Section_J_attachment_3a_Submittals_INDIVIDUAL.doc

DOC document 76 KB Posted

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Missoula MT Forestry Lab Renovation
Solicitation number
AG-82FT-S-13-0007
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Attach 3a Individual Approval of Submittals Form

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Text version

MATERIAL APPROVAL SUBMITTAL

Attachment 3a

TO: (COR)

FROM: (Contractor)

DATE:

Contract Number

Submission Number

Submittal

FORMCHECKBOX

New FORMCHECKBOX Re-submittal

Previous Submission Number

Project Number

TO BE COMPLETED BY CONTRACTOR

FOR GOVERNMENT USE ONLY

Item No.
Specifications Section/

Para NO./Drawing NO.

Description of Material

(Including type, Model Number, catalog Number, Mfg.., etc.)

Ap-

Proved Disap-

Proved See comments Initial

BY COMPLETING THIS FORM, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT

THE MATERIAL COMPLIES WITH ALL SPECIFICATIONS OF SUBJECT CONTRACT.

Date

Type or print Name and Title

Signature

FOR GOVERNMENT USE ONLY

FORMCHECKBOX

Approved FORMCHECKBOX Disapproved as indicated above and subject to any applicable comments on the reverse side. Request

Resubmittal on disapproved items within days of date shown below.

Date

Type or Print Name

Signature

COMMENTS

(Number to correspond with applicable Item Number)

File details come from the government source that posted it. Updated .