Qualified Product List
Contractor Product Information
Contractor:
Contract No:
Sub Contractor:
Date:
Bid Item:
Manufacturer:
G A Jorgensen - Pacific, WA
Product Name: Precast Concrete Slope Mountable Curb and Dual Faced Sloped Mountable Curb
Standard Spec :
9-18.1, Precast Concrete - Precast Traffic Curb
Product Description :
Manufacturers of precast concrete sloped mountable curb and dual faced sloped mountable curb; See Std Plan F-10.62-01 and F-10.64-02 for further details
Product Restriction :
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 3, 2013
To be completed by the field inspector:
Quantity: _________ Verified By: _________ Date: _________
