MATERIAL SUBMITTAL Type · 2020. 6. 5. · MATERIAL SUBMITTAL SUBMITTAL NUMBER: (Revised...
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Form D-40 (Revised 04/17) ALABAMA DEPARTMENT OF TRANSPORTATION MATERIAL SUBMITTAL SUBMITTAL NUMBER: Type: NEW RESUBMITTAL DATE: CONTRACTOR: Sub-Contractor: Project Number: Name Name Address: Address: County: Contact: Contact: Phone: Phone: CPMS Reference No.: (ALDOT Use Only) Email: Email: Project Manager: Project Description: Name: Phone: Region/Area: Email: TO BE COMPLETED BY THE CONTRACTOR FOR ALDOT USE ONLY PAY ITEM NUMBER DESCRIPTION OF MATERIAL (include Manufacturer, Type, Model Number, Catalog Number, etc.) Approved Not Approved See Comment(s) Initials Page ____ of _____
Transcript of MATERIAL SUBMITTAL Type · 2020. 6. 5. · MATERIAL SUBMITTAL SUBMITTAL NUMBER: (Revised...
Form D-40 (Revised 04/17)
ALABAMA DEPARTMENT OF TRANSPORTATION
MATERIAL SUBMITTAL
SUBMITTAL NUMBER:
Type: NEW RESUBMITTAL DATE:
CONTRACTOR: Sub-Contractor: Project Number: Name Name Address: Address: County:
Contact: Contact: Phone: Phone: CPMS Reference No.: (ALDOT Use Only)
Email: Email: Project Manager: Project Description: Name: Phone: Region/Area: Email:
TO BE COMPLETED BY THE CONTRACTOR FOR ALDOT USE ONLY
PAY ITEM
NUMBER
DESCRIPTION OF MATERIAL
(include Manufacturer, Type, Model Number, Catalog Number, etc.)
Appro
ved
Not
Appro
ved
See Comment(s)
Initials
Page ____ of _____
ALABAMA DEPARTMENT OF TRANSPORTATION MATERIAL SUBMITTAL
SUBMITTAL NUMBER:
(CONTINUED)
Project Number: County: CPMS Ref. No.: (ALDOT Use Only) DATE:
FOR ALDOT USE ONLY
Comment Number
COMMENTS / CORRECTIONS
Page ____ of _____
Form D-40 (Revised 04/17)
