Application: 
                        Constructed in  in ,  ( County)
                     		Contractor: 
                     		Engineer: 
                     		Owner: 
                     	
                            
                   	  
Construction Details
                     			RCC Thickness:  in.
                                RCC Placement Width:  ft
                     			Project Size:  square yards
                                RCC Cost: $/SY
                               Traffic:  trucks per day; one-direction
                                Test Strip Required: 
                                Production Method: 
                                Paving Machine: 
                                 Pavement Jointed: 
                             Joint Spacing:  ft
                             Joints Sealed: 
                             Roller Weight:  tons
                              Other Roller Details: 
  
                              Surface: 
  
                                Cement Content:  lb/yd3
  
                                Moisture Content: %
  
                                Nominal Maximum Size Aggregate: 
  
                                Time to Opening:  
  
                                Strength Requirement:  psi in  days, 
  
                                Density Requirement(s) after Compaction: 
  
                                Required Compaction Test Method: 
  
                     			Subbase Type: ,  in. thick
                                Subgrade Treatment: ,  in. deep
                                
                                
                    		 	
                                
                                
                     			Traffic Control/Management During Construction: 
                     			Other Construction Details: 
                         
Current Conditions
                     			Still in Service: 
                     			Current Condition: 
                          
                          
                         
                         
               		 
                     	Local ACPA Chapter or State Paving Associations: