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[null,"MATERIAL LIST:"]
[]
[null,"MATERIAL\n(See comment above for instructions)"]
[]
[null,"901 AGGREGATES - Course Aggregate No. & Source                          (Attach Gradation)"]
[null,"901 AGGREGATES - Fine Aggregate Source\n(Attach Gradation)"]
[null,"901 AGGREGATES - Soil Aggregate Source - Designation I-XX\n(Attach Gradation)"]
[null,"901 AGGREGATES - Dense Graded Aggregate (DGA) Source\n(Attach  Gradation)"]
[null,"902 ASPHALT (HMA PLANT MIX)\n(Attach LB-325)"]
[null,"903 CONCRETE (PLANT/TRANSIT MIX)\n(Attach LB-125)"]
[null,"903 CONCRETE - Quick-Setting Patch Material (Mfr./ Source & Supplier per QPL)"]
[null,"903 CONCRETE - Non Shrink Grout (Mfr./ Source & Supplier per QPL)"]
[null,"903 CONCRETE - Epoxy Grout (Mfr./ Source & Supplier per QPL)"]
[null,"904 PRE-CAST CONCRETE PRODUCTS"]
[null,"904 PRESTRESSED CONCRETE (Fabrication Plant)"]
[null,"905 REINFORCEMENT STEEL          (Mill Source & Supplier)"]
[null,"905 REINFORCEMENT STEEL - Prestressed and Post-Tensioning"]
[null,"906 STRUCTURAL STEEL     (Fabrication Shop)"]
[null,"906 STRUCTURAL STEEL - Sheet Pile (Mfr./ Source & Supplier)"]
[null,"906 STRUCTURAL STEEL - Steel Casings (Mfr./ Source)"]
[null,"906 STRUCTURAL STEEL - SIP Forms (Mfr./ Source)"]
[null,"906 STRUCTURAL STEEL - Sign Structures (Fabrication Shop)"]
[null,"907 BEARING ASSEMBLIES - Type of Bearing? (Fabrication Shop)"]
[null,"908 BOLTS - High-Strength Bolts (Mfr./ Source & Supplier)"]
[null,"908 BOLTING MATERIAL               (Mfr./ Source & Supplier)"]
[null,"909 DRAINAGE - Reinforced Concrete Pipe  (Mfr./Source)"]
[null,"909 DRAINAGE - Plastic/PVC Pipe (Mfr./ Source & Supplier)"]
[null,"909 DRAINAGE - Corrugated Aluminum Alloy Pipe                  (Mfr./ Source & Supplier)"]
[null,"909 DRAINAGE - Corrugated Steel Pipe  (Mfr./ Source & Supplier)"]
[null,"909 DRAINAGE - Steel Alloy Pipe for Bridge Storm Drain  (Mfr./ Source & Supplier)"]
[null,"909 DRAINAGE - Ductile Iron Water Pipe  (Mfr./ Source & Supplier)"]
[null,"909 DRAINAGE - Castings            (Mfr./ Source & Supplier)"]
[null,"909 DRAINAGE - Epoxy Bedding (Mfr./ Source & Supplier per QPL)"]
[null,"910 MASONRY UNITS - Concrete Block for Inlets and Manholes  (Mfr./ Source & Supplier)"]
[null,"911 SIGNS - Regulatory & Warning Signs  (Mfr./ Source & Supplier)"]
[null,"911 SIGNS - Guide Signs             (Mfr./ Source & Supplier)"]
[null,"911 SIGN SUPPORTS - Steel U-Post  (Mfr./ Source & Supplier)"]
[null,"911 SIGN SUPPORTS - Breakaway Ground Mounted  (Fabrication Shop)"]
[null,"911 SIGN SUPPORTS - Non-Breakaway Ground Mounted (Fabrication Shop)"]
[null,"911 SIGN SUPPORTS - Overhead, Bridge Mount & Cantilever     (Fabrication Shop)"]
[null,"911 SIGN SUPPORTS - Timber     (Mfr./ Source & Supplier)"]
[null,"911 DELINEATORS - Flexible        (Mfr./ Source & Supplier)"]
[null,"912 COATINGS - Bridge Paint System (Mfr/Source  -  Primer/ Intermed./ Top Coat, System I.D # per QPL)"]
[null,"912 COATINGS - Galvanizing (ASTM A 123 ) - Galvanizer"]
[null,"912 COATINGS - Epoxy Waterproofing (Mfr./ Source & Supplier per QPL) "]
[null,"912 TRAFFIC STRIPES - Epoxy       (Mfr./ Source & Applicator)"]
[null,"912 TRAFFIC STRIPES - Latex        (Mfr./ Source & Applicator)"]
[null,"912 TRAFFIC MARKINGS   (Mfr./ Source & Applicator)"]
[null,"913 FENCE - Chain-Link Fence    (Mfr./ Source & Supplier)"]
[null,"913 FENCE - Caution and Snow Fence    (Mfr./ Source & Supplier)"]
[null,"913 GUIDE RAIL - Beam Guide Rail and Posts (Mfr./ Source & Installer)"]
[null,"913 GUIDE RAIL - Blockouts per QPL (Mfr./ Source & Installer)"]
[null,"913 GUIDE RAIL - End Treatments per QPL (Mfr./ Source & Installer)"]
[null,"913 GUIDE RAIL - Pressure Treated Wood Posts (Mfr./ Source & Installer)"]
[null,"913 RAILING - Steel Bridge Railing (Fabricator)"]
[null,"913 RAILING - Aluminum Bridge Railing (Fabricator)"]
[null,"914 JOINTS - Preformed Joint Filler (Mfr./ Source & Supplier)"]
[null,"914 JOINTS - Joint Sealer or Polymerized Adhesive (Mfr./ Source & Supplier per QPL)"]
[null,"914 JOINTS - Armor Deck Joint  (Fabricator)"]
[null,"914 JOINTS - Preformed Elastomeric Joint Sealer (Mfr./ Source & Supplier)"]
[null,"914 JOINTS - Strip Seal Expansion Gland  (Mfr./ Source & Supplier)"]
[null,"915 TIMBER - Round Timber Piles (Mfr./ Source & Supplier)"]
[null,"915 TIMBER - Sheet Piling          (Mfr./ Source & Supplier)"]
[null,"915 TIMBER - Decking                   (Mfr./ Source & Supplier)"]
[null,"917 LANDSCAPE  \"Submit name of Sub-contractor only.  Items approved by Bureau of Landscape.\n(CERTIFICATION UPON DELIVERY)"]
[null,"918 ELECTRICAL  \"Submit for Approval to Traffic Signal and Safety as per Division 700\"\n"]
[null,"919 MISCELLANEOUS - Epoxy Bonding Compound (Mfr./ Source & Supplier per QPL)"]
[null,"919 MISCELLANEOUS - Epoxy Injection (Mfr./ Source & Supplier per QPL)"]
[null,"919 MISCELLANEOUS - Other Material not listed above. Fill in name of material (Mfr./ Source & Supplier)"]

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[null,"Form DC-2891",null,null,null,null,null,"NEW JERSEY DEPARTMENT OF TRANSPORTATION"]
[null,"11/2024",null,null,null,null,null,"MATERIAL QUESTIONNAIRE"]
[]
[null,"PROJECT",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"D.P.\nNo.",null,null,null,null,null,null,"M.Q.\nNo."]
[null,"The materials for use in the execution of the work required on the above project will be secured from the sources designated below."]
[null,"NAME OF PRIME CONTRACTOR"]
[null,"MAILING ADDRESS",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ZIP\nCODE"]
[null,"SUBMITTED BY",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"DATE"]
[null,"E-MAIL ADDRESS"]
[null,null,null,null,null,null,null,"Contractor's Representative  (include e-mail address)"]
[null,"RE",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"REGION",null,null,null,null,null,null,"TELEPHONE NO."]
[null,"E-MAIL ADDRESS",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FEDERAL\nPROJ. NO."]
[null,null,null,null,null,null,null,"(RE or Designee's e-mail address)"]
[null,"*  To be completed by the Bureau of Materials:  \"E\" - Requires Division of Traffic Engineering's Approval, \"L\" - Requires Landscape Unit's Approval, \"I\" - Inspection; \"C\" - Certification; \"N\" - Not Approved; \"R\" - Requires Regional Material's Approval; \"A\"-Approved; \"NCR\" - No Certification Required"]
[null,"MATERIAL\n(See comment above for instructions)",null,null,null,null,null,null,null,null,null,null,"Item\nNos.",null,null,"MANUFACTURER/SOURCE\nMAILING ADDRESS",null,null,null,null,null,null,null,null,null,null,"SUPPLIER/PLANT LOCATION\n MAILING ADDRESS",null,null,null,null,null,null,null,null,null,null,"*"]
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