°F (cm) [__ __ __]
  (AASHTO T51, ASTM D113)  
12. DUCTILITY AT 39.2°F (cm) [__ __ __]
  (AASHTO T51, ASTM D113)  
13. TEST RATE FOR DUCTILITY MEASUREMENT AT 39.2°F (cm/min) [__ __ __]
14. PENETRATION AT 39.2°F, 200 g, 60 sec. (tenths of a mm) [__ __ __]
  (AASHTO T49, ASTM D5)  
15. RING AND BALL SOFTENING POINT (°F) (AASHTO T53, ASTM D36) [__ __ __]


LTPP MAINTENANCE DATA
SHEET 29
COLD MIX RECYCLED ASPHALT PAVEMENT
COMBINED ASPHALT CEMENT PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
    TYPE QUANTITY(%)
*2. RECYCLING AGENT (See Type Code, Table A.19) [__ __] [__ __]
  Other (Specify)[________________________________]  
*3. AMOUNT OF NEW ASPHALT CEMENT ADDED [__ __.__]
  (percent by weight of recycled mixture)  
*4. SPECIFIC GRAVITY OF ASPHALT CEMENT [__.__ __ __]
  (AASHTO T228, ASTM D70)  
*5. VISCOSITY OF ASPHALT AT 140°F (poises) [__ __ __ __ __ __]
  (AASHTO T202, ASTM D2171)  
*6. VISCOSITY OF ASPHALT AT 275°F (centistokes) [__ __ __ __.__ __]
  (AASHTO T201, ASTM D2170)  
*7. PENETRATION AT 77°F, 100 g, 5 sec. (tenths of a mm) [__ __ __]
  (AASHTO T49, ASTM D5)  
  ASPHALT MODIFIERS
(See Type Code, Table A.14, Appendix A) (Items 8 and 9)		  
    TYPE QUANTITY(%)
*8. MODIFIER #1 [__ __] [__ __]
*9. MODIFIER #2 [__ __] [__ __]
  Other (Specify) [_________________________________]  
10. DUCTILITY AT 77°F (cm) [__ __ __]
  (AASHTO T51, ASTM D113)  
11. DUCTILITY AT 39.2°F (cm) [__ __ __]
  (AASHTO T51, ASTM D113)  
12. TEST RATE FOR DUCTILITY MEASUREMENT AT 39.2°F (cm/min) [__ __ __]
13. PENETRATION AT 39.2°F, 200 g, 60 sec. (tenths of a mm) [__ __ __]
  (AASHTO T49, ASTM D5)  
14. RING AND BALL SOFTENING POINT (°F) (AASHTO T53, ASTM D36) [__ __ __]


LTPP MAINTENANCE DATA
SHEET 30
COLD MIX RECYCLED ASPHALT PAVEMENT
LABORATORY AGED
ASPHALT CEMENT PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
[__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
2. TEST PROCEDURE USED TO MEASURE AGING EFFECTS [__]
  ASTM D1754 - Thin Film Oven Test..................................1  
  ASTM D2872 - Rolling Thin Film Oven Test.......................2  
  Other (Specify)[__________________________________] 3  
3. VISCOSITY OF ASPHALT AT 140°F (poises) [__ __ __ __ __ __]
  (AASHTO T202, ASTM D2171)  
4. VISCOSITY OF ASPHALT AT 275°F (centistokes) [__ __ __ __.__]
  (AASHTO T201, ASTM D2170) [__ __ __]
5. DUCTILITY AT 77°F (cm) (AASHTO T51, ASTM D113) [__ __ __]
6. DUCTILITY AT 39.2°F (cm) (AASHTO T51, ASTM D113) [__ __ __]
7. TEST RATE FOR DUCTILITY MEASUREMENT AT 39.2°F (cm/min) [__ __.__]
8. PENETRATION AT 77°F, 100 g, 5 sec. (tenths of a mm) [__ __ __]
  (AASHTO T49, ASTM D5)  
9. PENETRATION AT 39.2°F, 200 g, 60 sec. (tenths of a mm) [__ __]
  (AASHTO T49, ASTM D5)  
10. RING AND BALL SOFTENING POINT (°F) (AASHTO T53, ASTM D36) [__ __ __]
11. WEIGHT LOSS (percent) [__.__]


LTPP MAINTENANCE DATA
SHEET 31
COLD MIX RECYCLED ASPHALT PAVEMENT
LABORATORY MIXTURE DESIGN		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
2. MAXIMUM SPECIFIC GRAVITY (No Air Voids) (Eq. 3) [__.__ __ __]
3. BULK SPECIFIC GRAVITY (ASTM D1188) [__.__ __ __]
4. OPTIMUM ASPHALT CONTENT (percent by weight of total mix) [__ __.__]
5. PERCENT AIR VOIDS (Eq. 4) [__ __.__]
6. MARSHALL STABILITY (pounds) (AASHTO T245, ASTM D1559) [__ __ __ __]
7. NUMBER OF BLOWS [__ __]
8. MARSHALL FLOW (hundredths of an inch) [__ __ __ __]
  (AASHTO T245, ASTM D1559)  
9. HVEEM STABILITY (AASHTO T246, ASTM D1560) [__ __ __]
10. HVEEM COHESIOMETER VALUE (grams/25 mm of width) [__ __ __ __]
  (AASHTO T246, ASTM D1560)  


LTPP MAINTENANCE DATA
SHEET 32
COLD MIX RECYCLED ASPHALT PAVEMENT
MIXTURE PROPERTIES AS PLACED		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. TYPE OF SAMPLES [__]
  Mixed in Field, Compacted in Laboratory.............................1  
  Mixed and Compacted in Field...........................................2  
*3. MAXIMUM SPECIFIC GRAVITY (No Air Voids) (Eq. 3) [__.__ __ __]
*4. BULK SPECIFIC GRAVITY (ASTM D1188)  
  MEAN [__.__ __ __] NUMBER OF TESTS [__ __]
  MINIMUM [__.__ __ __] MAXIMUM [__.__ __ __]
  STD. DEV. [__.__ __ __]    
*5. ASPHALT CONTENT (percent by weight of total mix) [__ __.__]
  (AASHTO T164, ASTM D2172)  
  MEAN [__ __.__] NUMBER OF TESTS [__ __]
  MINIMUM [__ __.__] MAXIMUM [__ __.__]
  STD. DEV. [__ __.__]    
*6. PERCENT AIR VOIDS (Eq. 4)  
  MEAN [__ __.__] NUMBER OF TESTS [__ __]
  MINIMUM [__ __.__] MAXIMUM [__ __.__]
  STD. DEV. [__ __.__]    
7. VOIDS IN MINERAL AGGREGATE (percent) (Eq. 5)  
  MEAN [__ __.__] NUMBER OF TESTS [__ __]
  MINIMUM [__ __.__] MAXIMUM [__ __.__]
  STD. DEV. [__ __.__]    
8. EFFECTIVE ASPHALT CONTENT (percent) (Eq. 6)  
  MEAN [__ __.__] NUMBER OF TESTS [__ __]
  MINIMUM [__ __.__] MAXIMUM [__ __.__]
  STD. DEV. [__ __.__]    


LTPP MAINTENANCE DATA
SHEET 33
COLD MIX RECYCLED ASPHALT PAVEMENT
MIXTURE PROPERTIES AS PLACED (CONTINUED) AND CONSTRUCTION DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. TYPE OF ANTISTRIPPING AGENT (See Type Codes, Table A.20) [__ __]
  Other (Specify) [__________________________________]  
*3. ANTISTRIPPING AGENT LIQUID OR SOLID CODE [__]
  Liquid....................1 Solid....................2  
*4. AMOUNT OF ANTISTRIPPING AGENT [__ __.__]
  (If liquid, enter amount as percent of asphalt cement weight,
if solid, enter amount as percent of aggregate weight.)		  
5. MOISTURE SUSCEPTIBILITY TEST TYPE [__]
  AASHTO T165 (ASTM D1075)...........................................................1  
  Texas Freeze-Thaw Pedestal Test (Ref 21).........................................2  
  Texas Boiling Test (Ref 22)...............................................................3  
  Revised Lottman Procedure (AASHTO T283)......................................4  
  Other (Specify) [____________________________________________] 5  
6. MOISTURE SUSCEPTIBILITY TEST RESULTS  
  HVEEM STABILITY NO. [__ __]
  PERCENT STRIPPED [__ __]
  TENSILE STRENGTH RATIO (AASHTO T283) [__.__ __]
  INDEX OF RETAINED STRENGTH (AASHTO T165) [__ __ __]
  CONSTRUCTION DATA  
*7. TYPE OF RECYCLING [__]
  In-Place........................1 Central Plant................2  
*8. PROCEDURES FOR MIXING IN PLACE [__]
  Blade Mixing.................1 Travel Plant Mixing.......3  
  Rotary Mixing................2 Other (Specify)[_____].4  
*9. TYPE ASPHALT PLANT (If Centrally Mixed) [__]
  Batch Plant...................1 Drum Mix Plant............2  
  Other (Specify)[_____________________________________________] 3  
10. WAS MIXTURE AERATED? [__]
  Yes..............................1 No.............................2  
11. PERIOD BETWEEN MIXING AND SPREADING (hours) [__ __ __]


LTPP MAINTENANCE DATA
SHEET 34
COLD MIX RECYCLED ASPHALT PAVEMENT
CONSTRUCTION DATA (CONTINUED)		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
2. METHOD OF SPREADING MIXTURE [__]
  Motor Grader...................1 Front-Mounted Spreader..........3  
  Asphalt Paver..................2 Towed Spreader......................4  
  Other (Specify)__________________________________________________ 5  
  ROLLER DATA (Items 3 through 19)  
  Roller
Code		 Roller
Description		 Gross Wgt
(tons)		 Tire Pres.
(psi)		 Frequency
(vibr/min)		 Amplitude
(inches)		 Speed
(mph)
3. A Steel-Whl Tandem [__ __.__]        
4. B Steel-Whl Tandem [__ __.__]        
5. C Steel-Whl Tandem [__ __.__]        
6. D Steel-Whl Tandem [__ __.__]        
7. E Pneumatic-Tired [__ __.__] [__ __ __]      
8. F Pneumatic-Tired [__ __.__] [__ __ __]      
9. G Pneumatic-Tired [__ __.__] [__ __ __]      
10. H Pneumatic-Tired [__ __.__] [__ __ __]      
11. I Single-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
12. J Single-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
13. K Single-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
14. L Single-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
15. M Double-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
16. N Double-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
17. O Double-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
18. P Double-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
19. Q Other (Specify) [______________________________________________________]
  COMPACTION DATA (Items 20 through 28)
  BREAKDOWN:        
20. ROLLER CODE # (A-Q)       [__]
21. COVERAGES       [__ __]
  INTERMEDIATE:        
22. ROLLER CODE # (A-Q)       [__]
23. COVERAGES       [__ __]
  FINAL:        
24. ROLLER CODE # (A-Q)       [__]
25. COVERAGES       [__ __]
26. AIR TEMP (°F)       [__ __ __]
27. COMPACTED THICKNESS (in.)       [__.__]
28. CURING PERIOD (days)       [__ __]


LTPP MAINTENANCE DATA
SHEET 35
HEATER SCARIFICATION SURFACE
RECYCLED ASPHALT PAVEMENT		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. TYPE OF HEATER SCARIFICATION [__]
  Multiple Unit Process.......1 Single Unit Process................2  
*3. DEPTH OF SCARIFICATION (inches)   [__.__]
*4. TYPE OF SURFACE TREATMENT   [__]
  None...............................1 Slurry Seal.............................4  
  Aggregate Seal................2 Sand Seal..............................5  
  Fog Seal.........................3 HMAC Overlay........................6  
  Other (Specify)__________________________________________________ . 7  
*5. TYPE OF REJUVENATING AGENT (Codes - Table A.19) [__ __]
*6. AMOUNT OF REJUVENATING AGENT [__ __.__]
  (percent of mixture by weight)  
7. ROLLER DATA  
Roller
Code		 Roller
Description		 Gross Wgt
(tons)		 Tire Pres.
(psi)		 Frequency
(vibr/min)		 Amplitude
(inches)		 Speed
(mph)
A Steel-Whl Tandem [__ __.__]        
B Steel-Whl Tandem [__ __.__]        
C Pneumatic-Tired [__ __.__] [__ __ __]      
D Pneumatic-Tired [__ __.__] [__ __ __]      
E Double-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
F Double-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
G Double-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
H Double-Drum Vibr [__ __.__]   [__ __ __ __] [.__ __ __] [__ __.__]
I Other (Specify) [______________________________________________________]
8. COMPACTION DATA    
    ROLLER CODE COVERAGES
  BREAKDOWN [__] [__ __]
  INTERMEDIATE [__] [__ __]
  FINAL [__] [__ __]
9. LENGTH OF TIME BETWEEN HEATER SCARIFICATION AND ADDITION OF SURFACE TREATMENT (days) [__ __]
10. LENGTH OF TIME BETWEEN SURFACING AND OPENING ROAD TO TRAFFIC (days) [__ __]


LTPP MAINTENANCE DATA
SHEET 36
PORTLAND CEMENT CONCRETE OVERLAY
JOINT DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. AVERAGE CONTRACTION JOINT SPACING (feet) [__ __ __.__]
3. RANDOM JOINT SPACING, IF ANY: [__________________________________________]
*4. BUILT-IN EXPANSION JOINT SPACING (feet) [__ __ __ __]
*5. SKEWNESS OF JOINTS (ft./lane) [__.__]
*6. TRANSVERSE CONTRACTION JOINT LOAD TRANSFER SYSTEM [__]
  Round Dowels........................1 I-Beams.......................3  
  Aggregate Interlock.................2 Star Lugs.....................4  
    Keyways.....................5  
  Other (Specify)[___________________________________________] 6  
*7. ROUND DOWEL DIAMETER (inches) [__.__]
*8. DOWEL OR MECHANICAL LOAD TRANSFER DEVICE SPACING (inches) [__ __]
9. AVERAGE INTERMEDIATE SAWED JOINT SPACING (feet) [__ __.__]
  DIMENSIONS FOR I-BEAMS OR KEYWAYS (Items 10 and 11)  
10. HEIGHT (inches) [__.__ __]
11. WIDTH (inches) [__.__ __]
12. DISTANCE OF NEAREST DOWEL (OR MECHANICAL LOAD
TRANSFER DEVICE) FROM OUTSIDE LANE-SHOULDER EDGE (inches)		 [__ __.__]
13. DOWEL LENGTH (inches) [__ __]
14. DOWEL COATING [__]
  Paint and/or Grease.....................1 Stainless Steel....................4  
  Plastic........................................2 Epoxy.................................5  
  Monel.........................................3    
  Other (Specify)[_________________________________________________] 6  
15. METHOD USED TO INSTALL MECHANICAL LOAD TRANSFER DEVICES [__]
  Preplaced on Baskets...............................................................................1  
  Mechanically Installed...............................................................................2  
  Other (Specify)[_________________________________________________] 3  


LTPP MAINTENANCE DATA
SHEET 37
PORTLAND CEMENT CONCRETE OVERLAY
JOINT DATA (CONTINUED)		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. METHOD USED TO FORM TRANSVERSE JOINTS [__]
  Sawed............................1 Metal Insert (e.g., Uni-Tube).......3  
  Plastic Insert...................2    
  Other (Specify)[____________________________________________________] 4  
*3. TYPE OF LONGITUDINAL JOINT (Between Lanes) [__]
  Butt......................................1 Sawed Weakened Plane............3  
  Keyed...................................2 Insert Weakened Plane..............4  
  Other (Specify)[______________________________________________________] 5  
*4. TYPE OF SHOULDER-TRAFFIC LANE JOINT [__]
  Butt......................................1 Insert Weakened Plane..............4  
  Keyed..................................2 Tied Concrete Curb....................5  
  Sawed Weakened Plane........3    
  Other (Specify)[_______________________________________________________] 6  
5. TRANSVERSE JOINT SEALANT TYPE (As Built) [__ __.__]
  Preformed (Open Web)...........1 Rubberized Asphalt.....................3  
  Asphalt..................................2 Low-Modulus Silicone..................4  
  Other (Specify)[_______________________________________________________] 5  
6. TRANSVERSE JOINT SEALANT RESERVOIR WIDTH (inches) [__.__ __]
7. TRANSVERSE JOINT SEALANT RESERVOIR DEPTH (inches) [__.__ __]
8. LONGITUDINAL JOINT SEALANT RESERVOIR WIDTH (inches) [__.__ __]
9. LONGITUDINAL JOINT SEALANT RESERVOIR DEPTH (inches) [__.__ __]
10. JOINT SEALANT BACKER MATERIAL TYPE [__]
  Foam Backer Rod.................1 Tape.................2 Rope..........................3  
  None....................................4 Other (Specify)[______________________] 5  
11. JOINT SEALANT BACKER DIMENSION (inches) [__.__ __]
  (Enter diameter of rod/rope or width of tape)  
12. BETWEEN LANE TIE BAR DIAMETER (inches) [__.__ __]
13. BETWEEN LANE TIE BAR LENGTH (inches) [__ __]
14. BETWEEN LANE TIE BAR SPACING (inches) [__.__ __]
  SHOULDER-TRAFFIC LANE JOINT SEALANT RESERVOIR (Items 15 and 16)  
15. WIDTH (inches) [__.__ __]
16. DEPTH (inches) [__.__ __]
  SHOULDER-TRAFFIC LANE JOINT TIE BARS (Items 17, 18, and 19)  
17. DIAMETER (inches) [__.__ __]
18. LENGTH (inches) [__ __]
19. SPACING (inches) [__ __]


LTPP MAINTENANCE DATA
SHEET 38
PORTLAND CEMENT CONCRETE OVERLAY REINFORCING STEEL DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. TYPE OF REINFORCING [__]
  Deformed Bars................................................................................1  
  Welded Wire Fabric.........................................................................2  
  Other (specify)[___________________________________________] 3  
*3. TRANSVERSE BAR DIAMETER (inches) [__.__ __]
*4. TRANSVERSE BAR SPACING (inches) [__ __.__]
*5. LONGITUDINAL BAR DIAMETER (inches) [__.__ __]
*6. DESIGN PERCENTAGE OF LONGITUDINAL STEEL (percent) [__.__ __]
*7. DEPTH TO REINFORCEMENT FROM SLAB SURFACE (inches) [__.__]
*8. LONGITUDINAL BAR SPACING (inches) [__ __.__]
9. AVERAGE INTERMEDIATE SAWED JOINT SPACING (feet) [__ __.__]
10. METHOD USED TO PLACE REINFORCEMENT [__]
  Preset on Chairs..............................................................................1  
  Mechanically...................................................................................2  
  Between Layers of Concrete.............................................................3  
  Other (Specify)[___________________________________________] 4  
11. LAP LENGTH OF LONGITUDINAL STEEL SPLICES (inches) [__ __]
  (CRCP only)  


LTPP MAINTENANCE DATA
SHEET 39
PORTLAND CEMENT CONCRETE OVERLAY
MIXTURE DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
  MIX DESIGN (lb./cu.yd. - Oven Dried Weight) (Items 2 through 5)  
*2. COARSE AGGREGATE [__ __ __ __]
*3. FINE AGGREGATE [__ __ __ __]
*4. CEMENT [__ __ __ __]
*5. WATER [__ __ __ __]
*6. CEMENT TYPE USED (See Cement Type Codes, Table A.10) [__ __]
  Other (Specify)[_________________________________]  
*7. ALKALI CONTENT OF CEMENT (percent by weight of cement) [__.__ __ __]
  ENTRAINED AIR CONTENT (percent) (Items 8, 9, and 10)  
  (AASHTO T121, T152, or T196)  
*8. MEAN [__ __]
9. MINIMUM [__ __]
10. MAXIMUM [__ __]
  ADMIXTURES (Items 11, 12, and 13) (See PCC Admixture Codes, Table A.11)  
    TYPE CODE AMOUNT
*11. ADMIXTURE #1 [__ __] [__ __ __.__ __ __]
*12. ADMIXTURE #2 [__ __] [__ __ __.__ __ __]
*13. ADMIXTURE #3 [__ __] [__ __ __.__ __ __]
  Other (Specify)[________________________________]  
  SLUMP (Items 14 through 18) (AASHO T119 or ASTM C143)  
14. MEAN (inches) [__.__]
15. MINIMUM (inches) [__.__]
16. MAXIMUM (inches) [__.__]
17. STANDARD DEVIATION (inches) [__.__]
18. NUMBER OF TESTS [__ __ __]


LTPP MAINTENANCE DATA
SHEET 40
PORTLAND CEMENT CONCRETE OVERLAY
AGGREGATE DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
  COMPOSITION OF COARSE AGGREGATE (Items 2, 3, and 4)  
        TYPE PERCENT
  Crushed Stone........................1 Manufactured *2. [__] [__ __ __]
  Gravel....................................2 Lightweight..............5 *3. [__] [__ __ __]
  Crushed Gravel.......................3 Recycled Concrete.........6 *4. [__] [__ __ __]
  Crushed Slag..........................4      
  Other (Specify)[____________________________________________] 7  
*5. GEOLOGIC CLASSIFICATION OF COARSE AGGREGATE [__ __]
  (See Geologic Classification Codes, Table A.8)  
  COMPOSITION OF FINE AGGREGATE (Items 6, 7, and 8)  
        TYPE PERCENT
  Natural Sand........................................................................1 *6. [__] [__ __ __]
  Manufactured Sand (From Crushed Gravel or Stone)................2 *7. [__] [__ __ __]
  Recycled Concrete...............................................................3 *8. [__] [__ __ __]
  Other (Specify)[______________________________________] 4      
9. INSOLUBLE RESIDUE (percent) (ASTM D3042) [__ __ __]
  GRADATION OF AGGREGATES (Items 10 and 11)  
 
*10. COARSE AGGREGATE *11. FINE AGGREGATE
Sieve Size or No. % Passing Sieve Size or No % Passing
2"................ [__ __ __] No. 4.............. [__ __ __]
1 1/2"........... [__ __ __] No. 8............. [__ __ __]
1"................ [__ __ __] No. 10........... [__ __ __]
7/8"............. [__ __ __] No. 16.......... [__ __]
3/4"............. [__ __ __] No. 30.......... [__ __]
5/8".............. [__ __ __] No. 40.......... [__ __]
1/2".............. [__ __] No. 50......... [__ __]
3/8"............... [__ __] No. 80......... [__ __]
    No. 100....... [__ __]
    No. 200....... [__ __]
 
 
 
 
 
 
 
 
 
 
  BULK SPECIFIC GRAVITIES (Items 12 and 13)  
*12. COARSE AGGREGATE (AASHTO T85 or ASTM C127) [__.__ __ __]
*13. FINE AGGREGATE (AASHTO T84 or ASTM C128) [__.__ __ __]


LTPP MAINTENANCE DATA
SHEET 41
PORTLAND CEMENT CONCRETE OVERLAY
AGGREGATE DATA (CONTINUED) AND
CONSTRUCTION DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
  AGGREGATE DATA (Continued)  
  AGGREGATE DURABILITY TEST RESULTS (Items 2 through 5)  
  (See Durability Test Type Codes, Table A.12)  
  TYPE OF AGGREGATE TYPE OF TEST RESULTS
2. COARSE [__ __] [__ __ __.__]
3. COARSE [__ __] [__ __ __.__]
4. COARSE [__ __] [__ __ __.__]
5. COARSE AND FINE [__ __] [__ __ __.__]
  CONSTRUCTION DATA  
*6. TYPE OF PAVER USED [__]
  Slip-Form Paver...................1 Side-Form................................2  
  Other (Specify)[________________________________________________] 3  
  AIR TEMPERATURES DURING PLACEMENT (°F) (Items 7, 8, and 9)  
*7. MEAN [__ __ __]
*8. MINIMUM [__ __ __]
*9. MAXIMUM [__ __ __]
*10. CURING PERIOD BEFORE OPENING TO ANY TRAFFIC (days) [__ __]
*11. TIME BEFORE SAWING JOINTS (hours) [__ __]
12. METHOD USED TO CURE CONCRETE [__]
  Membrane Curing Compound......1 Burlap-Polyethylene Blanket........5  
  Burlap Curing Blankets...............2 Cotton Mat Curing.......................6  
  Waterproof Paper Blankets.........3 Hay...........................................7  
  White Polyethylene Sheeting......4    
  Other (Specify)[__________________________________________________] 8  
13. METHOD USED TO TEXTURE CONCRETE [__]
  Tine..........................................1 Grooved Float.............................4  
  Broom.......................................2 Astro Turf...................................5  
  Burlap Drag...............................3    
  Other (Specify)[__________________________________________________] 6  


LTPP MAINTENANCE DATA
SHEET 42
PORTLAND CEMENT CONCRETE OVERLAY
CONSTRUCTION DATA (CONTINUED)		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. BONDING CONDITION OF OVERLAY [__]
  Unbonded.......................1 Fully Bonded................................3  
  Partially Bonded..............2    
*3. SURFACE PREPARATION [__]
  None..............................1 Sand Blast...................................5  
  Sweep............................2 Cold Mill.......................................6  
  Air Blast.........................3 Shot Blast....................................7  
  Water Blast....................4    
  Other (Specify[_________________________________________________] 8  
*4. TYPE OF GROUT USED FOR BONDED OVERLAYS [__]
  None..............................1 Water/Cement/Sand......................3  
  Water/Cement.................2 Epoxy-Resin..................................4  
  Other (Specify)[________________________________________________] 5  
*5. MATERIAL USED TO PREVENT BONDING FOR UNBONDED OVERLAYS [__]
  Asphalt Concrete............1 Polypropylene Sheeting..................2  
  Other (Specify)[________________________________________________] 3  
*6. MEAN DIRECT SHEAR STRENGTH OF CORE AT OVERLAY/SLAB INTERFACE (psi) [__ __ __.__]
*7. AGE OF OVERLAY AT TIME OF DIRECT SHEAR TESTING (days) [__ __ __]
*8. OVERLAY JOINTS MATCHED WITH EXISTING PAVEMENT SLAB JOINTS? [__]
  No..................................1 Yes...............................................2  


LTPP MAINTENANCE DATA
SHEET 43
PORTLAND CEMENT CONCRETE OVERLAY
STRENGTH DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
  FLEXURAL STRENGTH (Modulus of Rupture) (Items 2 through 8)  
*2. TYPE OF TEST [__.__ __ __]
  Third-Point Loading (AASHTO T97 or ASTM C78).....................1  
  Center-Point Loading (AASHTO T177 or ASTM C293)................2  
*3. AGE (days [__ __ __]
*4. MEAN (psi) [__ __ __ __ __]
5. MINIMUM (psi) [__ __ __ __ __]
6. MAXIMUM (psi) [__ __ __ __ __]
7. NUMBER OF TESTS [__ __]
8. STD. DEV. (psi) [__ __ __ __ __]
  COMPRESSIVE STRENGTH (Items 9 through 14) (AASHTO T22 or ASTM C39)  
*9. AGE (days) [__ __ __]
*10. MEAN (psi) [__ __ __ __ __]
11. MINIMUM (psi) [__ __ __ __ __]
12. MAXIMUM (psi) [__ __ __ __ __]
13. NUMBER OF TESTS [__ __]
14. STD. DEV. (psi) [__ __ __ __ __]
  SPLITTING TENSILE STRENGTH (Items 15 through 20) (AASHTO T198 or ASTM C496)  
15. AGE (days) [__ __ __]
16. MEAN (psi) [__ __ __ __ __]
17. MINIMUM (psi) [__ __ __ __]
18. MAXIMUM (psi) [__ __ __ __]
19. NUMBER OF TESTS [__ __]
20. STD. DEV. (psi) [__ __ __ __]
  ELASTIC MODULUS (Items 21 through 26)  
21. MEAN (ksi) [__ __ __ __ __]
22. MINIMUM (ksi) [__ __ __ __ __]
23. MAXIMUM (ksi) [__ __ __ __ __]
24. NUMBER OF TESTS [__ __]
25. STD. DEV. (ksi) [__ __ __ __ __]
26. METHOD FOR DETERMINATION OF ELASTIC MODULUS [__]
  Compression Test on Cores (ASTM C469)...............................................1  
  Compression Test on Cylinders Molded  
  During Construction (ASTM C469)....................................................2  
  Calculated Using ACI Relation Between  
  Elastic Modulus and Compressive Strength  
  (ACI 318, Section 8.5).....................................................................3  
  Other (Specify)[_______________________________________________] 4  


LTPP MAINTENANCE DATA
SHEET 44
RECYCLED PORTLAND CEMENT CONCRETE
JOINT DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. AVERAGE CONTRACTION JOINT SPACING (feet) [__ __ __.__]
3. RANDOM JOINT SPACING, IF ANY: [_______________________________________]  
*4. BUILT-IN EXPANSION JOINT SPACING (feet) [__ __ __ __]
*5. SKEWNESS OF JOINTS (ft./lane) [__.__]
*6. TRANSVERSE CONTRACTION JOINT LOAD TRANSFER SYSTEM [__]
  Round Dowels........................1 I-Beams..................3  
  Aggregate Interlock.................2 Star Lugs................4  
    Keyways.................5  
  Other (Specify)[_______________________________________________] 6  
*7. ROUND DOWEL DIAMETER (inches) [__.__]
*8. DOWEL OR MECHANICAL LOAD TRANSFER DEVICE SPACING (inches) [__ __]
9. AVERAGE INTERMEDIATE SAWED JOINT SPACING (feet) [__ __.__]
  DIMENSIONS FOR I-BEAMS OR KEYWAYS (Items 10 and 11)  
10. HEIGHT (inches) [__.__ __]
11. WIDTH (inches) [__.__ __]
12. DISTANCE OF NEAREST DOWEL OR MECHANICAL LOAD
TRANSFER DEVICE FROM OUTSIDE LANE-SHOULDER EDGE (inches)		 [__ __.__]
13. DOWEL LENGTH (inches) [__ __]
14. DOWEL COATING [__]
  Paint and/or Grease.................1 Stainless Steel........4  
  Plastic....................................2 Epoxy....................5  
  Monel.....................................3    
  Other (Specify)[_______________________________________________] 6  
15. METHOD USED TO INSTALL MECHANICAL LOAD TRANSFER DEVICES [__]
  Preplaced on Baskets..........................................................................1  
  Mechanically Installed..........................................................................2  
  Other (Specify)[_______________________________________________] 3  


LTPP MAINTENANCE DATA
SHEET 45
RECYCLED PORTLAND CEMENT CONCRETE
JOINT DATA (CONTINUED)		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. METHOD USED TO FORM TRANSVERSE JOINTS [__]
  Sawed............................1 Metal Insert  
  Plastic Insert...................2 (e.g., Uni-Tube).......3  
  Other (Specify)[______________________________________________] 4  
*3. TYPE OF LONGITUDINAL JOINT (Between Lanes) [__]
  Butt...............................1 Insert Weakened Plane..3  
  Keyed............................2 Tied Concrete Curb........4  
  Other (Specify)[______________________________________________] 5  
*4. TYPE OF SHOULDER-TRAFFIC LANE JOINT [__]
  Butt................................1 Insert Weakened Plane...4  
  Keyed.............................2 Tied Concrete Curb.........5  
  Sawed Weakened Plane...3    
  Other (Specify)[______________________________________________] 6  
5. TRANSVERSE JOINT SEALANT TYPE (As Built) [__]
  Preformed (Open Web)......1 Rubberized Asphalt.........3  
  Asphalt............................2 Low-Modulus Silicone......4  
  Other (Specify)[_____________________________________________] 5  
6. TRANSVERSE JOINT SEALANT RESERVOIR WIDTH (inches) [__.__ __]
7. TRANSVERSE JOINT SEALANT RESERVOIR DEPTH (inches) [__.__ __]
8. LONGITUDINAL JOINT SEALANT RESERVOIR WIDTH (inches) [__.__ __]
9. LONGITUDINAL JOINT SEALANT RESERVOIR DEPTH (inches) [__.__ __]
10. JOINT SEALANT BACKER MATERIAL TYPE [__]
  Foam Backer Rod.......1 Tape......................2 Rope...............3  
  None.........................4 Other (Specify)[_________________] 5  
11. JOINT SEALANT BACKER DIMENSION (inches) [__.__ __]
  (Enter diameter of rod/rope or width of tape)  
12. BETWEEN LANE TIE BAR DIAMETER (inches) [__.__ __]
13. BETWEEN LANE TIE BAR LENGTH (inches) [__ __]
14. BETWEEN LANE TIE BAR SPACING (inches) [__ __.__]
  SHOULDER-TRAFFIC LANE JOINT SEALANT RESERVOIR (Items 15 and 16)  
15. WIDTH (inches) [__.__ __]
16. DEPTH (inches) [__.__ __]
  SHOULDER-TRAFFIC LANE JOINT TIE BARS (Items 17, 18, and 19)  
17. DIAMETER (inches) [__.__ __]
18. LENGTH (inches) [__ __]
19. SPACING (inches) [__ __]


LTPP MAINTENANCE DATA
SHEET 46
RECYCLED PORTLAND CEMENT CONCRETE
REINFORCING STEEL DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. TYPE OF REINFORCING [__]
  Deformed Bars..................................................................1  
  Welded Wire Fabric...........................................................2  
  Other (specify)[____________________________________] 3  
*3. TRANSVERSE BAR DIAMETER (inches) [__.__ __]
*4. TRANSVERSE BAR SPACING (inches) [__ __.__]
*5. LONGITUDINAL BAR DIAMETER (inches) [__.__ __]
*6. DESIGN PERCENTAGE OF LONGITUDINAL STEEL (percent) [__.__ __]
*7. DEPTH TO REINFORCEMENT FROM SLAB SURFACE (inches) [__.__]
*8. LONGITUDINAL BAR SPACING (inches) [__ __.__]
9. YIELD STRENGTH OF REINFORCING STEEL (ksi) [__ __.__]
10. METHOD USED TO PLACE REINFORCEMENT [__]
  Preset on Chairs...............................................................1  
  Mechanically....................................................................2  
  Between Layers of Concrete..............................................3  
  Other (Specify)[___________________________________] 4  
11. LAP LENGTH OF LONGITUDINAL STEEL SPLICES (inches) [__ __]
  (CRCP only)  


LTPP MAINTENANCE DATA
SHEET 47
RECYCLED PORTLAND CEMENT CONCRETE
MIXTURE DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
  MIX DESIGN (lb./cu.yd. - Oven Dried Weight) (Items 2 through 5)
*2. COARSE AGGREGATE [__ __ __ __]
*3. FINE AGGREGATE [__ __ __ __]
*4. CEMENT [__ __ __ __]
*5. WATER [__ __ __ __]
*6. CEMENT TYPE USED (See Cement Type Codes, Table A.10) [__ __]
  Other (Specify)[_________________________________]  
*7. ALKALI CONTENT OF CEMENT (percent by weight of cement) [__ __.__]
  ENTRAINED AIR CONTENT (percent) (Items 8, 9, and 10)  
  (AASHTO T121, T152, or T196)  
*8. MEAN [__.__]
9. MINIMUM [__.__]
10. MAXIMUM [__.__]
  ADMIXTURES (Items 11, 12, and 13) (See PCC Admixture Codes, Table A.11)
    TYPE CODE AMOUNT
*11. ADMIXTURE #1 [__ __] [__ __ __.__ __ __]
*12. ADMIXTURE #2 [__ __] [__ __ __.__ __ __]
*13. ADMIXTURE #3 [__ __] [__ __ __.__ __ __]
  Other (Specify)[________________________________]  
  SLUMP (Items 14 through 18) (AASHO T119 or ASTM C143  
14. MEAN (inches) [__.__]
15. MINIMUM (inches) [__.__]
16. MAXIMUM (inches) [__.__]
17. STANDARD DEVIATION (inches) [__.__]
18. NUMBER OF TESTS [__ __ __]


LTPP MAINTENANCE DATA
SHEET 48
RECYCLED PORTLAND CEMENT CONCRETE
NEW AGGREGATE DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
  COMPOSITION OF COARSE AGGREGATE (Items 2, 3, and 4)  
        TYPE PERCENT
  Crushed Stone...........................1 Crushed Slag......................5 *2. [__] [__ __ __]
  Gravel.......................................2 Manufactured *3. [__] [__ __ __]
  Crushed Gravel..........................3 Lightweight...................6 *4. [__] [__ __ __]
  Crushed Slag.............................4        
  Other (Specify)[________________________________________________] 7      
*5. GEOLOGIC CLASSIFICATION OF COARSE AGGREGATE [__ __]
  (See Geologic Classification Codes, Table A.8)  
  COMPOSITION OF FINE AGGREGATE (Items 6, 7, and 8)  
    TYPE PERCENT
  Natural Sand..................................................................................1 *6. [__] [__ __ __]
  Manufactured Sand (From *7. [__] [__ __ __]
  Crushed Gravel or Stone)..........................................................2 *8. [__] [__ __ __]
  Recycled Concrete.........................................................................3      
  Other (Specify)[___________________________________________] 4  
9. INSOLUBLE RESIDUE (percent) (ASTM D3042) [__ __ __]
  GRADATION OF NEW AGGREGATES (Items 10 and 11)  
 
*10. COARSE AGGREGATE *11. FINE AGGREGATE
Sieve Size or No. % Passing Sieve Size or No. % Passing
2"...................... [__ __ __] No. 4................ [__ __ __]
1 1/2"................. [__ __ __] No. 8................ [__ __ __]
1"....................... [__ __ __] No. 10.............. [__ __ __]
7/8".................... [__ __ __] No. 16.............. [__ __]
3/4".................... [__ __ __] No. 30.............. [__ __]
5/8".................... [__ __ __] No. 40.............. [__ __]
1/2"................... [__ __ __] No. 50.............. [__ __]
3/8"................... [__ __] No. 80.............. [__ __]
    No. 100............ [__ __]
    No. 200............ [__ __]
 
  BULK SPECIFIC GRAVITIES (Items 12 and 13)  
*12. COARSE AGGREGATE (AASHTO T85, ASTM C127) [__.__ __ __]
*13. FINE AGGREGATE (AASHTO T84, ASTM C128) [__.__ __ __]


LTPP MAINTENANCE DATA
SHEET 49
RECYCLED PORTLAND CEMENT CONCRETE
NEW AGGREGATE DATA (CONTINUED) AND
COMBINED AGGREGATE DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
  DURABILITY OF NEW AGGREGATES (Items 2 through 5)
  (See Durability Test Type Codes, Table A.12)
  TYPE OF AGGREGATE TYPE OF TEST RESULTS
2. COARSE [__ __] [__ __ __.__]
3. COARSE [__ __] [__ __ __.__]
4. COARSE [__ __] [__ __ __.__]
5. COARSE AND FINE [__ __] [__ __ __.__]
*6. AMOUNT OF NEW COARSE AGGREGATE ADDED [__ __ __]
  (percent by weight of combined coarse aggregate in recycled mixture)  
*7. AMOUNT OF NEW FINE AGGREGATE ADDED [__ __ __]
  (percent by weight of combined fine aggregate in recycled mixture)  
  GRADATION OF COMBINED AGGREGATES (Items 8 and 9)  
 
*8. COARSE AGGREGATE *9. FINE AGGREGATE
Sieve Size or No. % Passing Sieve Size or No. % Passing
2"...................... [__ __ __] No. 4................ [__ __ __]
1 1/2"................. [__ __ __] No. 8................ [__ __ __]
1"....................... [__ __ __] No. 10.............. [__ __ __]
7/8".................... [__ __ __] No. 16.............. [__ __]
3/4".................... [__ __ __] No. 30.............. [__ __]
5/8".................... [__ __ __] No. 40.............. [__ __]
1/2"................... [__ __] No. 50.............. [__ __]
3/8"................... [__ __] No. 80.............. [__ __]
    No. 100............ [__ __]
    No. 200............ [__ __]
 
  BULK SPECIFIC GRAVITIES OF COMBINED AGGREGATES (Items 10 and 11)  
*10. COARSE AGGREGATE (AASHTO T85, ASTM C127) [__.__ __ __]
*11. FINE AGGREGATE (AASHTO T84, ASTM C128) [__.__ __ __]
  DURABILITY OF COMBINED AGGREGATES (Items 12 through 15)  
  (See Durability Test Type Codes, Table A.12)  
  TYPE OF AGGREGATE TYPE OF TEST RESULTS
12. COARSE [__ __] [__ __ __.__]
13. COARSE [__ __] [__ __ __.__]
14. COARSE [__ __] [__ __ __.__]
15. COMBINED AND FINE [__ __] [__ __ __.__]


LTPP MAINTENANCE DATA
SHEET 50
RECYCLED PORTLAND CEMENT CONCRETE
CONSTRUCTION DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. EQUIPMENT USED TO BREAK UP PCC PAVEMENT [__]
  Surface Milling...................................................................1  
  Vibratory Chisel or Hammer................................................2  
  Hydraulic Chisel or Hammer................................................3  
  Pneumatic Chisel or Hammer..............................................4  
  Diesel Chisel or Hammer.....................................................5  
  Resonant Breaker...............................................................6  
  Other (Specify)[____________________________________] 7  
*3. AVERAGE SIZE OF PCC PIECES AFTER BREAKING (inches)  
  WIDTH [__ __]
  LENGTH [__ __]
*4. HOW WERE CONCRETE PIECES AND REINFORCING STEEL
(IF PRESENT) SEPARATED INITIALLY ON SITE?		 [__]
  Reinforcing Steel Ruptured During PCC Breakup...................1  
  Reinforcing Steel Cut by Torches.........................................2  
  Reinforcing Steel Cut by Vibratory or Hydraulic Shears..........3  
  Reinforcing Steel Removed by "Rhino Bars"..........................4  
  Other (Specify)[____________________________________] 5  


LTPP MAINTENANCE DATA
SHEET 51

RECYCLED PORTLAND CEMENT CONCRETE
CONSTRUCTION DATA (CONTINUED)		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. TYPE OF PAVER USED [__]
  Slip-Form Paver............................1 Side-Form...................................2  
  Other (Specify)_____________________________________________________ 3  
  AIR TEMPERATURES DURING PLACEMENT (°F) (Items 3, 4, and 5)  
*3. MEAN [__ __ __]
*4. MINIMUM [__ __ __]
*5. MAXIMUM [__ __ __]
*6. CURING PERIOD BEFORE OPENING TO ANY TRAFFIC (days) [__ __]
*7. TIME BEFORE SAWING JOINTS (hours) [__ __]
8. METHOD USED TO CURE CONCRETE [__]
  Membrane Curing Compound..........1 Burlap-Polyethylene Blanket.........5  
  Burlap Curing Blankets...................2 Cotton Mat Curing........................6  
  Waterproof Paper Blankets.............3 Hay............................................7  
  White Polyethylene Sheeting..........4    
  Other (Specify)[____________________________________________________] 8  
9. METHOD USED TO TEXTURE CONCRETE [__]
  Tine.............................................1 Grooved Float..............................4  
  Broom..........................................2 Astro Turf....................................5  
  Burlap Drag..................................3    
  Other (Specify)[____________________________________________________] 6  


LTPP MAINTENANCE DATA
SHEET 52
RECYCLED PORTLAND CEMENT CONCRETE
STRENGTH DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
  FLEXURAL STRENGTH (Modulus of Rupture) (Items 2 through 8)  
*2. TYPE OF TEST [__]
  Third-Point Loading (AASHTO T97, ASTM C78)...........................1  
  Center-Point Loading (AASHTO T177, ASTM C293).....................2  
*3. AGE (days) [__ __ __]
*4. MEAN (psi) [__ __ __ __ __]
5. MINIMUM (psi) [__ __ __ __ __]
6. MAXIMUM (psi) [__ __ __ __ __]
7. NUMBER OF TESTS [__ __]
8. STD. DEV. (psi) [__ __ __ __ __]
  COMPRESSIVE STRENGTH (Items 9 through 14) (AASHTO T22, ASTM C39)  
*9. AGE (days) [__ __ __]
*10. MEAN (psi) [__ __ __ __ __]
11. MINIMUM (psi) [__ __ __ __ __]
12. MAXIMUM (psi) [__ __ __ __ __]
13. NUMBER OF TESTS [__ __]
14. STD. DEV. (psi) [__ __ __ __ __]
  SPLITTING TENSILE STRENGTH (Items 15 through 20) (AASHTO T198, ASTM C496)  
15. AGE (days) [__ __ __]
16. MEAN (psi) [__ __ __ __ __]
17. MINIMUM (psi) [__ __ __ __]
18. MAXIMUM (psi) [__ __ __ __]
19. NUMBER OF TESTS [__ __]
20. STD. DEV. (psi) [__ __ __ __]
  ELASTIC MODULUS (Items 21 through 26)  
21. MEAN (psi) [__ __ __ __ __]
22. MINIMUM (psi) [__ __ __ __ __]
23. MAXIMUM (psi) [__ __ __ __ __]
24. NUMBER OF TESTS [__ __]
25. STD. DEV. (psi) [__ __ __ __ __]
26. METHOD FOR DETERMINATION OF ELASTIC MODULUS [__]
  Compression Test on Cores (ASTM C469)....................................1  
  Compression Test on Cylinders Molded  
  During Construction (ASTM C469).........................................2  
  Calculated Using ACI Relation Between  
  Elastic Modulus and Compressive Strength  
  (ACI 318, Section 8.5)..........................................................3  
  Other (Specify)[_________________________________________] 4  


LTPP MAINTENANCE DATA
SHEET 53
PRESSURE RELIEF JOINTS
IN PCC PAVEMENTS		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. REASON FOR PRESSURE RELIEF JOINT INSTALLATION [__]
  Major Blowup Has Occurred....................................................1  
  Major Blowup Anticipated........................................................2  
  Bridge Pushing.......................................................................3  
  Policy....................................................................................4  
  Other (Specify)[_______________________________________] 5  
*3. AVERAGE PRESSURE RELIEF JOINT INTERVAL (feet) [__ __ __ __ __]
*4. AVERAGE DISTANCE BETWEEN PRESSURE RELIEF JOINT AND  
  NEAREST WORKING JOINT (feet) [__ __ __.__]
*5. RELIEF JOINT INITIAL DIMENSIONS (inches)  
  DEPTH [__ __.__ __]
  WIDTH [__ __.__ __]
*6. METHOD OF CUTTING AND REMOVAL OF CONCRETE [__]
  Two Diamond Blade Saw Cuts with Light  
  Jackhammer Breakup..............................................................1  
  Carbide Blade With Above Procedure........................................2  
  Single Carbide Blade Tooth Saw Cut.........................................3  
  Other (Specify)[_______________________________________] 4  
*7. IS ORIGINAL AGGREGATE EXPANSIVE IN CONCRETE? [__]
  No.................................1 Yes................................2  


LTPP MAINTENANCE DATA
SHEET 54
PRESSURE RELIEF JOINTS IN PCC PAVEMENTS (CONTINUED)		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. TYPE OF PRESSURE RELIEF JOINT SEALANT [__]
  (ASTM Specifications)  
  D1850 Concrete Joint Sealer  
  Cold-Application Type........................................................1  
  D1190 Concrete Joint Sealer  
  Hot-Poured Elastic Type....................................................2  
  D3406 Joint Sealants, Hot-Poured  
  Elastomeric-Type, For PCC Pavements...............................3  
  D3405 Joint Sealants, Hot-Poured  
  For Concrete and Asphalt Pavements.................................4  
  D3542 Preformed Polychloroprene  
  Elastomeric Joint Seals For Bridges...................................5  
  D2628 Preformed Polychloroprene Elastomeric  
  Joint Seals for Concrete Pavements....................................6  
  Other (Specify)[_______________________________________] 7  
  ADDITIONAL INFORMATION ON SEALANT TYPE (Items 3 and 4)  
3. MANUFACTURER NAME [______________________________________________________]
4. MANUFACTURER'S SEALANT NAME [____________________________________________]
*5. TYPE OF PRESSURE RELIEF JOINT FILLER [__]
  (ASTM Specifications)  
  D3204 Preformed Cellular Plastic Joint  
  Fillers for Relieving Pressure...............................................1  
  D994 Preformed Expansion Joint Filler  
  for Concrete (Bituminous Type)...........................................2  
  D1751 Preformed Expansion Joint Fillers  
  for Concrete Paving and Structural  
  Construction (Nonextruding and  
  Resilient Bituminous Types)...............................................3  
  D1752 Preformed Sponge Rubber and Cork  
  Expansion Joint Fillers for Concrete  
  Paving and Structural Construction.....................................4  
  Hot-Mix Asphalt Concrete........................................................5  
  Other (Specify)________________________________________ 6  
  ADDITIONAL INFORMATION ON FILLER TYPE (Items 6 and 7)  
6. MANUFACTURER NAME [______________________________________________________]
7. MANUFACTURER'S SEALANT NAME [____________________________________________]


LTPP MAINTENANCE DATA
SHEET 55
SUBSEALING PCC PAVEMENT		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER OF PCC PAVEMENT (From Sheet 2) [__]
*2. TYPE OF MIXTURE USED IN SUBSEALING [__]
  Cement-Loam Top Soil Slurry.................................................1  
  Cement-Limestone Dust Slurry...............................................2  
  Cement-Pozzolzan Slurry.......................................................3  
  Cement-Fine Sand Slurry........................................................4  
  Asphalt Cement.....................................................................5  
  Other (Specify)[______________________________________] 6  
  ASPHALT CEMENT DATA (Items 3, 4, and 5)  
*3. AC GRADE (See Codes, Table A.15) [__ __]
*4. PENETRATION AT 77°F, 100 g, 5 sec. (tenths of a mm) [__ __ __]
  (AASHTO T49, ASTM D5)  
*5. RING AND BALL SOFTENING POINT (°F) (AASHTO T53, ASTM D36) [__ __ __]
  MIX DESIGN OF PORTLAND CEMENT GROUT (Items 6 through 10)  
*6. CEMENT TYPE (See Cement Type Codes, Table A.10) [__ __]
*7. CEMENT TO SAND RATIO (by weight) [__.__]
*8. WATER/CEMENT RATIO (by weight) [__.__ __]
*9. ADDITIVE TYPE (See Table A.11) [__ __]
*10. AMOUNT OF ADDITIVE (by percent of cement weight) [__ __ __.]
*11. FLUIDITY OF PORTLAND CEMENT GROUT [__ __.__]
  (Flow Cone Method ASTM C939) (sec.) [__ __ __]
12. CUBE COMPRESSIVE STRENGTH OF PORTLAND CEMENT GROUT (psi)  
  (AASHTO T106, ASTM C109)  
13. CURING PERIOD FOR PORTLAND CEMENT GROUT (days) [__ __]
*14. DETERMINATION OF AREA TO BE UNDERSEALED [__]
  Blanket Coverage...................................................................1  
  Deflection Data......................................................................2  
  Visual Signs of Pumping.........................................................3  
  Other (Specify)[______________________________________] 6  


LTPP MAINTENANCE DATA
SHEET 56
SUBSEALING PCC PAVEMENT (CONTINUED)		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER OF PCC PAVEMENT (From Sheet 2) [__]
*2. DEPTH OF SUBSEALING HOLE FROM TOP OF SLAB (inches) [__ __.__ __]
*3. MAXIMUM ALLOWABLE PUMPING PRESSURE [__ __ __]
  (Gauge at Plant) (psi)  
*4. MAXIMUM SURGE PRESSURE (psi) [__ __ __]
*5. SLABS IN TEST SECTION (JCP Only)  
  TOTAL NUMBER [__ __ __] NUMBER SUBSEALED [__ __ __]
*6. AVERAGE NUMBER OF HOLES PER SLAB SUBSEALED [__ __]
  (JCP Only)  
*7. TYPICAL NUMBER OF SUBSEALING HOLES NEAR JOINT OR CRACK [__ __]
  (JCP Only)  
*8. AVERAGE NUMBER OF HOLES PER LINEAR FOOT OF PAVEMENT [__ __.__]
  (CRCP Only)  
*9. AVERAGE VOLUME OF MATERIAL PUMPED PER HOLE [__ __.__]
  (cubic feet)  
*10. MONITORING OF LIFT [__]
  Deflection Device (e.g., Benkelman Beam).................................1  
  Maximum Pumping Time..........................................................2  
  Appearance of Material  
  in Adjacent Joints or Cracks...............................................3  
  Other[_______________________________________________] 4  
*11. TYPICAL TIME BETWEEN SUBSEALING AND REOPENING TO TRAFFIC (hours) [__ __]
*12. WERE DEFLECTION MEASUREMENTS TAKEN BEFORE AND AFTER SUBSEALING?  
  Yes.........................1 No...........................2  
  BEFORE SUBSEALING [__]
  AFTER SUBSEALING [__]
*13. TIME OF DAY THAT DEFLECTION MEASUREMENTS WERE CONDUCTED (hours)  
      STARTING TIME ENDING TIME
    BEFORE SUBSEALING [__ __ __ __] [__ __ __ __]
    AFTER SUBSEALING [__ __ __ __] [__ __ __ __]


LTPP MAINTENANCE DATA
SHEET 57
SUBDRAINAGE (RETROFIT) DATA 		*STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. TYPE OF SUBDRAINS [__]
  Transverse....................................1 Longitudinal..................2  
*2. EXTENT OF SUBDRAINS [__]
  Continuous...................................1 Intermittent...................2  
  Adjacent to Full Depth Repairs...............................................................3  
*3. TYPE OF DRAINAGE PIPE [__]
  Clay Tile......................................1 Perforated  
  Concrete Tile................................2 Corrugated Metal..........5  
  Vitrified Clay.................................3 Corrugated Plastic  
  Perforated Plastic Tubing..........................6  
  Bituminous Fiber....................4 Drainage Mat......................7  
  Other (Specify) [_____________________________________________] 8  
*4. DIAMETER OF PIPE (inches) [__ __.__]
*5. DEPTH OF PIPE BELOW TOP OF PAVEMENT SURFACE (inches) [__ __.__]
*6. HORIZONTAL PLACEMENT OF PIPE FROM OUTER EDGE OF PAVEMENT (in.) [__ __.__]
*7. TYPE OF PRIMARY FILTER USED [__]
  Graded Aggregate.........................1 Non-Woven Fabric...............4  
  Uniformly Graded Porous PCC........................5  
  Aggregate (One Size).............2 Porous Bituminous  
  Woven Fabric...............................3 Concrete.......................6  
  Other (Specify) [______________________________________________] 7  
*8. MAXIMUM PARTICLE SIZE OF PRIMARY FILTER MATERIAL (inches) [__.__]
*9. GRADATION OF PRIMARY FILTER MATERIAL  
  PERCENT PASSING # 4 SIEVE [__ __.__] PERCENT PASSING # 40 SIEVE [__ __.__]
  PERCENT PASSING #10 SIEVE [__ __.__] PERCENT PASSING #100 SIEVE [__ __.__]
10. PERMEABILITY OF PRIMARY FILTER MATERIAL (ft/day) [__ __.__ __]
*11. TYPE AND LOCATION OF SECONDARY FILTER MATERIAL [__]
  Fabric Encapsulating the Primary Filter Material..................................1  
  Fabric Encapsulating the Drainage Pipe..............................................2  
  Other (Specify) [____________________________________________] 3  
*12. AVERAGE OUTLET INTERVAL (feet) [__ __ __]
*13. PRIMARY PURPOSE OF SUBDRAINAGE INSTALLATION [__]
  Remove Free Water From Pavement Layers........................................1  
  Cut Off Side-Hill/Through Hill Seepage................................................2  
  Lower Water Table............................................................................3  
  Other (Specify) [____________________________________________] 4  


LTPP MAINTENANCE DATA
SHEET 58
LOAD TRANSFER RESTORATION DATA		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. TYPE OF LOAD TRANSFER RESTORATION [__]
  Retrofit Dowels (Placed in Slots)........................................1  
  Compressed Double-Vee Shear Device...............................2  
  Uncompressed Double-Vee Shear Device............................3  
  Plate and Stud Connector Shear Device..............................4  
  Other (Specify) [___________________________________] 5  
*3. FREQUENCY OF INSTALLATION [__]
  At Every Joint...................................................................1  
  At Every Joint and Working Crack......................................2  
  At Intermittent Joints and Cracks  
  Showing Poor Load Transfer........................................3  
  Other (Specify) [___________________________________] 4  
*4. NUMBER OF DEVICES PER JOINT [__ __]
*5. LOCATION OF DOWELS OR SHEAR DEVICES (inches)    
  (Distance from the outer lane edge to the center of each device) 1st [__ __ __]
  2nd [__ __ __]
  3rd [__ __ __]
  4th [__ __ __]
  5th [__ __ __]
  6th [__ __ __]
  7th [__ __ __]
  8th [__ __ __]
  9th [__ __ __]
  10th [__ __ __]
  11th [__ __ __]
  12th [__ __ __]
*6. DIAMETER OF RETROFIT DOWEL BARS (inches)   [__.__ __]
*7. LENGTH OF RETROFIT DOWEL BARS (inches)   [__ __.__]


LTPP MAINTENANCE DATA
SHEET 59
LOAD TRANSFER RESTORATION DATA (CONTINUED)		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. MATERIAL USED TO BACKFILL SLOT/CORE HOLE [__]
  Cement Based Grout............................................................1  
  Polymer Concrete.................................................................2  
  Epoxy Resin Grout................................................................3  
  Other (Specify) [_____________________________________] 4  
*3. BONDING AGENT USED BETWEEN
EXISTING PCC AND BACKFILL MATERIAL		 [__]
  None.........................................................................................1  
  Epoxy.......................................................................................2  
  Cement/Water...........................................................................3  
  Other (Specify) [________________________________________] 4  
*4. LOAD TRANSFER EFFICIENCY BEFORE AND AFTER RESTORATION  
 
POINT
DISTANCE
(feet)		 LOAD
TRANSFER
DEVICE
NUMBER		 LOAD
TRANSFER
BEFORE
RESTORATION		 EFFICIENCY
(%)
AFTER
RESTORATION
[__ __ __ __] 1
2
3		 [__ __ __]
[__ __ __]
[__ __ __]		 [__ __ __]
[__ __ __]
[__ __ __]
[__ __ __ __] 1
2
3		 [__ __ __]
[__ __ __]
[__ __ __]		 [__ __ __]
[__ __ __]
[__ __ __]
[__ __ __ __] 1
2
3		 [__ __ __]
[__ __ __]
[__ __ __]		 [__ __ __]
[__ __ __]
[__ __ __]
[__ __ __ __] 1
2
3		 [__ __ __]
[__ __ __]
[__ __ __]		 [__ __ __]
[__ __ __]
[__ __ __]
 
*5. DATE OF LOAD TRANSFER EFFICIENCY TESTS (mm/dd/yyyy)  
  BEFORE RESTORATION [__ __/__ __/__ __ __ __]
  AFTER RESTORATION [__ __/__ __/__ __ __ __]


LTPP MAINTENANCE DATA
SHEET 60
CRACK AND SEAT PORTLAND CEMENT CONCRETE PAVEMENT		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER (From Sheet 2) [__]
*2. AVERAGE PCC BREAKAGE SIZE (inches)  
  WIDTH [__ __]
  LENGTH [__ __]
*3. PAVEMENT BREAKER PASSES/LANE [__]
*4. PAVEMENT BREAKER TYPE [__]
  Roller............................1 Guillotine Drop Hammer........4  
  Pile Driver Hammer.........2 Air Hammer.........................5  
  Whip Hammer................3 Hydraulic Hammer................6  
  Other (Specify) [__________________________________________] 7  
*5. PROOF ROLLER TYPE [__]
  Steel Wheeled...............1 Pneumatic...........................2  
*6. PROOF ROLLER WEIGHT (tons) [__ __]
*7. BROKEN PAVEMENT EXPOSURE TO TRAFFIC (days) [__ __ __]
*8. DEFLECTION MEASUREMENTS TAKEN (Yes...1, No...2)  
    BEFORE BREAKING [__]
    AFTER BREAKING (Prior to Seating) [__]
    AFTER SEATING (Prior to Overlay) [__]
    AFTER OVERLAY [__]
*9. DEFLECTION MEASUREMENT DEVICE USED [__]
  FWD............................1 Road Rater..........................3  
  Benkleman Beam..........2 Dynaflect.............................4  
  Other (Specify) [________________________________________] 5  
*10. MAGNITUDE OF LOAD USED FOR DEFLECTION TEST (pounds) [__ __ __ __ __]
*11. LOADING FREQUENCY (hertz) [__ __]
  (For Cyclic Loading Devices Only)  
*12. BROKEN PAVEMENT SURFACE PREPARATION [__]
  None..................................1 Tack Coat...........................3  
  Sweeping............................2 Leveling Course...................4  
  Full Depth Repair of Failed Areas....................................................5  
  Other (Specify) [__________________________________________] 6  


LTPP MAINTENANCE DATA
SHEET 61
RESTORATION OF AC SHOULDERS		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. SHOULDER RESTORED [__]
  Outside.............................1  
  Inside................................2  
  Both..................................3  
    INSIDE SHOULDER OUTSIDE SHOULDER
*2. SURFACE TYPE (See Codes, Table A.4) [__] [__]
*3. TOTAL WIDTH (feet) [__ __] [__ __]
*4. PAVED WIDTH (feet) [__ __] [__ __]
*5. SHOULDER BASE TYPE (See Codes, Table A.5) [__ __] [__ __]
*6. SURFACE THICKNESS (inches) [__ __.__] [__ __.__]
*7. BASE THICKNESS (inches) [__ __.__] [__ __.__]
*8. TYPE OF SHOULDER RESTORATION [__]
  AC Overlay Without Removal of Existing AC.................................1  
  Cold Milling and AC Overlay........................................................2  
  Complete Shoulder Removal and Replacement.............................3  
  In-place Recycling and Overlay....................................................4  
  Other (Specify)[_________________________________________] 5  
*9. TYPE OF AC MATERIALS [__]
  New Materials............................................................................1  
  Hot Recycled Materials...............................................................2  
  Cold Recycled Materials..............................................................3  
  Other (Specify)[_________________________________________] 4  
*10. THICKNESS OF AC MATERIAL REMOVED BY COLD MILLING (inches) [__.__]
*11. AC OVERLAY THICKNESS (inches) [__.__]
12. LANE/SHOULDER JOINT SEALANT [__]
  None.........................................................................................1  
  Sealed Without Providing Reservoir..............................................2  
  Saw Reservoir and Seal..............................................................3  
  Other (Specify)[________________________________________] 4  
13. LANE/SHOULDER JOINT SEALANT RESERVOIR (inches)  
  WIDTH [__.__]
  DEPTH [__.__]
14. TYPE OF JOINT SEALANT [__]
  Poured.................................1  
  Preformed.............................2  
NOTE: Data Items 8 to 14 Pertain Only to the Restored Outside Shoulder.


LTPP MAINTENANCE DATA
SHEET 62
RESTORATION OF PCC SHOULDERS		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. SHOULDER RESTORED [__]
  Outside.............................1  
  Inside................................2  
  Both..................................3  
    INSIDE SHOULDER OUTSIDE SHOULDER
*2. SURFACE TYPE (See Codes, Table A.4) [__] [__]
*3. TOTAL WIDTH (feet) [__ __] [__ __]
*4. PAVED WIDTH (feet) [__ __] [__ __]
*5. SHOULDER BASE TYPE (See Codes, Table A.5) [__ __] [__ __]
*6. SURFACE THICKNESS (inches) [__ __.__] [__ __.__]
*7. BASE THICKNESS (inches) [__ __.__] [__ __.__]
*8. TYPE OF SHOULDER SYSTEM [__]
  JPCP Shoulder...................1 CRCP Shoulder.....................3  
  JRCP Shoulder...................2 Other (Specify)[___________] 4  
*9. AVERAGE JOINT SPACING (feet) [__ __ __]
*10. SKEWNESS OF JOINTS (feet) [__.__]
*11. JOINTS MATCH PAVEMENT JOINTS? [__]
  Yes...................................1 No.........................2  
*12. TYPE OF LANE/SHOULDER JOINT [__]
  Tied...................................1 Keyed....................................3  
  Butt...................................2 Other (Specify)[___________] 4  
  LANE/SHOULDER JOINT TIE SYSTEM (Items 13 through 16)  
*13. TYPE [__]
  None..................................1 Hook Bolts.......................3  
  Deformed Bars....................2 Other (Specify)[________] 4  
*14. BAR DIAMETER (inches) [__.__ __]
*15. BAR LENGTH (inches) [__ __]
*16. BAR SPACING (inches) [__ __]
NOTE: Data Items 8 to 16 Pertain Only to the Restored Outside Shoulder.


LTPP MAINTENANCE DATA
SHEET 63
RESTORATION OF PCC SHOULDERS (CONTINUED)		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LANE/SHOULDER JOINT SEALANT [__]
  None..............................................................................1  
  Sealed Without Providing Reservoir...................................2  
  Saw Reservoir and Seal...................................................3  
  Other (Specify)____________________________________ 4  
2. LANE/SHOULDER JOINT SEALANT RESERVOIR (inches)  
  WIDTH [__.__]
  DEPTH [__.__]
3. TYPE OF JOINT SEALANT [__]
  Poured.......................................1 Preformed......................2  
4. JOINT SEALANT BACKER MATERIAL TYPE  
  Foam Backer Rod.......................1 Rope..............................3 [__]
  Tape...........................................2 None..............................4  
  Other (Specify)[________________________________________] 5  
5. JOINT SEALANT BACKER DIMENSION (inches) [__.__]
  (Enter diameter of rod/rope or width of tape)  
NOTE: Data Items 1 through 6 Pertain Only to the Restored Outside Shoulder.


LTPP MAINTENANCE DATA
SHEET 64
MILLING AND GRINDING DATA FOR PAVEMENT SURFACES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER(S) (From Sheet 2) [__]
    [__]
*2. METHOD USED [__]
  Diamond Grinding........................................................................1  
  Milling.........................................................................................2  
  Other (Specify)[_________________________________________] 3
*3. EXTENT OF EXISTING SURFACE PREPARATION [__]
  Entire Test Section Length...........................................................1  
  Individual Joints or Cracks............................................................2  
  Patches Only..............................................................................3  
  Other (Specify)[_________________________________________] 4  
*4. AVERAGE DEPTH OF CUT (inches) [__.__]
NOTE: If an overlay will not be placed after the milling/grinding work, record the milling/grinding data on the appropriate maintenance data sheet (refer to chapter 3).


LTPP MAINTENANCE DATA
SHEET 65
ASPHALT CONCRETE OVERLAY
SUPERPAVE AGGREGATE PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER(S) (From Sheet 2) [__]
2. ANGULARITY  
    COARSE (percent fractured faces) [__ __.__]
    FINE (percent voids) [__ __.__]
3. SOUNDNESS  
    COARSE (percent loss) [__ __.__]
    FINE (percent loss) [__ __.__]
4. TOUGHNESS OF COARSE AGGREGATE (percent loss LAR) [__ __.__]
5. DELETERIOUS MATERIALS (percent) [__ __.__]
6. CLAY CONTENT (Sand Equivalent, Ratio) [__ __.__]
7. THIN, ELONGATED PARTICLES (percent) [__.__]


LTPP MAINTENANCE DATA
SHEET 66
ASPHALT CONCRETE OVERLAY
SUPERPAVE ASPHALT CEMENT PROPERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER(S) (From Sheet 2) [__]
*2. ASPHALT GRADE (Specify Design SHRP PG Grading) PG[__ __] – [__ __]
*3. SOURCE (See Supply Code Sheet, Table A.13) [__ __]
  Other (Specify) [________________________________________]
*4. SPECIFIC GRAVITY OF ASPHALT CEMENT (AASHTO T228, ASTM D70) [__.__ __ __]
GENERAL ASPHALT CEMENT PROPERTIES (If Available From Supplier)
5. DYNAMIC SHEAR RHEOMETER COMPLEX MODULUS AND PHASE ANGLE
(kPa, deg)		  
  (Tank Asphalt) (AASHTO TP5) [__ __.__ __] [__ __]
6. DYNAMIC SHEAR RHEOMETER COMPLEX MODULUS AND PHASE ANGLE
(kPa, deg)		  
  (RTFO Asphalt) (AASHTO TP5) [__ __.__ __] [__ __]
7. DYNAMIC SHEAR RHEOMETER COMPLEX MODULUS AND PHASE ANGLE
(kPa, deg)		  
  (PAV Asphalt) (AASHTO TP5) [__ __ __ __ __] [__ __]
8. BENDING BEAM RHEOMETER STIFFNESS MODULUS AND SLOPE(MPa, ratio)  
  (PAV Asphalt) (AASHTO TP1) [__ __ __ __] [__.__ __ __]
9. DIRECT TENSION TENSILE STRENGTH AND TENSILE STRAIN (kPa, ratio)  
  (PAV Asphalt) (AASHTO TP3) [__ __ __ __.__] [__.__ __]


LTPP MAINTENANCE DATA
SHEET 67
ASPHALT CONCRETE OVERLAY
SUPERPAVE MIXUTRE PROPRERTIES		 *STATE CODE
*SHRP ID
*DATE COMPLETE (dd/mm/yyyy)
 [__ __]
[__ __ __ __]
[__ __ / __ __ / __ __ __ __]

*1. LAYER NUMBER(S) (From Sheet 2) [__]
*2. TYPE OF SAMPLES [__]
  Mixed in Field, Compacted in Laboratory.....................................1  
  Mixed and Compacted in Field....................................................2  
*3. FREQUENCY SWEEP (Complex Modulus, MPa & Phase Angle, d)  
  4°C[__ __ __][__ __.__] 20°C[__ __ __][__ __.__] 40°C[__ __ __][__ __.__]  
*4. UNIAXIAL STRAIN (Axial Stress, kPa & Strain, mm/mm)  
  4°C[__ __ __][__.__ __] 20°C[__ __ __][__.__ __] 40°C[__ __ __][__.__ __]  
*5. VOLUMETRIC STRAIN (Confining Pressure, kPa & Axial Strain, mm/mm)  
  4°C[__ __ __][__.__ __] 20°C[__ __ __][__.__ __] 40°C[__ __ __][__.__ __]  
*6. SIMPLE SHEAR 4°C 20°C 40°C
  Axial Stress, kPa [__ __ __] [__ __ __] [__ __ __]
  Shear Stress, kPa [__ __ __] [__ __ __] [__ __ __]


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