Alberta Infrastructure and Transportation

ASPHALT MIX DESIGN AND JOB MIX FORMULA SUMMARY SHEET

SECTION A Project Identification Information
Contract No.:

Highway:

Region:

Project From:

Project To:

Mix Design Consultant:

Pit Name and Location:

Marshall Design No.:

Contractor:
QA Review Consultant:

Blend Sand Pit Name and Location:

Specified Mix Type:

Date Submitted:

RAP Source and Location:

SECTION B Mix Design Properties

Combined Aggregate Properties
Bulk Specific Gravity
% Asphalt Absorption
% Manufactured Fines(in -5000 Portion)
% Two Face Fractures
% One Face Fractures
% Detrimental Matter Content
Plasticity Index
Fine Aggregate Angularity
Asphalt Properties
Asphalt Grade
Supplier
Specific Gravity
SECTION C
Aggregate Gradation
25 000
20 000
16 000
12 500
10 000
5 000
2 500(Film Thick.)
1 250
630
315
160
80
Remarks:

Design Recommendations
Virgin Asphalt Content(%)
Total Asphalt Content(%)
Marshall Density (kg/m3)
Air Voids (%)
V.M.A (%)
V.F.A. (%)
Theoretical Film Thickness
Stability (N)
Flow (mm)
Retained Stability (%)
NOTE: Complete entire form for mix design submissions.
For changes in JMF complete Section A and Section C.

Job Mix Formula or Change in Job Mix Formula

%Passing

Aggregate Proportions (%)

Coarse

Natural Fines

Manfactured Fines
Blend Sand
Washed MF
New Target A. C.

Additive________
Chips__________
RAP
New Film Thick.*

* Value calculated based upon new JMF aggregate gradation and target asphalt
content with other information included in the original mix design(must meet design criteria)

Reviewed by :

First Lot No. For Change:

Signature:

Date:

ACPJMF/02
Fax completed copy to Project Sponsor and the Surface Engineering and Aggregates Section of the Technical Standards Branch 422-2846