ADOT Project No.:                                                                                                                                   Hot Plant Report                                                         ADOT Resident Engineer:
         Tracs No.:                                                                                                                                        Dedicated Production Lot
         Project Name:                                                                                                                                                                                                                Contractor Name:
         Type of Mix:                                                                                                                                                                                                                 Supplier Name:
         Date:                                                                                                                                                                                                                        Start Date & Time:
                                                                                                                                                                                                                                                                                                                            Run Time (hrs):
         Report No.:                                                                                                                                                                                                                  Finish Date & Time:
         Lot No.:                                                                                                                                                                                                                     Down Time (hrs):                                                                                 0
                                                                                           Asphalt Cement Utilization
                              PG Grade:               64-16                   Specific Gravity:                                         Supplier                                                                                                                          Asphalt Cement Used
                   Tank Stab                         Inches                    Hot gallons                        Temp                Correction                Cold Gal.              Gal /Ton               Tons of Oil             Tons Start                                                                                                 -   
         Start                                                                                                                           1.0240                       0.0                 235.0                                -      Tons Delivered                                                                                             -   
         Stop                                                                                                                            1.0240                       0.0                 235.0                                -      Tack/Boot Truck or Pump Off
                                                                                           Asphalt Cement Deliveries                                                                                                                  Total Tons                                                                                                 -   
             Time Scheduled                         Time In                      Time Out                       Truck #                   B/L #                  Tons Oil                   Accum. Tons Oil                           Tons Stop                                                                                                  -   
                                               Deliveries Before Shift Begins (quantity included in start tank stab tons)                                                                                                             Tons Used                                                                                                  -   
                                                                                                                                                                                                                               -      Previous Tons 
                                                                                                                                                                                                                                      Tons Used Todate                                                                                           -   
                                                                                                                                                                                                                                   
                                                                                                                                                                                                                                                                         Asphaltic Concrete Mix
                                                                                          Deliveries After Shift Begins                                                                                                               Daily Tons of Mix Shipped
                                                                                                                                                                                                                                      Prev. Tons of Mix Shipped
                                                                                                                                                                                                                                      To Date Tons of Mix Shipped                                                                                -   
                                                                                                                                                                                                                                      Daily Tons of Mix Sold to Others
                                                                                                                                                                                                                                      Daily Tons of Plant Start-Up Waste
                                                                                                                                                                                                                                      Daily Tons of Plant Waste (Non Start-Up)
                                                                                                                                                                                                                                      Previous Tons of Plant Waste
                                                                                                                                                                                                                                      To Date Tons of Waste                                                                                      -   
                                                                                                                                                                                                                                      Daily Tons of Mix Produced                                                                                 -   
                                                                                                                                                           % Warm Mix Additive 
            Technology Used:                                                                                             % by weight of total mix:                                                                                               % by weight of virgin AC:
                                                                RAP                                                                                                                                            % Asphalt Cement (Tank Stab)
                                                                                                                                                              Tons of Virgin AC Used                                                               0.00
            Tons Wet RAP #1                                              Tons Wet RAP #2                                                                 Daily Tons of Mix Produced                                                                0.00                             #DIV/0!                         Asphalt Cement
           from scale totalizer                                        from scale totalizer
                                                                                                                                   (Tons Shipped + Sold to Others + Plant Waste Start-
                                                                                                                                                               Up and Non Start-Up)
                                                                                                   Mineral Admixture
                                                                                                                                                                                       Accumulative                                                                    Mineral Admixture Used
             Time Scheduled                         Time In                      Time Out                       Truck #                   B/L #                Tons M.A.                        Tons of M.A.
                                                                                                                                                                                                                                      Tons Start
                                               Deliveries Before Shift Begins (quantity included in start tank stab tons)                                                                                                             Tons Delivered                                                                                             -   
                                                                                                                                                                                                                                      Total Tons                                                                                                 -   
                                                                                                                                                                                                                                      Tons Used
                                                                                                                                                                                                                                      Tons Stop                                                                                                  -   
                                                                                          Deliveries After Shift Begins                                                                                                               Previous Tons Used To Date
                                                                                                                                                                                                                                      Tons Used To Date                                                                                          -   
                                                                                                                                                                                                                                               Remarks:
                                                                                                                                                                                                            
                                         Tons Mineral Admixture Used                                                                                     -                                   Wet % Mineral 
                                                                                                                                                                   #DIV/0!                       Admixture
                                             Daily Mix Tons Produced                                                                                     -   
                                                                                                                                                      For Contractor Use Only
                   Remarks:
                 Rev 08/09/2022                                                            http://www.azdot.gov/business/engineering-and-construction/construction/contractor's-information/forms-and-documents