HomeMy WebLinkAboutWPO200500013 Approval - Agencies Road Plan and Comps. 2020-07-27VIRGINIA DEPARTMENT OF TRANSPORTATION
MATERIALS DIVISION
STATEMENT OF ASPHALT CONCRETE JOB -MIX FORMULA
Submit to the District Administrator, Virginia Department of Transportation. Approval must be received by the contractor from the Materials Division
before work is begun. The job -mix design is approved for all projects of the Department for the type of mix and the calendar year shown below.
Contractor: S.L. Williamson Company, Inc. Design Mix No.: 1695A15-17 Design Lab: North Garden
Job Mix ID: 7016-2017-22 Production Year: 2017 TSR Test No.: 80
Design Type: Superpave Type Mix / Size Aggregate: SM-9.5A (50 gyration) with 15 % Rap
Plant Location: North Garden Plant Phone:
Materials
Approval Phase A
W
Kind
Type Size
Source
Aggregate
39 %
39 %
Granite
#8
Martin Marietta - North Garden
Aggregate
25 %
27 %
Manufactured
Sand(Non-
Polishable
Aggregate)
Manufactured Sand
Martin Marietta - North Garden
Aggregate
10 %
10 %
Natural Sand
Sand
Aggregate Industries, Mid -Atlantic Region - Charles
city
Aggregate
11 %
9 %
Screenings
#10 Screenings
Martin Marietta - North Garden
RAP
15 %
15 %
Recycled Asphalt
Pavement
Recycled-1/2 inch
S.L. Williamson Company, Inc. - North Garden
Asphalt Cement
PG 64S-22
Additives
0.30 %
0.30 %
Evotherm M1
SIEVE
Approval Phase
ENGLISH I METRIC
Total % Passing
A B
Lab JMF Production
JMF
TOLERANCE
%+or -
Acceptance Range Average of 8 Testis)
A B
Min Max Min Max
Design /
Spec.Range
Min Max
1/2in
12.5mm
100 %
100 %
1 %
99 %
100 %
99 %
100 %
100 %
3/8in
9.5mm
97 %
96 %
2.8 %
94.2 %
99.8 %
93.2 %
98.8 %
90 %
100 %
#4
4.75mm
65 %
64 %
2.8 %
62.2 %
67.8 %
61.2 %
66.8 %
58 %
80
#8
2.36mm
43 %
44 %
2.8 %
1 40.2 %
45.8 %
41.2 %
46.8 %
38.0 %
67.0 %
#30
0.6mm
22 %
22 %1
2.1 %
1 19.9 %
24.1 %
19.9 %
24.1 %
23 %
#200
0.075mm
6.6%
5.2%1
0.7%
1 5.9%1
7.3 %
4.5%
5.9%
2.0%
10.0%
Asphalt
A.C.
5.60 %
5.60%1
0.21 %
1 5.39%1
5.81 %
5.39 %
5.81 %
Lay Down Temperatures
Min: 250
Max: 350
°F
Muffle Furnace Correction Factor: 0.00
Lab Compaction Temperatures
Min: 285
Max: 290
'F
Field Correction Factor (Ge-Gsb): 0.031
Submission: Type:
Part B
Submitter:
David Wyant
Pill Weight: 4900
Date: SMA Mixes VCAonc:
6/13/2017
10:18:02 AM G:
Producer Remarks:
MATERIALS DIVISION ONLY
VDOT Remarks:
Nominal Max. Size Aggregate: 3/8" Application Rates: Min: 110 Max: 165 Ib/yd'
Mix Properties at the Job -Mix Compacted Unit JMF A: 159.9 Ib/fl' VTM: JMF A: 4.0 % G .: JMF A: 2.563
Asphalt Content: Weight
JMF B: 159.1 Ib/Tl' JMF B: 4.1 % JMF B: 2.549
Approved tentatively subject to the production of material meeting all other applicable requirements of the specification.
. Note: Part B'Production JMF' and corresponding Material percentages will be filled out by the DME upon receipt of the additional requirements of
the HMA producer within the first three lots under Section 502.01(b).
Copies: Approval: Type: Status: Date:
Part B Approved 6/13/2017
Form TL-127 (HMA) Rev 5/2014
VIRGINIA DEPARTMENT OF TRANSPORTATION 2019
MATERIALS DIVISION PartA
STATEMENT OF ASPHALT CONCRETE JOB -MIX FORMULA Approved
Submit to the District Administrator, Virginia Department of Transportation. Approval must be received by the contractor from the Materials Division
before work is begun. The job -mix design is approved for all projects of the Department for the type of mix and the calendar year shown below.
Contractor: S.L. Williamson Company, Inc. Design Mix No.: 1795A15RQ-19 Design Lab: Shadwell
Job Mix ID: 7017-2019-22 Production Year: 2019 TSR Test No.: 80
Design Type: Superpave Type Mix / Size Aggregate: SM-9.5A (50 gyration)
Plant Location:
Shadwell
Plant Phone: Ong Design: 2019
Materials
Kind
Source
Approval Phase A
B*
Type
Size
Aggregate
37 %
Granite
#8
Luck Stone Corporation - Shadwell
Aggregate
10 %
Sand
Sand
Aggregate Industries, Mid -Atlantic Region -
Queensfield
Aggregate
20 %
Manufactured
Manufactured Sand
Luck Stone Corporation - Ruckersville
Sand (Non-
Polishable
Aggregate)
Aggregate
18 %
Screenings
#10 Screenings
Luck Stone Corporation - Shadwell
RAP
15 %
Recycled Asphalt
Recycled-3/8 inch
S.L. Williamson Company, Inc. - Shadwell
Pavement
Asphalt Cement
PG 64S-22
Additives
0.03 %
Zycolherm
SIEVE
Total % Passing
TOLERANCE
Acceptance Range Average of 8 Test(s)
Design /
Approval Phase
A B
A
B
Spec.Range
ENGLISH METRIC
Lab JMF Production
%+or -
Min
Max Min Max
Min Max
JMF
1/2in
12.5mm
100 %
1 %
99 %
100 %
100 %
3/8in
9.5mm
93 %
2.8 %
90.2 %
95.8 %
90 %
100 %
#4
4.75mm
60 %
2.8 %
57.2 %
62.8 %
58 %
80 %
#8
2.36mm
39 %
2.8 %
36.2 %
41.8 %
38.0 %
67.0 %
#30
0.6mm
18 %
2.1 %
15.9 %
20.1 %
23 %
#200
0.075mm
5.6 °�1
0.7 %
1 4.9%1
6.3 %
2.0 %
10.0 %
Asphalt
A.C.
5.70 %
1 0.21 %
1 5.49%1
5.91 %
Lay Down Temperatures
Min: 200
Max: 350
°F
Muffle Furnace Correction Factor: 0.41
Lab Compaction Temperatures
Min: 285
Max: 290
°F
Field Correction Factor (Ga Gsb): 0.043
Pill Weight: 5000
Submission: Type:
Submitter:
Date: SMA Mixes VCAesc:
PartA
David Wyant
1/9/2019
Gam`
9:26:43 AM
Producer Remarks:
MATERIALS DIVISION ONLY
VDOT Remarks: Limited Production Not Required
Nominal Max. Size Aggregate:
3/8"
Application Rates: Min: 110 Max: 165 Ibtyd'
Mix Properties at the Job -Mix
Asphalt Content:
Compacted Unit
Weight
JMF A: 163.3 Ib/fl'
JMF B: Ib/Tl'
VTM: JMF A: 4.0 %
G..' JMF A: 2.617
JMF B:
JMF B:
Approved tentatively subject to the production of material meeting all other applicable requirements of the specification.
. Note: Part B'Production JMF' and corresponding Material percentages will be filled out by the DME upon receipt of the additional requirements of
the HMA producer within the first three lots under Section 502.01(b).
Copies: Approval: Type: Status: Date:
2019 PartA Approved 1/10/2019
Form TL-127 (HMA) Rev 1/2018
VIRGINIA DEPARTMENT OF TRANSPORTATION 2019
MATERIALS DIVISION PartA
STATEMENT OF ASPHALT CONCRETE JOB -MIX FORMULA Approved
Submit to the District Administrator, Virginia Department of Transportation. Approval must be received by the contractor from the Materials Division
before work is begun. The job -mix design is approved for all projects of the Department for the type of mix and the calendar year shown below.
Contractor: S.L. Williamson Company, Inc.
Job Mix ID: 7017-2019-22
Design Type:
Plant Location:
Design Mix No.:
Production Year:
1795A15RQ-19
Design Lab: Shadwell
2019 TSR Test No.: 80
Superpave Type Mix / Size Aggregate: SM-9.5A (50 gyration)
Shadwell
Plant Phone:
Ong Design: 2019
VIRGINIA DEPARTMENT OF TRANSPORTATION 2018
MATERIALS DIVISION PartB
STATEMENT OF ASPHALT CONCRETE JOB -MIX FORMULA Approved
Submit to the District Administrator, Virginia Department of Transportation. Approval must be received by the contractor from the Materials Division
before work is begun. The job -mix design is approved for all projects of the Department for the type of mix and the calendar year shown below.
Contractor:
S.L. Williamson Company, Inc.
Job Mix ID:
7017-2018-22
Design Type:
Superpave
Plant Location:
Shadwell
Design Mix No.:
Production Year:
1795A15RQ-18
Design Lab: Shadwell
2018 TSR Test No.: 80
Type Mix / Size Aggregate: SM-9.5A (50 gyration) with 15 % Rap
Plant Phone: Ong Design:
Materials
Kind
Source
Approval Phase A
B*
Type
Size
Aggregate
37 %
37 %
Granite
#8
Luck Stone Corporation - Shadwell
Aggregate
20 %
20 %
Manufactured
Manufactured Sand
Luck Stone Corporation - Ruckersville
Sand (Non-
Polishable
Aggregate)
Aggregate
10 %
10 %
Natural Sand
Sand
Aggregate Industries, Mid -Atlantic Region -
Queensfield
Aggregate
18 %
18 %
Screenings
#10 Screenings
Luck Stone Corporation - Shadwell
RAP
15 %
15 %
Recycled Asphalt
Top Size 318 inch
S.L. Williamson Company, Inc. - Shadwell
Pavement
Asphalt Cement
PG 64S-22
Additives
0.03 %
0.03 %
Zycotherm
SIEVE
Total % Passing
TOLERANCE
Acceptance Range Average of 8 Test(s)
Design /
Approval Phase
A
B
A
B
Spec. Range
ENGLISH METRIC
Lab JMF Production
%+or -
Min
Max Min Max
Min Max
JMF
1 /2in
12.5mm
100 %
100 %
1 %
99 %
100 %
99 %
100 %
100 %
3/8in
9.5mm
93 %
93 %
2.8 %
90.2 %
95.8 %
90.2 %
95.8 %
90 %
100 %
#4
4.75mm
60 %
60 %
2.8 %
57.2 %
62.8 %
57.2 %
62.8 %
58 %
80 %
#8
2.36mm
38 %
39 %
2.8 %
1 35.2 %
40.8 %
36.2 %
41.8 %
38.0 %
67.0 %
#30
0.6mm
18 %
18%1
2.1 %
1 15.9 %
20.1 %
15.9 %
20.1 %
23 %
#200
0.075mm
6.0°k
5.6%1
0.7%
1 5.3%1
6.7%
4.9%
6.3%
2.0%
10.0%
Asphalt
A.C.
5.70 %
5.70%1
0.21 %
1 5.49%1
5.91%1
5.49%1
5.91 %
Lay Down Temperatures
Min: 200
Max: 350
°F
Muffle Furnace Correction Factor: 0.39
Lab Compaction Temperatures
Min: 285
Max: 290
°F
Field Correction Factor (GM GBb): 0.041
Pill Weight: 4950
Submission: Type:
Submitter:
Date: SMA Mixes VCAonc:
Part B
David Wyant
5/31/2018
Gc :
9:42:23 AM
Producer Remarks:
MATERIALS DIVISION ONLY
VDOT Remarks: Rollover of 7017-2017-22
Nominal Max. Size Aggregate: 3/8"
Application Rates: Min: 110 Max: 165 Ib/yd'
Mix Properties at the Job -Mix
Asphalt Content:
Compacted Unit JMF A: 162.2 Ib/fl'
Weight
JMF B: 161.3 Ib/Tl'
VTM: JMF A: 4.5 %
G .' JMF A: 2.599
°
JMF B: 3.6 /o
JMF B: 2.585
Approved tentatively subject to the production of material meeting all other applicable requirements of the specification.
. Note: Part B'Production JMF' and corresponding Material percentages will be filled out by the DME upon receipt of the additional requirements of
the HMA producer within the first three lots under Section 502.01(b).
Copies:
Approval: Type: Status:
2018 Part B Approved
Date:
5/31/2018
Form TL-127 (HMA) Rev 1/2018
VIRGINIA DEPARTMENT OF TRANSPORTATION 2018
MATERIALS DIVISION PartB
STATEMENT OF ASPHALT CONCRETE JOB -MIX FORMULA Approved
Submit to the District Administrator, Virginia Department of Transportation. Approval must be received by the contractor from the Materials Division
before work is begun. The job -mix design is approved for all projects of the Department for the type of mix and the calendar year shown below.
Contractor: S.L. Williamson Company, Inc.
Job Mix ID: 7017-2018-22
Design Type:
Plant Location:
Design Mix No.:
Production Year:
1795A15RQ-18
Design Lab: Shadwell
2018 TSR Test No.: 80
Superpave Type Mix / Size Aggregate: SM-9.5A (50 gyration)
Shadwell
Plant Phone:
Ong Design:
VIRGINIA DEPARTMENT OF TRANSPORTATION 2019
MATERIALS DIVISION PartB
STATEMENT OF ASPHALT CONCRETE JOB -MIX FORMULA Approved
Submit to the District Administrator, Virginia Department of Transportation. Approval must be received by the contractor from the Materials Division
before work is begun. The job -mix design is approved for all projects of the Department for the type of mix and the calendar year shown below.
Contractor: S.L. Williamson Company, Inc.
Job Mix ID: 7016-2019-22
Design Type:
Plant Location:
Design Mix No.:
Production Year:
1695A15-19
Design Lab: North Garden
2019 TER Test No.: 80
Superpave Type Mix / Size Aggregate: SM-9.5A (50 gyration)
North Garden
Plant Phone:
Ong Design:
Materials
Approval Phase A
B*
Kind
Type Size
Source
Aggregate
40 %
40 %
Granite
#8
Martin Marietta - Red Hill Quarry
Aggregate
30 %
30 %
Manufactured
Sand (Non-
Polishable
Aggregate)
Manufactured Sand
Martin Marietta - Red Hill Quarry
Aggregate
15 %
15 %
Natural Sand
Sand
Aggregate Industries, Mid -Atlantic Region -
Queensfield
RAP
15 %
15 %
Recycled Asphalt
Pavement
Recycled-3/8 inch
S.L. Williamson Company, Inc. - North Garden
Asphalt Cement
PG 64S-22
Additives
0.30 %
0.30 %
Evotherm M1
SIEVE
Approval Phase
ENGLISH I METRIC
Total % Passing
A B
Lab JMF Production
JMF
TOLERANCE
%+or -
Acceptance Range Average of 8 Test(s)
A B
Min Max Min Max
Design /
Spec.Range
Min Max
1 /2in
12.5mm
100 %
100 %
1 %
99 %
100 %
99 %
100 %
100 %
3/8in
9.5mm
98 %
96 %
2.8 %
95.2 %
100.0 %
93.2 %
98.8 %
90 %
100 %b
#4
4.75mm
68 %
63 %
2.8 %
65.2 %
70.8 %
60.2 %
65.8 %
58 %
80 %b
#8
2.36mm
45 %
42 %
2.8 %
42.2 %
47.8 %
39.2 %
44.8 %
38.0 %
67.0 %
#30
0.6mm
22 %
20 %
2.1 %
19.9 %
24.1 %
17.9 %
22.1 %
23 %
#200
0.075mm
5.8%
5.3%
0.7%
1 5.1 %1
6.5%
4.6%
6.0%1
2.0%
10.0%
Asphalt
A.C.
5.80 %
5.70 %
0.21 %
1 5.59%1
6.01 %
5.49%1
5.91
Lay Down Temperatures
Min: 250
Max: 350
°F
Muffle Furnace Correction Factor: 0.06
Lab Compaction Temperatures
Min: 285
Max: 290
°F
Field Correction Factor (GwGsb): 0.031
Submission: Type:
Part B
Submitter:
David Wyant
Date:
4/16/2019
4:50:00 PM
Pill Weight: 4900
SMA Mikes VCAonc:
Gc :
Producer Remarks:
MATERIALS DIVISION ONLY
VDOT Remarks:
Nominal Max. Size Aggregate:
3/8"
Application Rates:
Min: 110 Max: 165 Ib/yd-
Mix Properties at the Job -Mix
Asphalt Content:
Compacted Unit JMF A: 152.0
Weight
JMF B: 158.4
Ib/ft
Ib/ft
VfM: JMF A: 4.5 %
G..: JMF A: 2.550
JMF B: 2.538
b
JMF B: 3.4 /o
Approved tentatively subject to the production of material meeting all other applicable requirements of the specification.
. Note: Part B'Production JMF' and corresponding Material percentages will be filled out by the DME upon receipt of the additional requirements of
the HMA producer within the first three lots under Section 502.01(b).
Copies: State Materials Engineer Approval: Type: Status: Approver: Date:
District Materials Engineer 2019 Part B Approved Phillip Brockman on behalf of 4/17/2019
Project Inspector Haroon I. Sherri, P.E.
Sub -Contractor and/or Producer
Form TL-127 (HMA) Rev 1/2018 Page 1 of 1
VIRGINIA DEPARTMENT OF TRANSPORTATION 2018
MATERIALS DIVISION PartA
STATEMENT OF ASPHALT CONCRETE JOB -MIX FORMULA Approved
Submit to the District Administrator, Virginia Department of Transportation. Approval must be received by the contractor from the Materials Division
before work is begun. The job -mix design is approved for all projects of the Department for the type of mix and the calendar year shown below.
Contractor:
S.L. Williamson Company, Inc.
Job Mix ID:
7016-2018-22
Design Type:
Superpave
Plant Location:
North Garden
Design Mix No.:
Production Year:
1695A15-18
Design Lab: North Garden
2018 TSR Test No.: 80
Type Mix / Size Aggregate: SM-9.5A (50 gyration) with 15 % Rap
Plant Phone: Ong Design:
Materials
Approval Phase A
B*
Kind
Type Size
Source
Aggregate
39 %
Granite
#8
Martin Marietta - Red Hill Quarry
Aggregate
27 %
Manufactured
Sand(Non-
Polishable
Aggregate)
Manufactured Sand
Martin Marietta - Red Hill Quarry
Aggregate
10 %
Natural Sand
Sand
Aggregate Industries, Mid -Atlantic Region -
Queensfield
Aggregate
9 %
Screenings
#10 Screenings
Martin Marietta - Red Hill Quarry
RAP
15 %
Recycled Asphalt
Pavement
Recycled-3/8 inch
S.L. Williamson Company, Inc. - North Garden
Asphalt Cement
PG 64S-22
Additives
0.30 %
Evotherm M1
SIEVE
Approval Phase
ENGLISH METRIC
Total % Passing
A B
Lab JMF Production
JMF
TOLERANCE
%+or -
Acceptance Range Average of 8 Test(s)
A B
Min Max Min Max
Design /
Spec.Range
Min Max
1 /2in
12.5mm
100 %
1 %
99 %
100 %
100 %
3/8in
9.5mm
96 %
2.8 %
93.2 %
98.8 %
90 %
100 %
#4
4.75mm
59 %
2.8 %
56.2 %
61.8 %
58 %
80 %
#8
2.36mm
38 %
2.8 %
35.2 %
40.8 %
38.0 %
67.0 %
#30
0.6mm
18 %
2.1 %
15.9 %
20.1 %
23 %
#200
0.075mm
5.6 °�1
0.7 %
1 4.9%1
6.3 %
2.0 %
10.0 %
Asphalt
A.C.
5.60 %
1 0.21 %
1 5.39%1
5.81 %
Lay Down Temperatures
Min: 250
Max: 350
°F
Muffle Furnace Correction Factor: 0.03
Lab Compaction Temperatures
Min: 285
Max: 290
°F
Field Correction Factor (GM GBb): 0.022
Submission: Type:
Part A
Submitter:
David Wyant
Pill Weight: 4900
Date: SMA Mixes VCAonc:
3/14/2018
4:58:18 PM Gc :
Producer Remarks:
MATERIALS DIVISION ONLY
VDOT Remarks: Limited Production Required
Nominal Max. Size Aggregate:
3/8"
Application Rates: Min: 110 Max: 165 Ib/yd'
Mix Properties at the Job -Mix
Asphalt Content:
Compacted Unit
Weight
JMF A: 159.1 Ib/fl'
JMF B: Ib/Tl'
VTM: JMF A: 4.1 %
G .' JMF A: 2.549
JMF B:
JMF B:
Approved tentatively subject to the production of material meeting all other applicable requirements of the specification.
. Note: Part B'Production JMF' and corresponding Material percentages will be filled out by the DME upon receipt of the additional requirements of
the HMA producer within the first three lots under Section 502.01(b).
Copies:
Approval: Type: Status:
2018 PartA Approved
Date:
3/19/2018
Form TL-127 (HMA) Rev 1/2018
VIRGINIA DEPARTMENT OF TRANSPORTATION
MATERIALS DIVISION
STATEMENT OF ASPHALT CONCRETE JOB -MIX FORMULA
Submit to the District Administrator, Virginia Department of Transportation. Approval must be received by the contractor from the Materials Division
before work is begun. The job -mix design is approved for all projects of the Department for the type of mix and the calendar year shown below.
Contractor: S.L. Williamson Company, Inc. Design Mix No.: 1795A15RQ-17 Design Lab: Shadwell
Job Mix ID: 7017-2017-22 Production Year: 2017 TSR Test No.: 80
Design Type: Superpave Type Mix / Size Aggregate: SM-9.5A (50 gyration) with 15 % Rap and Ruck Q Sand
Plant Location: Shadwell Plant Phone:
Materials
Kind
Source
Approval Phase A
W
Type
Size
Aggregate
37 %
37 %
Granite
#8
Luck Stone Corporation - Shadwell
Aggregate
20 %
20 %
Manufactured
Manufactured Sand
Luck Stone Corporation - Ruckersville
Sand(Non-
Polishable
Aggregate)
Aggregate
10 %
10 %
Natural Sand
Sand
Aggregate Industries, Mid -Atlantic Region - Charles
city
Aggregate
18 %
18 %
Screenings
#10 Screenings
Luck Stone Corporation - Shadwell
RAP
15 %
15 %
Recycled Asphalt
Recycled-1/2 inch
S.L. Williamson Company, Inc. - Shadwell
Pavement
Asphalt Cement
PG 64S-22
Additives
0.03 %
0.03 %
Zycolherm
SIEVE
Total % Passing
TOLERANCE
Acceptance Range Average of 8 Test(s)
Design /
Approval Phase
A
B
A
B
Spec.Range
ENGLISH I METRIC
Lab JMF Production
%+or -
Min
Max Min Max
Min Max
JMF
1/2in
12.5mm
100 %
100 %
1 %
99 %
100 %
99 %
100 %
100 %
3/8in
9.5mm
93 %
93 %
2.8 %
90.2 %
95.8 %
90.2 %
95.8 %
90 %
100
#4
4.75mm
61 %
61 %
2.8 %
58.2 %
63.8 %
58.2 %
63.8 %
58 %
80 %
#8
2.36mm
43 %
43 %
2.8 %
1 40.2 %
45.8 %
40.2 %
45.8 %
38.0 %
67.0 %
#30
0.6mm
22 %
21 %1
2.1 %
1 19.9 %
24.1 %
18.9 %
23.1 %
23 %
#200
0.075mm
6.5%
6.0%1
0.7%
1 5.8%1
7.2%
5.3%
6.7%
2.0%
10.0%
Asphalt
A.C.
5.70 %
5.70%1
0.21 %
1 5.49%1
5.91 %
5.49 %
5.91 %
Lay Down Temperatures
Min: 200
Max: 350
°F
Muffle Furnace Correction Factor: 0.38
Lab Compaction Temperatures
Min: 285
Max: 290
'F
Field Correction Factor (Ge-Gsb): 0.029
Pill Weight: 4900
Submission: Type:
Submitter,
Date: SMA Mixes VCAonc:
Part B
David Wyant
6/13/2017
G:
11:25:02
AM
Producer Remarks:
MATERIALS DIVISION ONLY
VDOT Remarks:
Nominal Max. Size Aggregate: 3/8" Application Rates: Min: 110 Max: 165 Ib/yd'
Mix Properties at the Job -Mix Compacted Unit JMF A: 161.1 Ib/fl' VTM: JMF A: 4.4 % G .: JMF A: 2.582
Asphalt Content: Weight n
JMF B: 161.1 Ib/Tl' JMF B: 3.7 /o JMF B: 2.582
Approved tentatively subject to the production of material meeting all other applicable requirements of the specification.
. Note: Part B'Production JMF' and corresponding Material percentages will be filled out by the DME upon receipt of the additional requirements of
the HMA producer within the first three lots under Section 502.01(b).
Copies: Approval: Type: Status: Date:
Part B Approved 6/13/2017
Form TL-127 (HMA) Rev 5/2014