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Qualified Product List

Contractor Product Information

 Contractor:                   Contract No: 
 Sub Contractor:           Date:              
 Bid Item: 

 Manufacturer: Trinity Highway Products, LLC - Centerville, UT

 Product Name: ADIEM 350
    Standard Spec : 8-17.1, Attenuator - Impact Attenuator Systems

    Product Description : Impact attenuator system: NCHRP 350, Test Level (TL) 3; for Temporary use
    Product Restriction :
    This device is limited to installations where the posted speed is 45 mph or less.

    Acceptance Code : 3102
    Code Description : Visually verify the product delivered to the job site is the product that was originally submitted by the Contractor and approved from the QPL. If the Contract contains a Buy America clause the PEO is responsible for acquiring a Certificate of Material Origin from the Contractor. Note 'Restrictions' when present.

    Last Updated : Sep 14, 2011

    To be completed by the field inspector:

    Quantity:  _________    Verified By:  _________    Date:  _________