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JMF Checklist |
| For State General (Standard Weight) Mixes, Send this information, only. |
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Class of Concrete: ODOT |
ODOT Project Number |
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Coarse Aggregate Name and Location |
Fine Aggregate Name and Location |
| For All Other Mixes, Send Complete Checklist & Supplier Information. See Mix Design Form. |
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Size and Type of Coarse Aggregate |
Type of Fine Aggregate |
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Coarse Aggregate SSD Specific Gravity |
Fine Aggregate SSD Specific Gravity |
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Coarse Aggregate Absorption |
Fine Aggregate Absorption |
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Coarse Aggregate Weight |
Fine Aggregate Weight |
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Cementitious Material Types, Grades or Classes |
Cementitious Material Manufacturing Locations |
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Cementitious Material Weights |
Cementitious Material Specific Gravities |
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Water: Cementitious Material Ratio |
Total Weight of Water in lbs/cy |
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Total Weight of Concrete in lbs/cy |
Total Volume in ft³/cy |
| Test Data, As Required by Applicable Specification (i.e. SS898, SS888) or Plan Note |
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Mix Design Form Click Here |
| The mix design form is provided to assist ready mix suppliers to request and receive PCC JMF numbers with greater ease and efficiency. Note that the proposed format may not be useful when a series of JMF numbers are being requested. Refer to the checklist provided above to send the appropriate information. An example of a completed form has been provided. |
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Instructions |
| Insert the required information. Print and fax or save and email the worksheet as a file attachment. If you experience any problems, please contact Klaire Mason of the Office of Materials Management. |