Material Certification - Epoxy Compound, Types A and B by ghzd5fD

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									                                                                             Revised 10/06/08

                     “USE ON CONTRACTOR'S LETTERHEAD”
                      MATERIAL CERTIFICATION
                                     FLORIDA DOT
                                     Material ID 656



D.O.T. Project Numbers (FIN):


D.O.T. Contract Number:


Project Location:



We certify that the architectural pavers used in the sidewalk applications for the contract
listed above meet the requirements of ASTM C 902 (brick pavers) and/or ASTM C 936
(concrete pavers) and Section 526 of the Contract Specifications.



                                      Contractor Officer or
                                      Designee:_____________________________

                                      Signature:________________________________

                                      Date:_____________________________________



(Notarized)

								
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