PhysData_Request_Form_RisingSun_A001.pdf

FAX this completed form to 360.619.7932; if you have problems, call 360.619.7520.

MT PRA GLAC 10(40) GOING-TO-THE-SUN ROAD REHABILITATION,

RISING SUN TO ST. MARY, PHASE 13

Physical Data Documents ( See Clause 52.236-4)

These documents are in PDF format on a CD. The CD will be sent by US Mail, unless you give us your FedEx account for overnight delivery.

Send me a copy of the CD YES NO As Builts - RG 429 St Mary River As Builts - RG 490 Divide Creek Bridge Inspection Report – Divide Creek Bridge - Structure No. 1430-028P Bridge Inspection Report – St. Mary River Bridge - Structure No. 1430-027P Memo - Revised Final Structural Pavement Design Cross-Sections (Added by Amendment A001)

List of Lab Trailer Contents ( See Subsection 154.04A)

This list will be sent to you by email Email me a copy of lab trailer contents YES NO

Company Name:

Contact Name:

Mailing Address:

Telephone:

Email:

(Optional) Fed Ex Account: ______________________________

Form revised by Amendment A001

REQUEST FORM

REQUEST FORM