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Field Note Samples, Appendix K: Blank Forms
- K-1: Standard WFLHD Blank Forms Cover Sheet (Acrobat, 4 KB)
- K-2 to K-3: Contractor's Daily Record of Construction Operations (WFLHD 465) (Acrobat, 753 KB)
- K-4: Daily Record of Miscellaneous Items, 0 (FHWA 17-348) (Acrobat, 517 KB)
- K-5: Daily Record of Miscellaneous Items, 0.0 (FHWA 17-348) (Acrobat, 276 KB)
- K-6: Daily Record of Miscellaneous Items, 0.00 (FHWA 17-348) (Acrobat, 683 KB)
- K-7: Daily Record of Miscellaneous Items, 0.000 (FHWA 17-348) (Acrobat, 280 KB)
- K-8: Daily Record of Miscellaneous Items, 0.0000 (FHWA 17-348) (Acrobat, 281 KB)
- K-9: Notification of Completion of Work (WFLHD 470) (Acrobat, 185 KB)
- K-10: Culvert Notes (English Units) (Acrobat, 132 KB)
- K-11: Culvert Notes (Metric Units) (Acrobat, 134 KB)
- K-12: Daily Mass Record (WFLHD 422M) (Acrobat, 960 KB)
- K-13: Daily Volume Record (WFLHD 422V) (Acrobat, 381 KB)
- K-14: Tare Chart (WFLHD 443M) (Acrobat, 692 KB)
- K-15: Tare Chart (WFLHD 443) (Acrobat, 659 KB)
- K-16: Street Delivery Report Spread Report (WFLHD 434) (Acrobat, 559 KB)
- K-17 to K-18: Traffic Safety Checklist Flagger Operations (WFLHD 404C) (Acrobat, 1.6 MB)
- K-19 to K-20: Request for Laboratory Tests (FHWA 1600W) (Acrobat, 483 KB)
- K-22: Sieve Analysis of Fine and Coarse Aggregate (WFLHD 247) (Acrobat, 1.2 MB)
- K-23: Worksheet for Sieve Analysis of Fine and Coarse Aggregate, AASHTO T 11 and AASHTO T 27 (FHWA 1621) (Acrobat, 64 KB)
- K-24: Worksheet for Determining Sand Equivalent, AASHTO T 176 (FHWA 1626) (Acrobat, 41 KB)
- K-25: Worksheet for Determining Liquid Limit and Plastic Limit of Soils, AASHTO T 89, Method A or B and AASHTO T 90 (FHWA 1624) (Acrobat, 46 KB)
- K-26: Worksheet for In-Place Nuclear/Moisture Density Testing, FLH T 513, AASHTO T 238 and AASHTO T 239 (FHWA 1618) (Acrobat, 56 KB)
- K-27: Worksheet for Determining Moisture/Density Relationships, AASHTO T 99 AND AASHTO T 180 (FHWA 1625) (Acrobat, 127 KB)
- K-30: Worksheet for Determining Bulk Specific Gravity of Compacted Bituminous Mixtures, AASHTO T 166 (FHWA 1611) (Acrobat, 47 KB)
- K-31 to K-35: Worksheet for a HVEEM Asphalt Concrete Mix Design, AASHTO T 246 (FHWA 1607) (Acrobat, 85 KB)
- K-36: Minor Portland Cement Concrete Mix Design Trial Batch Summary (FHWA 1606) (Acrobat, 87 KB)
- K-37 to K-42: Portland Cement Concrete Mix Design Trial Batch Summary (FHWA 1608) (Acrobat, 163 KB)
- K-43: Contractor's Delegation of Authority [Authorized Signatures] (WFLHD 298) (Acrobat, 620 KB)
• Return to the Field Note Samples Main Page
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