Lab Trailer Blank Check In Form.docx

WFLHD Field Materials Laboratory Trailer

Trailer Inventory and Check In Form

Trailer License Number: ___________Bar Code ____________

Completed By: ____________________________________________ Date Completed:___________________________________________

Form Last Updated On: 6 May 2015

Front of Trailer Inventoried Items

Y/N

Safety goggles, pair

Safety glasses, pair

Hammer, Claw

Screwdriver, large slot

Pliers, slip

Wrench, adjustable, 10”

Wrench, adjustable, 6”

Allen wrench set

Knives, drywall

model number

Y/N

Dust pan

18” level

Shop brush

model number

Y/N

Awning kit

model number

Y/N

Jack Stands

Grease Gun

Hydraulic jack

Not In Cabinets or Drawers

Vacuum pump

Vacuum pump oil

Broom

Precisa Scale

VWR Scientific oven

Quincy Lab oven

Right Side of Trailer Inventoried Items

model number

Y/N

Test Forms, AASHTO, Access Site Identified

Manual, Field Materials Lab Trailer

Manual, NACT Asphalt tester

model number

Y/N

5 lb. compaction hammer

10 lb. compaction hammer

Compaction mold, 4” dia.

Compaction mold, 6” dia.

Sample ejector w/4” ejector plate

6” ejector plate

model number

Y/N

Rubber Mallet

Chisel, cold 1”

Straight edge 12”

model number

Y/N

Pans, 9” diameter

Cooking pan set

model number

Y/N

Splitter pans galvanized

model number

Y/N

Splitter, small, ¾”

model number

Y/N

Drain hose

Garden hose

Right Side of Trailer Inventoried Items

model number

Y/N

Wash bottles, squeeze type

Graduated cylinders, 50ml

Beaker or Cylinder, 1000ml, Nalgene

Syringe, LL

Thermometer, analog, 0F to 125F

model number

Y/N

Oven Vent Caps

Rags, absorbent, bag

Citra towels, container

model number

Y/N

Cylinders, transparent measuring

First Aid Kit

Eye Wash Station

Fire extinguisher, type ABC

model number

Y/N

Shel Lab oven

Mary Ann Shaker

Miscellaneous Items

Waste Basket

Door mat

Left Side of Trailer Inventoried Items

model number

Y/N

Tool bag with tools (wrenches – 1 1/8, 1 ¼, 1, ¾, 7/16. Spacer, Allen wrench)

Anti-seize paste

Paper disks, 150mm, stack

Compaction manual

Ram Foot Calibration Spacers

model number

Y/N

Molds

Specimen lift handle

Mold funnel

model number

Y/N

Manometer

AC/DC Adaptor

Dryerite

Pipe Thread Compound

Cabinet 15 Door B

Bar code, serial or model number

Y/N

Shaker

Pycnometer

Cabinet 16 Drawer A

Bar code, serial or model number

Y/N

Vinyl hose 8 ft. 3/8” I.D.

Rubber stopper w/Nipple

Cabinet 16 Door B

Bar code, serial or model number

Y/N

Pyrex flask

Drying Pans 11”x16”x2”

model number

Y/N

Glass plate

model number

Y/N

Triple beam scale

Weight set

model number

Y/N

Clipboards

model number

Y/N

Mortar CL-281

Pestle CL-282

Evaporation dishes, 115mm Dia.

Scoop, flat base, 2”x3”

Steel Rod, 1/8x4”

Tin Sample cans, 3 oz.

Quartering blanket 24”x24”

model number

Y/N

Liquid limit device

Spare brass limit cup CL-227

Spare grooving tool CL-218

model number

Y/N

Plastic dish w/cover

Spatula 1 ½”x10”

Mixing spoons, 13”

Spatulas, 4” blade

Funnel, 4” plastic, short spout

model number

Y/N

Retriever prongs

Ignition furnace baskets

model number

Y/N

Interval Timers

Bottle brush

Stock Solution, 8 oz. ,undiluted

Siphon assembly, complete

Rubber tubing, 4’x3/16”

Rubber Stoppers, #7

Irrigator assembly

Weighted foot

model number

Y/N

Safety Shield

Shovel, short handle, square point

Shovel, short handle, round point

Kraft paper, roll

model number

Y/N

Hot Gloves, insulated, pair

Lightweight oil, bottle

Cooling trivet

Readout paper, roll

Fuses (Type FZX61, FZX47, FZX53)

2 ea

Thermometer, analog, 50°f-500°F, 7” stem

Thermometer, analog, 50°f-500°F, 5” stem

model number

Y/N

Trays, paper (stack)

Buckets, galvanized

Stainless Steel Beaker, 8 quart

model number

Y/N

Gilson Shaker, square sieves

Square sieve for Gilson shaker 1 ½”

Square sieve for Gilson shaker 1”

Square sieve for Gilson shaker ¾”

Square sieve for Gilson shaker ½”

Square sieve for Gilson shaker ⅜”

Square sieve for Gilson shaker ¼”

Square sieve for Gilson shaker #4

Pan for Square sieve

Electronic Balance scale 16.0 kg x 0.1

Gyratory Compactor

Ignition Furnace

Stove, Camp Chef 60,000 BTU

Sand equivalent

Pump, Bicycle tire

Jugs, Plastic, 1 gal.

Step Ladder 5’

Hearth plate/ ceramic columns (inside furnace)

1/4

Hot Box (red)

Back Compartment of Trailer Inventoried Items

model number

Y/N

Quartering blankets, 60”x60” for Aggregate

Brass Brush

Brush 1”

Brush 2”

Sampling scoop 10”x8”

Wire brush

4” spatulas

model number

Y/N

Gilson chute pan

Pan, hog 16”

Stir Rod, 3 ft.

model number

Y/N

Sieve pry

8” Diameter #10

8” Diameter #40

8” Diameter Pan and lid

12” Diameter Full Height 1 ½”

12” Diameter Full Height 1”

12” Diameter Full Height ¾”

12” Diameter Full Height #4

12” Diameter Full Height ½”

12” Diameter Full Height ⅜”

12” Diameter Half Height #8

12” Diameter Half Height #10

12” Diameter Half Height #30

12” Diameter Half Height #40

12” Diameter Half Height #50

12” Diameter Half Height #100

12” Diameter Full Height #200

12” Diameter Half Height #200

12” Diameter Pan and Lid

model number

Y/N

Platform scale 105 lb.x1/100th’s lb.

Drying pans (Aluminum) 5”x18”x24”

model number

Y/N

Gilson Splitter, large adjustable ½” to 6”

Splitter Pans

PROCESS AND OPERATIONAL CHECKS

Clean and inspect oven exhaust and vent system. Requires removal of pipe and covers on oven.

Perform inspection and operational check of water pump system. Replace filter if necessary. Drain water from tanks when check is complete.

Perform brake and wheel bearing inspection. Lubricate fittings as needed. Tighten suspension system bolts and nuts. Inspect tires. Fill tires to 90 psi.

Check trailer exterior for loose screws and sealant. Replace as needed. If trailer is dirty power wash exterior. Touchup paint if needed.

Check windows and doors for tightness and closure. Leak test windows/doors with water. Repair/caulk as needed.

Check labeling on interior cabinet drawers and doors. Replace/add labels as needed.

Check operation of AC/Heater unit. Remove and replace air filter. Wash condenser coils on outside of trailer.

Check operation of lights and electric brakes. Replace parts as needed.

Door and Window Locks

Cabinet Drawers and Doors. Ensure latch/lock in place.

Ovens, Brackets, Pipes, Pipe Covers Sealed and Secured

Mary-Ann Secured

Gilson Checks

a. lock handles

b. top bracket

c. 2 x 3 supports installed

d. Vibration boots deflated

Splitter Pans Secured, Waste Basket Secured

Ensure Room Pocket Door Secured In Open Position

Jacks Operational, Adequate Oil, Secured

Drain Pipes Closed

Rear Basket Cleaned. Electrical Cable Insulation & Ends Checked

Counters and Counter Edges Cleaned/Repaired

Equipment Unplugged, A/C-Htg Unit Turned Off

Portable Steps Secured and Tied Down. Bolts/Nuts Checked

Exterior Electrical Outlets Checked, Exterior Lights Checked/Sealed

Manometer Battery, Water Hose Checked

Gyratory Manual w/CD

Check Insulated Gloves for Wear and Holes

Exhaust Pipe Extension for NCAT Identified & Secured

Inspect And Secure Awning

Mail A Key To Project Engineer