Asphalt Mix Design Submittal

Project Information

Project Name Location Client/Owner Date

Contractor & Mix Information

Contractor Mix Design No. Mix Type / Description Design Traffic Level

Aggregate Source & Gradation

Aggregate Sources Aggregate Gradation (Sieve Analysis)

Sieve Size	Percent Passing

Mix Properties

Asphalt Binder Grade Design Asphalt Content (%) Voids in Mineral Aggregate (VMA %) Air Voids (%) Voids Filled with Asphalt (VFA %) Dust to Binder Ratio

Testing Results

Stability (if applicable) Flow (if applicable) Additional Properties

Remarks / Comments