Form 253 - Daily Report Portland Cement Concrete Ncdot Page 3

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M & T Form 253P
Report No. ____________
Date : __________
North Carolina Department of Transportation
DAILY REPORT ON PORTLAND CEMENT CONCRETE PAVEMENT
PLANT INSPECTOR’S REPORT
(1)
Fine Aggregate – Moisture Probe
Time
% Moisture
(2)
Drying Method for Fine and Coarse Aggregate
Wet Wt.
Minus Dry Wt.
=
X 100 =
% Total Moisture
Dry Wt.
Total Moisture
Minus Absorbed Moisture
=
% Free Moisture
X 100 =
Wet Wt.
Minus Dry Wt.
=
% Total Moisture
Dry Wt.
Total Moisture
Minus Absorbed Moisture
=
% Free Moisture
X 100 =
Wet Wt.
Minus Dry Wt.
=
% Total Moisture
Dry Wt.
Total Moisture
Minus Absorbed Moisture
=
% Free Moisture
Mix Design Proportions (SSD)
Cement
lbs.
Coarse Aggregate
lbs.
Water
gals.
Pozzolan
lbs.
Fine Aggregate
lbs.
Water
lbs.
Percent
Percent
Additional
Additional
Gallons
Gallons
Water
Free
Free
F. A.
Batched
C. A.
Batched
Total
of Water
of Water
Added
(Pounds)
F.A. Wt.
(Pounds)
C.A. Wt.
Water
Moisture
Moisture
in F. A.
in C. A.
at Mixer
in F. A.
in C. A.
NOTE: Show ACTUAL amounts of water used (not theoretical amounts)
Remarks:
*Technician Signature
* Batch Certification Number
________________________________________________________
*By providing this data under my signature and/or HiCAMS certification number, I attest to the accuracy and
validity of the data contained on this form and certify that no deliberate misrepresentation of this data in any
manner has occurred.

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