Atch_7_AF_From_66_Sample.pdf
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AF Form 66 Sample
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SCHEDULE OF MATERIAL SUBMITTALS PAGE ____1___ OF _____1__ PAGES
PROJECT NUMBER SOLICIT / CONTR. NO.
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
L
I
N
E
N
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M
B
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R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL C
E
R T
IF
IC
A T
IO
N
O F
C O
M P
L
IA
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M A
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F A
C T
U R
E R
'S
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M M
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D A
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IO
N S
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F A
C T
U R
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'S
W A
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A N
T Y
O P
E R
A T
IN
G
IN
S
T R
U C
T
IO
N S
S E
E P
A R
A REQUIRED
SUBMISSION
DATE
DATE
RECEIVED
IN CON-
TRACTING
DATE TO
CIVIL
ENGINEER-
ING
RETURN
SUSPENSE
DATE
FOLLOW UP
DATE CONTRACTOR
NOTIFIED
CONTRACT-
TOR RE-
SUBMIT-
TAL
FINAL
APPROVAL
REMARKS
APPROVED DISAPPROVED
AF Form 66, SEP 86
PROJECT TITLE
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