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BLUE SHEETS Page 1 BLUE SHEETS SUBMITTALS FOR FIELD QUALIFICATION ELECTRICAL EQUIPMENT AND MATERIALS PROJECT MANAGER: ________________________________________________ PROJECT: ________________________________________________ HIGHWAY: ________________________________________________ COUNTY: ________________________________________________ CONTRACT NO.: ________________________________________________ SUBMITTING CONTRACTOR: ________________________________________________ DATE SUBMITTED: ________________________________________________ CONTRACTOR REPRESENTATIVE: ________________________________________________ PHONE: ________________________________________________ REVISED May 16, 2018
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Page 1: BLUE SHEETS - State of Oregon : Oregon.gov Home … SHEETS Page 1 BLUE SHEETS SUBMITTALS FOR FIELD QUALIFICATION ELECTRICAL EQUIPMENT AND MATERIALS PROJECT MANAGER ... BLUE SHEETS

BLUE SHEETS Page 1

BLUE SHEETS

SUBMITTALS FOR FIELD QUALIFICATION

ELECTRICAL EQUIPMENT AND MATERIALS

PROJECT MANAGER: ________________________________________________ PROJECT: ________________________________________________ HIGHWAY: ________________________________________________ COUNTY: ________________________________________________ CONTRACT NO.: ________________________________________________ SUBMITTING CONTRACTOR: ________________________________________________ DATE SUBMITTED: ________________________________________________ CONTRACTOR REPRESENTATIVE: ________________________________________________

PHONE: ________________________________________________

REVISED May 16, 2018

Page 2: BLUE SHEETS - State of Oregon : Oregon.gov Home … SHEETS Page 1 BLUE SHEETS SUBMITTALS FOR FIELD QUALIFICATION ELECTRICAL EQUIPMENT AND MATERIALS PROJECT MANAGER ... BLUE SHEETS

BLUE SHEETS Page 2

Revised May 16, 2018 Contract No.______________

‘BLUE SHEET’ INSTRUCTIONS These sheets are to be furnished for each project, by the Project Managers office. They are found on ODOT’s Internet site: http://www.oregon.gov/ODOT/Engineering/Documents_TrafficStandards/BlueSheets.pdf They should be down-loaded for each project, to insure that they are the most current copy. These sheets will be accepted as equipment list in accordance with 00960.02 of the Standard Specifications. INITIAL SUBMITTAL

The Contractor will: 1. Submit two copies of the Blue Sheets 2. Submit appropriate Certificate of Materials Origins (CMO) form 734-2126 as required 3. Fill out the Blue Sheets based on the projects requirements

a. In the CONTENTS pages check the box for all items that are “NOT ON PROJECT”. This removes the need to submit the materials page(s) for these items.

b. For materials that are on the project: i. Check the listed brand and circle the model to be used if more than one is listed, or ii. Write in a brand and model proposed for installation based on the project plans and

specifications. Submit one catalogue cut sheet for initial qualification. iii. Except for conduit and wire, do not mark more than two options per sub category

The Inspector will:

1. Review initial submittal and fill out the INITIAL SUBMITTAL box in the CONTENTS pages and specific materials pages for listed materials.

2. Submit write in products to the State Traffic Signal Engineer for approval. Call 503-986-3596 or e-mail ([email protected]) to submit cut sheet of the material.

3. Return one copy of the Blue Sheets to the Contractor CONSTRUCTION

Materials delivered to job site shall be clearly marked as to brand and model/part description (verified on materials), or shall be accompanied by supplier’s certification as to brand and model/part description (copy attached). The Contractor will:

1. Install materials QUALIFIED by the Inspector during the INITIAL SUBMITTAL. Install per plan and specification.

2. The required CMO’s will be submitted prior to the materials being installed. The Inspector will:

1. Verify materials installed match the Contractors INITIAL SUBMITTAL. Verify the materials are installed per plan and specification.

2. Fill out the INSPECTED & ACCEPTED ON PROJECT box for each specific materials page. 3. E-mail scanned final copy to State Traffic Signal Engineer after construction.

ITS PROJECTS ****** NEW****** Write in products not allowed for ITS PROJECTS, follow 00960.02 instead. These instructions do not

apply to ITS PROJECTS for write in products. The ITS write in products are reviewed and approved by the Engineer of Record per 00960.02.

Page 3: BLUE SHEETS - State of Oregon : Oregon.gov Home … SHEETS Page 1 BLUE SHEETS SUBMITTALS FOR FIELD QUALIFICATION ELECTRICAL EQUIPMENT AND MATERIALS PROJECT MANAGER ... BLUE SHEETS

BLUE SHEETS Page 3

Revised May 16, 2018 Contract No.______________

CONTENTS PAGE NO.

NOT ON COMMON ELECTRICAL PROJECT 7. BOND WIRE

8. BONDED BUSHINGS

9. CABLE TIES

10. CONDUIT (METALLIC)

11. CONDUIT (NON-METALLIC)

12. CONDUIT BUSHINGS

13. CONDUIT HUB & CONDULET

14. CONDUIT PLUG

15. EXPANSION FITTING

16. GROUND ROD & CLAMP

17. JUNCTION BOXES (CAST IRON)

18. JUNCTION BOXES (CONCRETE)

19. JUNCTION BOXES (HYBRID)

20. JUNCTION BOXES (HAND HOLE)

21. TERMINAL BLOCKS

22. THWN & XHHW WIRE

23. UNDERGROUND WARNING TAPE

24. XTRA BLANK FORM

INITIAL SUBMITTAL

AGREE WITH “NOT ON PROJECT”

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

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BLUE SHEETS Page 4

Revised May 16, 2018 Contract No.______________

CONTENTS CONT’ PAGE NO. NOT ON TRAFFIC SIGNAL SPECIFIC PROJECT 25. ALUMINUM SIGN BRACKET

26. BACKPLATES

27. CONTROL CABLE

28. EYEBOLT, TURNBUCKEL, STRANDVISE

29. INTERCONNECT CABLE

30. LED MODULES (12” RED)

31. LED MODULES (12” YELLOW)

32. LED MODULES (12” GREEN)

33. LED MODULES (8” R, Y, G)

34. LED MODULES (PEDESTRIAN)

35. LOOP FEEDER CABLE

36. LOOP SPLICE

37. LOOP WIRE (XHHW/DUCT)

38. MESSENGER CABLE

39. METER BASE

40. PEDESTAL (PEDESTRIAN SIGNAL)

41. PEDESTAL (VEHICLE SIGNAL)

42. PEDESTRIAN SIGNAL

43. PEDESTRIAN SIGNAL MOUNT

44. PREFORMED LOOPS

45. PTR SIGNS

46. PUSH-BUTTON

47. RISER FRAMES

48. SERVICE CABINET

49. SIGNAL HEAD COVERS

50. SPANWIRE HANGER

51. TERMINAL CABINET

52. TETHER & STABLILIZER CABLE

53. TETHER CLAMP

54. TRI-STUD ADAPTERS

55. VEHICLE SIGNAL BRACKET (ADJ.)

56. VEHICLE SIGNAL VISOR

57. VEHICLE SIGNALS

INITIAL SUBMITTAL

AGREE WITH “NOT ON PROJECT”

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

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BLUE SHEETS Page 5

Revised May 16, 2018 Contract No.______________

CONTENTS CONT’ PAGE NO. NOT ON ILLUMINATION SPECIFIC PROJECT 58. IN-LINE FUSE HOLDER

59. PHOTOELECTRIC CELL

60. TC CABLE

INITIAL SUBMITTAL

AGREE WITH “NOT ON PROJECT”

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

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BLUE SHEETS Page 6

Revised May 16, 2018 Contract No.______________

CONTENTS CONT’ PAGE NO. NOT ON ITS SPECIFIC PROJECT 61. RADIO MOUNT

INITIAL SUBMITTAL

AGREE WITH “NOT ON PROJECT”

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

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BLUE SHEETS Page 7

Revised May 16, 2018 Contract No.______________

BOND WIRE

DESCRIPTION: Typically 6 AWG, 7 Strand wire (green insulated allowed) USE: Bond/grounding wire for 120V AC circuits BRAND/MANUFACTURER CATALOGUE/PART NO.

Republic Wire (Anixter) #6 AWG 7 Strand

General Cable (Anixter) #6 AWG 7 Strand

Rome (Anixter) #6 AWG 7 Strand

Superior Essex #6 AWG 7 Strand

Southwire #6 AWG 7 Strand

Encore #6 AWG 7 Strand

Nehring #6 AWG 7 Strand

Service Wire Co #6 AWG 7 Strand

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INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 8

Revised May 16, 2018 Contract No.______________

BONDED BUSHINGS

DESCRIPTION: Metallic conduit bushings with a lug to clamp bond wires, Insulated throat. Aluminum not allowed. USE: On ends of conduit allowing bonding of the conduit system. BRAND/MANUFACTURER CATALOGUE/PART NO.

Blackjack (T&B) ‘BG’ series

Appleton ‘GIB’ series

Crouse-Hinds (Lazy Lug) ‘GLL’ series

Arlington Industries 452 thru 457

Bridgeport #383 thru 390

RACO 1214

RACO 1216

RACO 1218

RACO 1290

RACO 1292

O-Z/Gedney BLG

O-Z/Gedney HBLG

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CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 9

Revised May 16, 2018 Contract No.______________

CABLE TIES

DESCRIPTION: Black nylon or plastic strips, Positive, non-release binding. USE: Strapping control cable to messenger cable on spans, 6 inch spacing. BRAND/MANUFACTURER CATALOGUE/PART NO.

3-M #06277

T & B (TY-RAP) #TY272MX

Tyton T120S0H4

Advanced Cable Ties AL-08-120-0-C

Panduit (Anixter) PLT5H

Panduit (Anixter) PLT3H Panduit (Anixter) SST4H

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INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 10

Revised May 16, 2018 Contract No.______________

CONDUIT (METALLIC)

DESCRIPTION: Galvanized rigid conduit and fittings & liquid-tight flexible metal conduit. USE: Houses electrical conductors. BRAND/MANUFACTURER CATALOGUE/PART NO.

Republic All galv. rigid conduit

Picoma All galv. rigid conduit

Allied Tube & Conduit All galv. rigid conduit

Conduit Pipe Products All galv. rigid conduit Western Tube & Conduit All galv. rigid conduit

Wheatland Tube Co. All galv. rigid conduit

Shamrock (T&B) All galv. rigid conduit

Cal Pipe Manufacturing All galv. rigid conduit

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____________________ _____________________ Liquid-Tight Flexible

Anamet Electrical Inc. Type UA (Anaconda Sealtite)

Southwire Titan Type UL

AFC Cable Systems LiquidTuff Type LFMC

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CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 11

Revised May 16, 2018 Contract No.______________

CONDUIT (NON-METALLIC)

DESCRIPTION: PVC, High Density Polyethylene, and Fiberglass rigid non-metallic conduit and fittings. USE: Houses electrical conductors. BRAND/MANUFACTURER CATALOGUE/PART NO. PVC (UL 651)

PW Pipe Sch. 40 & 80

Carlon/Prime Conduit Sch. 40 & 80

Cantex Sch. 40

J-M Manufacturing Sch. 40 & 80

Kraloy Sch. 40

Ipex/Scepter Sch. 40

Cresline Northwest Sch. 40

Ridgeline Sch. 40

Heritage Plastics Central Sch. 40 & 80

Rocky Mountain Colby Pipe Sch. 40 & 80

Allied-Heritage Sch. 40 & 80

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HDPE (UL 651B) Carlon Sch. 40 & 80

Arnco/Dura-Line Sch. 40 & 80

PERMA-GUARD Sch. 40 & 80

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FIBERGLASS (UL 1684)

Champion Fiberglass Sch. 40 & 80 (UL 1684 listed)

FRE Composites Sch. 40 & 80 (UL 1684 listed)

United Fiberglass of America Sch. 40 & 80 (UL 1684 listed)

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INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 12

Revised May 16, 2018 Contract No.______________

CONDUIT BUSHINGS

DESCRIPTION: Conduit bushings with insulated throat but no bonding lug. USE: Used on the ends of conduit when bonding lugs are not needed. BRAND/MANUFACTURER CATALOGUE/PART NO. METALLIC

Bridgeport #363 thru #370

T & B #1224 thru 1229

RACO #1127 thru 1134

Crouse-Hinds #1033 thru 1038

Appleton GIB-L-BC

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____________________ _____________________ POLYMER END BELL

Cantex #5144005 thru 5144010

PW Pipe #6150-0200

PW Pipe #6150-300

Kraloy #MEB05-MEB40

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CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 13

Revised May 16, 2018 Contract No.______________

CONDUIT HUB & CONDULET

DESCRIPTION: HUB: Nylon insulated steel or malleable iron connector, with neoprene “O” ring to provide a watertight threaded hub into enclosures. CONDULET: Malleable iron conduit body hot dip galvanized with cover and moistureproof gasket. USE: HUB: To provide a watertight connection to meter bases, service Cabinets and cast iron junction boxes. CONDULET: Conduit transition/pull point. BRAND/MANUFACTURER CATALOGUE/PART NO. CONDUIT HUB

O-Z/GEDNEY CHM-T

THOMAS & BETTS No. 370 thru 379

TOPAZ 201M thru 208M

SEPCO CHM

Crouse-Hinds MHUB

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____________________ _____________________ CONDULET

COOPER/CROUSE-HINDS FORM 7

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CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 14

Revised May 16, 2018 Contract No.______________

CONDUIT PLUG

DESCRIPTION: Closed cell polyethylene foam, preformed for a specific conduit size. (Not spray foam). Cut to supplier suggested length for conduit size. Or may be a mechanical device that expands into conduit opening to form a seal to conduit and wires/cables. USE: Foam/mechanical plug, inserted into exposed end of conduit in foundations and junctions boxes, for seal. BRAND/MANUFACTURER CATALOGUE/PART NO.

Prairie Electric “Molded Plug”

Ideal (Duct Seal) 31-601

Bridgeport DS-100

Panduit DS-1

Dottie PC6130

Lantz Electric “Foam Factory”

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INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 15

Revised May 16, 2018 Contract No.______________

EXPANSION FITTING

DESCRIPTION: A fitting that shall be weatherproof, malleable iron. With a hot-dip galvanized finish. Providing expansion for galvanized Conduit and still maintaining a bond, internally or with an external Jumper. USE: To provide for conduit expansion movement when crossing Expansion joints in/on structures and between fixed enclosures. BRAND/MANUFACTURER CATALOGUE/PART NO. EXPANSION ONLY

O-Z/GEDNEY Type AX

O-Z/GEDNEY Type AX8

O-Z/GEDNEY Type AXB O-Z/GEDNEY Type AXB8 Crouse-Hinds Type XJG

Appleton Type XJ

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EXPANSION / DEFLECTION

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CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________ +

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 16

Revised May 16, 2018 Contract No.______________

GROUND ROD & CLAMP DESCRIPTION: Copper coated 5/8 inch metal rod, 8 feet to 10 feet long w/clamp USE: All poles, conduit runs with 120V+ AC, and controller must be bonded to ground rod using full-contact clamps. BRAND/MANUFACTURER CATALOGUE/PART NO. GROUND ROD

Thomas & Betts (Blackburn) 6258

Eritech 615880

PP Porcelain Products 8438

Petron Pacific 5/8”

Hubbell/Chance C615855

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CLAMP

Thomas & Betts (Blackburn) JAB58H

Burndy GRC58

PENN-UNION CAB

PENN-UNION CEB

PP Porcelain Products 8058

Eritech HDC58

ILSCO C6RC58

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____________________ _____________________ CHEMICAL GROUND SYSTEM

Tessco n/a

Superior Grounding Systems n/a

Erico n/a

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____________________ _____________________

____________________ _____________________

____________________ _____________________

CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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Revised May 16, 2018 Contract No.______________

JUNCTION BOX (CAST IRON) DESCRIPTION: Watertight boxes of cast iron, gasketed lid held down with stainless steel screws. USE: In Traffic areas. (Pavement) Pull box for 120V AC conduit runs. Junction box for DC conduit runs. (splices to loop feeder). BRAND/MANUFACTURER CATALOGUE/PART NO. JB-4 O-Z Gedney YR-080606-CSV

Appleton WYR-080806-CSV

___________________ _____________________ JB-5

O-Z Gedney YR-121006-CSV

____________________ _____________________

____________________ _____________________ JB-6

O-Z Gedney YR-121008-CSV

Appleton WYR-121208-CSV

___________________ _____________________ JB-7

O-Z Gedney YR-161206-CSV

____________________ _____________________

____________________ _____________________ JB-8

O-Z Gedney YR-161208-CSV

Crouse-Hinds WJBF-161208

____________________ _____________________ Street Box (Loops Access)

O-Z Gedney YR-040404-CSV

____________________ _____________________

____________________ _____________________ Flush Mounted

O-Z Gedney Type YL

____________________ _____________________

____________________ _____________________

___________________ _____________________

___________________ _____________________

___________________ _____________________

CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 18

Revised May 16, 2018 Contract No.______________

JUNCTION BOX (CONCRETE)

DESCRIPTION: Open-bottom boxes of pre-cast concrete w/Brass or stainless steel fasteners.

BRAND/MANUFACTURER CATALOGUE/PART NO.

JB-1 (Polymer Concrete)

 ARMORCAST    A6001425TA  

 ARMORCAST    A6000485TAX12  

 CDR      SA20101512 

 Quazite    PG1118BA12 w/PG1118HA lid 

 Oldcastle                              H1118‐12 w/ Poly Tier 15 Lid 

 Newbasis    PCA111812‐90011/90012 

 Martin Enterprises  111812PC Tier 22 

 ___________________  _____________________ 

 

JB-1 (Portland Cement Concrete)

 Brooks Products  36PB w/Poly Tier 15 Lid 

 Oldcastle    N9 w/ Poly Tier 15 Lid 

 ___________________  _____________________ 

 

JB-2 (Polymer Concrete)

ARMORCAST    A6001946TAPCX12 

 CDR       SA20132412 

 Quazite    PG1324BA12 w/PG1324HA lid   Oldcastle    H1324‐12 w/ Poly Tier 15 Lid 

 Newbasis    PCA132412‐90030/90031 

 Martin Enterprises  122012PC Tier 22 

 ___________________  _____________________ 

 

JB-2 (Portland Cement Concrete)

 Brooks Products  40PB w/Poly Tier 15 Lid 

 Oldcastle    N30 w/ Poly Tier 15 Lid 

 ___________________  _____________________ 

 

JB-3 (Polymer Concrete)

 ARMORCAST    A6001640TAPCX12 

 CDR      SA20173012 

 Quazite                                  PG1730BA12 w/ PG1730HA lid 

 Oldcastle                               H1730‐12 w/ Poly Tier 15 Lid 

 Newbasis    PCA173012‐90015/90016 

 Martin Enterprises  173012PC Tier 22 

 ___________________  _____________________ 

 

JB-3 (Portland Cement Concrete)

 Brooks Products  66PB w/Poly Tier 15 Lid 

 Oldcastle    N36 w/ Poly Tier 15 Lid 

 ___________________  _____________________ 

CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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Revised May 16, 2018 Contract No.______________

JUNCTION BOX (HYBRID)

DESCRIPTION: Open-bottom boxes made of polymer, fiberglass, and/or polymer concrete. USE: Pull box for 120V AC conduit runs. Junction box for DC conduit runs. (splices to loop feeder cable). BRAND/MANUFACTURER CATALOGUE/PART NO. JB-1

Oldcastle Box - S1118B12AA Lid – S1118HBBOA

Oldcastle (Duralite Max) 11182575

___________________ _____________________

___________________ _____________________

___________________ _____________________

___________________ _____________________

___________________ _____________________ JB-2

Oldcastle Box - S1324B12AA Lid –S1324HBBOA

Newbasis FCA132412T-90013

Newbasis FCA132412T-00150

Oldcastle (Duralite) 132412DL

___________________ _____________________

___________________ _____________________

____________________ _____________________ JB-3

Oldcastle Box - S1730B12AA Lid - S1730HBBOA

Newbasis FCA173012T-90007

Newbasis FCA173012T-00294

Oldcastle (Duralite) 173012DL

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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Revised May 16, 2018 Contract No.______________

JUNCTION BOX (HAND HOLE)

DESCRIPTION: Open-bottom boxes made of polymer, fiberglass, and/or polymer concrete. USE: Pull box for communications cables like fiber optic, etc. BRAND/MANUFACTURER CATALOGUE/PART NO. HH-1 (24”x30”x24”)

 ARMORCAST      A6001974TAPCX24 

Newbasis PCA243624

Newbasis FCA243624T

Oldcastle      SYN2436TBOX24

Oldcastle (Duralite Max) 24362070

____________________ _____________________

____________________ _____________________

____________________ _____________________ HH-2 (30”x48”x24”)

 ARMORCAST      A6001430TAPCX24 

Newbasis PCA304824

Newbasis PCA304824T

Oldcastle      SYN3048TBOX24

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________ HH-3 (30”x48”x36”)

 ARMORCAST      A6001430TAPCX36 

Newbasis PCA304836

Newbasis FCA304836T

Oldcastle      SYN3048TBOX36

___________________ _____________________

___________________ _____________________

___________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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Revised May 16, 2018 Contract No.______________

TERMINAL BLOCKS

DESCRIPTION: Sectional wire termination points, 600 volt rated, Solderless connections, tubular clamp, sized for wire being terminated, channel mount assembly. USE: For terminating wires/cables in Terminal cabinet on a signal Pole. BRAND/MANUFACTURER CATALOGUE/PART NO. External Terminal Cabinets

Buchanan 200 Series (600V)

Buchanan 900 Series (600V)

SQUARE ‘D’ Type ‘K’

Allen-Bradley 1492-CA1

Marathon 6G38

Marathon 6H38

Marathon 6H12

Phoenix Contact UT4

Phoenix Contact UT6

Entrlec ‘M’ Series

____________________ _____________________

____________________ _____________________

____________________ _____________________ Recessed Terminal Cabinets TYPE A

Ilsco PDA-14-2/0-1

Ilsco PDC-14-2/0-1

___________________ _____________________

___________________ _____________________

___________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________ Recessed Terminal Cabinets TYPE B

SQUARE ‘D’ 9080GR6T Series

ABB (Entrlec) M6/8 Series

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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Revised May 16, 2018 Contract No.______________

THWN & XHHW WIRE

DESCRIPTION: THWN is stranded copper conductor with PVC insulation and nylon jacket. XHHW is stranded copper conductor with cross linked polyethylene insulation. USE: All single conductor applications BRAND/MANUFACTURER CATALOGUE/PART NO. THWN

Southwire n/a

Cerrowire n/a

Encore Wire n/a

Superior Essex n/a

General Cable (Anixter) n/a

Carol n/a

American Insulated Wire n/a United Copper Wire n/a

Republic Wire n/a ____________________ _____________________

___________________ _____________________

XHHW

Rome Cable (Anixter) n/a

General Cable (Anixter) n/a

Southwire n/a

Encore Wire n/a

Service Wire Co n/a

Kris Tech (KT) Wire n/a

Advanced Digital Cable n/a

Cerrowire n/a

CME Wire n/a

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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Revised May 16, 2018 Contract No.______________

UNDERGROUND WARNING TAPE

DESCRIPTION: Red polyethylene film, 6 inch wide, 4 mils thick. Printed with “CAUTION BURIED ELECTRIC LINE” legend. USE: Any conduits outside paved roadway shall be marked full-length with this tape 6 inches below surface. See special provisions. BRAND/MANUFACTURER CATALOGUE/PART NO.

Dottie UT-29D Ideal #42-151

Reef Industries Standard 250

Cully UG Burial Tape Harris UT-29

___________________ _____________________

___________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

___________________ _____________________

___________________ _____________________

___________________ _____________________

___________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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Revised May 16, 2018 Contract No.______________

______________________

NOT ON PROJECT DESCRIPTION: USE: BRAND/MANUFACTURER CATALOGUE/PART NO.

___________________ _____________________

___________________ _____________________

___________________ _____________________

___________________ _____________________

___________________ _____________________

___________________ _____________________

___________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

___________________ _____________________

___________________ _____________________

___________________ _____________________

___________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 25

Revised May 16, 2018 Contract No.______________

ALUMINUM SIGN BRACKET

DESCRIPTION: An aluminum assembly for mounting signs on a mast arm pole. Includes adjustable brackets. USE: To support signs on a mast arms. BRAND/MANUFACTURER CATALOGUE/PART NO. Tenon Mount type “A” for SIGNS

EC Company ECC 100

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________ Bracket Mount type “B” for SIGNS

Pelco AG-0142-X-X-PNC-SS

Olson Sky Bracket SS-SBC64-SBK-XXTKXX

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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Revised May 16, 2018 Contract No.______________

BACKPLATES

DESCRIPTION: Aluminum sheet POWDER-COATED flat black louvered or black polycarbonate attached with stainless steel screws and washers. Includes 2” wide yellow reflective sheeting. USE: Shield around vehicle signal for sky contrast BRAND/MANUFACTURER CATALOGUE/PART NO.

ALUMINUM W/REFLECTIVE SHEETING *NEW*

McCain M66533

Econolite 106-1037-5XX

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

ALUMINUM

McCain M17903

McCain M17910

Peek 400007

Econolite E1692P43-14

Econolite E1697P43-14

MoboTrex BPA-N-L

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

POLY W/REFLECTIVE SHEETING *NEW*

McCain M48453

Econolite E1590P43-T2

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

POLY

McCain M18167

Econolite E1590P43

MoboTrex BPB-N-L

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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Revised May 16, 2018 Contract No.______________

CONTROL CABLE

DESCRIPTION: Multi-conductor cable with assorted stranded copper No. 14 wires, No. 12, etc. Meet color code on Standard Drawings. USE: Strapped to messenger cable on spans, used in mast arms or installed in conduit. BRAND/MANUFACTURER CATALOGUE/PART NO.

Rome (Anixter) IMSA 19-1

Rome (Anixter) IMSA 20-1

Belden (Anixter) IMSA 19-1

Belden (Anixter) IMSA 20-1

American (Anixter) IMSA 19-1

American (Anixter) IMSA 20-1

Advanced Digital Cable IMSA 19-1

Advanced Digital Cable IMSA 20-1

Lake Cable (Anixter) IMSA 19-1

Lake Cable (Anixter) IMSA 20-1

Falcon Fine Wire IMSA 19-1

Falcon Fine Wire IMSA 20-1

General Cable IMSA 19-1

General Cable IMSA 20-1

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 28

Revised May 16, 2018 Contract No.______________

EYEBOLT, TURNBUCKLE, STRANDVISE

DESCRIPTION: Hardware for attaching spans to strain poles. HOT DIPPED GALVANIZED USE: Eyebolt and strandvise for messenger cable, eyebolt, strandvise and turnbuckle for tether (‘S’ hook state furnished) BRAND/MANUFACTURER CATALOGUE/PART NO. EYEBOLT

Joslyn J9512(E)

Joslyn J9514(E)

MacLean J9512

MacLean J9512

____________________ _____________________

TURNBUCKLE (w/jam nuts)

Crosby HG-226(1031314)

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________ STRANDVICE (1/4 inch)

Maclean Power Systems 5100

Maclean Power Systems 5200

____________________ _____________________

____________________ _____________________

____________________ _____________________

STRANDVICE (3/8 inch)

Maclean Power Systems 5102

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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Revised May 16, 2018 Contract No.______________

INTERCONNECT CABLE DESCRIPTION: Shielded cable containing 6+ twisted pairs of No. 19 AWG wires. REA spec. PE-22 (air-core, overhead) or PE-39 (gel-fill, underground), Polyethylene Jacket. USE: Installed with no splices between separate signal controllers. BRAND/MANUFACTURER CATALOGUE/PART NO. PE-22 Cable Superior Essex Sealpic

General Cable (Anixter) 7527757

Houston Wire HW350

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________ PE-39 Cable

Superior Essex Sealpic-F

Clifford 6P19-B1-BJFA

General Cable (Anixter) 7524507

Houston Wire HW352

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 30

Revised May 16, 2018 Contract No.______________

LED MODULES (12” RED) DESCRIPTION: Unit which replaces incandescent bulbs in signal Heads. Flange mount type.

USE: LED module to illuminate vehicle and ped signals. BRAND/MANUFACTURER CATALOGUE/PART NO. Vehicle Signal RED BALL 12 inch

Dialight 433-1270-003XL

Excellence Opto Inc TRV-R12SG-D2T-C

Leotek TSL-12R-LX-IL6-A1-P3-CLR

Leotek TSL-12R-LX-IL6-A1-P2-CLR

TraStar JXC-300-HFR-C

Dialight 433-1270-003XL15

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________ Vehicle Signal RED ARROW 12 inch

Dialight 432-1374-001XOD

Excellence Opto Inc TRA-R12DG-IN-C

Leotek TSL-12RA-IL6-A1-P3-CLR

Leotek TSL-12RA-IL6-A1-CLR

TraStar JXJ-300-07R03

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 31

Revised May 16, 2018 Contract No.______________

LED MODULES (12” YELLOW) DESCRIPTION: Unit which replaces incandescent bulbs in signal Heads. Flange mount type.

USE: LED module to illuminate vehicle and ped signals. BRAND/MANUFACTURER CATALOGUE/PART NO. Vehicle Signal YELLOW BALL 12 inch

Dialight 433-3270-901XL

Excellence Opto Inc TRV-Y12SG-D1T-C

Leotek TSL-12Y-LX-IL6-A1-P3-CLR

Leotek TSL-12Y-LX-IL6-A1-P2-CLR

TraStar JXC-300-HFY-C

Dialight 433-3270-901XL15

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________ Vehicle Signal YELLOW ARROW 12 inch

Dialight 431-3374-001XOD

Dialight 431-3374-901XOD

Excellence Opto Inc TRA-Y12DG-IN2-C

Leotek TSL-12YA-IL6-A1-P3-CLR

Leotek TSL-12YA–IL6-A1-CLR

TraStar JXJ-300-07Y03

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 32

Revised May 16, 2018 Contract No.______________

LED MODULES (12” GREEN) DESCRIPTION: Unit which replaces incandescent bulbs in signal Heads. Flange mount type.

USE: LED module to illuminate vehicle and ped signals. BRAND/MANUFACTURER CATALOGUE/PART NO. Vehicle Signal GREEN BALL 12 inch

Dialight 433-2270-001XL

Excellence Opto Inc TRV-G12SG-D2T-C

Leotek TSL-12G-LX-IL6-A1-P3-CLR

Leotek TSL-12G-LX-IL6-A1-P2-CLR

TraStar JXC-300-HFG-C Dialight 433-2270-001XL15

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________ Vehicle Signal GREEN ARROW 12 inch

Dialight 432-2374-001XOD

Excellence Opto Inc TRA-G12DG-IN-C

Leotek TSL-12GA-IL6-A1-P3-CLR

Leotek TSL-12GA-IL6-A1-CLR

TraStar JXJ-300-07G03

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 33

Revised May 16, 2018 Contract No.______________

LED MODULES (8” RED, YELLOW, and GREEN) DESCRIPTION: Unit which replaces incandescent bulbs in signal Heads. Flange mount type.

USE: LED module to illuminate vehicle and ped signals. BRAND/MANUFACTURER CATALOGUE/PART NO. Vehicle Signal RED BALL 8 inch

Dialight 433-1170-003XL

Excellence Opto Inc TRV-R08SG-D1T-C

Leotek TSL-08R-LX-IL6-A1-P3-CLR

Leotek TSL-08R-LX-IL6-A1-P2-CLR

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________ Vehicle Signal YELLOW BALL 8 inch

Dialight 433-3170-901XL

Excellence Opto Inc TRV-Y08SG-D1T-C

Leotek TSL-08Y-LX-IL6-A1-P3-CLR

Leotek TSL-08Y-LX-IL6-A1-P2-CLR

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

Vehicle Signal GREEN BALL 8 inch

Dialight 433-2170-001XL

Excellence Opto Inc TRV-G08SG-D1T-C

Leotek TSL-08G-LX-IL6-A1-P3-CLR

Leotek TSL-08G-LX-IL6-A1-P2-CLR

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ ______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 34

Revised May 16, 2018 Contract No.______________

LED MODULES (PEDESTRIAN) DESCRIPTION: Unit which replaces incandescent bulbs in signal Heads. Flange mount type.

USE: LED module to illuminate vehicle and ped signals. BRAND/MANUFACTURER CATALOGUE/PART NO. Pedestrian Signal Hand/Man COMBO

Dialight 430-6450-001X

Excellence Opto Inc TRP-C45DG-W2

Leotek TSL-PED-16-DIL

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________ ______________ _______________

Pedestrian Signal Count Down COMBO

Dialight 430-6479-001X

Excellence Opto Inc TRP-C45D3154C10

Leotek TSL-PED-16-CIL-9

Leotek TSL-PED-16-CIL-P1

TraStar JXM-400VIEIL

______________ _______________

______________ _______________

______________ _______________

______________ _______________

______________ _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 35

Revised May 16, 2018 Contract No.______________

LOOP FEEDER CABLE

DESCRIPTION: Polyethylene jacketed shielded cable with 2-No.14 AWG wires and bare tinned copper drain wire or No.14 wires wrapped with mylar tape. IMSA spec. No. 50-2. 18 AWG may be allowed via plan/spec. USE: Connects pairs of loop wires to controller, splice only at junction box (JB).

BRAND/MANUFACTURER CATALOGUE/PART NO. IMSA 50-2 14 AWG

Belden (Anixter) IMSA 50-2 14 AWG

General Cable (Anixter) IMSA 50-2 14 AWG Rome (Anixter) IMSA 50-2 14 AWG

CSC (Southwest Wire) IMSA 50-2 14 AWG

Advanced Digital Cable IMSA 50-2 14 AWG

Lake Cable (Anixter) IMSA 50-2 14 AWG

Falcon Fine Wire IMSA 50-2 14 AWG

____________________ _____________________

____________________ _____________________

____________________ _____________________ IMSA 50-2 18 AWG

CSC (Southwest Wire) IMSA 50-2 18 AWG

Belden (Anixter) IMSA 50-2 18 AWG

General Cable (Anixter) IMSA 50-2 18 AWG

Rome (Anixter) IMSA 50-2 18 AWG

Advanced Digital Cable IMSA 50-2 18 AWG Falcon Fine Wire IMSA 50-2 18 AWG

____________________ _____________________

____________________ _____________________

____________________ _____________________ Multi-conductor (2 Pair)

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 36

Revised May 16, 2018 Contract No.______________

LOOP SPLICE

DESCRIPTION: Two piece plastic enclosure flooded with silicon grease. Includes screw on silicon grease filled wire connectors. USE: Splice point for loop feeder to loop wire.

BRAND/MANUFACTURER CATALOGUE/PART NO. TWO PIECE ENCLOSURE

Belden (Klik-It II) C8811

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________ SILICONE WIRE CONNECTORS

Ideal 60

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 37

Revised May 16, 2018 Contract No.______________

LOOP WIRE DUCT

DESCRIPTION: Stranded copper conductor, with Crosslinked polyethylene insulation, 14AWG. Encased in a polyethylene tube (sleeve). Wire and tube must be stamped with proper IMSA 51-7.

USE: Loop wire in a tube installed in the pavement, twist loop return pairs 4 to 6 turns per foot all the way from loop to junction box (JB).

BRAND/MANUFACTURER CATALOGUE/PART NO.

Standard Loop Wire

Kris Tech (KT) Wire IMSA 51-7 w/PE tube

Coleman/CCI Cable & Wire IMSA 51-7 w/PE tube

Advance Digital Cable (ADC) IMSA 51-7 w/PE tube

R.J. Wire & Cable IMSA 51-7 w/PE tube

Clifford IMSA 51-7 w/PE tube

Rome(Anixter) IMSA 51-7 w/PE tube

Belden IMSA 51-7 w/PE tube

Lake Cable (Anixter) IMSA 51-7 w/PE tube

Falcon Fine Wire IMSA 51-7 W/PE tube ____________________ _____________________

____________________ _____________________

____________________ _____________________

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___________________ _____________________

___________________ _____________________

___________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 38

Revised May 16, 2018 Contract No.______________

MESSENGER CABLE

DESCRIPTION: Bare steel cable comprised of 7 strands of galvanized wire. Utilities grade 3/8 inch diameter 11,500 lbs break. USE: Supports control cables, signal heads and signs on spanwire installation. BRAND/MANUFACTURER CATALOGUE/PART NO. Cal-Wire 3/8 inch Utility Grade,

Class A

National Strand 3/8 inch Utility Grade, Class A

Bekaert 3/8 inch Utility Grade, Class A

___________________ _____________________

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____________________ _____________________

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____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 39

Revised May 16, 2018 Contract No.______________

METER BASE

DESCRIPTION: Socket into which the power company’s meter will be installed. Stainless or powder coated base.

USE: Between power source and service cabinet if shown on plans. Some installations may be unmetered. Check with power Co or design.

BRAND/MANUFACTURER CATALOGUE/PART NO. Millbank (Galv./Powder coat) U3504-XL

Millbank (Galv./Powder coat) U3514-XL

Millbank (Galv./Powder coat) 124TB

Cooper/Circle AW (Electrocoated) 011

Cooper/Circle AW (Electrocoated) 204

Cooper/Circle AW (Electrocoated) U264

Cooper/B-Line 124TB

___________________ _____________________

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____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 40

Revised May 16, 2018 Contract No.______________

PEDESTAL (PED. SIGNAL)

DESCRIPTION: 4 inch dia. Galv. steel pipe mounted on a cast aluminum or galv. cast iron base. USE: Freestanding pole for mounting of pedestrian signals. BRAND/MANUFACTURER CATALOGUE/PART NO. Pelco Base: PB5336

Pelco Base: PB5334

Akron Foundry Co. Base: TS-1000

Component Products Base: CPI-BAS-1P

Tapco (Pelco) Base: 203-14

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____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 41

Revised May 16, 2018 Contract No.______________

PEDESTAL (VEHICLE SIGNAL)

DESCRIPTION: 4 inch dia. Galv. steel pipe with welded base plate bolted to a cast alum. Or galv. cast iron transformer base. USE: Freestanding pole for mounting vehicle signals. Other equipment may be mounted with vehicle signal. BRAND/MANUFACTURER CATALOGUE/PART NO. Akron Foundry TB1-17

Akron Foundry TB1-20

Akron Foundry TB3-17

___________________ _____________________

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____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 42

Revised May 16, 2018 Contract No.______________

PEDESTRIAN SIGNAL

DESCRIPTION: Pole mounted signals. Aluminum powder coated black or black polycarbonate with stainless steel hardware. USE: At all crosswalks which are signalized (controlled) or not. BRAND/MANUFACTURER CATALOGUE/PART NO. ALUMINUM McCain M31826

McCain M32236

Econolite PED16SFSNNN

MoboTrex SG7SZ20C1BBB

Peek 4302 - Alum

___________________ _____________________

___________________ _____________________

___________________ _____________________

___________________ _____________________

___________________ _____________________

___________________ _____________________

____________________ _____________________

POLYCARBONATE McCain M32258

McCain M32253

MoboTrex SG7SZ10C1BBB

Peek 4302 - Poly

Econolite PP16SAPBBSNN8N

___________________ _____________________

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____________________ _____________________

____________________ _____________________

____________________ _____________________

CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 43

Revised May 16, 2018 Contract No.______________

PEDESTRIAN SIGNAL MOUNT DESCRIPTION: Swing open clam shell compartment to hold signal. USE: Used on poles and pedestals to support and aim ped. signal. BRAND/MANUFACTURER CATALOGUE/PART NO. McCain M27164

MoboTrex Clam Shell

Peek 4805

Econolite 105-1004-014 with 150-1005-014

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____________________ _____________________

____________________ _____________________

____________________ _____________________

CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 44

Revised May 16, 2018 Contract No.______________

PREFORMED VEHICLE DETECTOR LOOP

DESCRIPTION: 4 TURNS OF #14 XHHW or #16 TFFN wire encased in either Sch.40 PVC or rubber hydraulic hose totally filled with sealant. USE: Thin pavement, poor pavement or concrete bridge deck. BRAND/MANUFACTURER CATALOGUE/PART NO. Never-Fail Loop Assy. Model A

Never-Fail Loop Assy. Model C

EC Company Linnco Loop

DE-TECH H50

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____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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Revised May 16, 2018 Contract No.______________

PTR SIGNS

DESCRIPTION: Flat black painted, aluminum alloy case with part time legend, till lit. LED illuminated legend. USE: Ramp meters, restricted turn moves, Railroad Preemption. BRAND/MANUFACTURER CATALOGUE/PART NO. McCain M32964

Wells Manufacturing Custom Sign Design

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____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 46

Revised May 16, 2018 Contract No.______________

PUSH-BUTTON

DESCRIPTION: Push-buttons with mounts. USE: Used on traffic actuated signals. BRAND/MANUFACTURER CATALOGUE/PART NO. Type H mount

Campbell Company H-1

American Pole Structures APSH-1

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___________________ _____________________ Push Button for H mount Rees 1371-412

Campbell Company 4EVR

Campbell Company DCC800

Campbell Company DCC500

Taylor Machine Company TMC 48

Polara RBDLM-B

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____________________ _____________________ Standard 9”x12” mount Campbell Company MPS912-RND-BL

Polara PBF9X12-B

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____________________ _____________________ Push Button for 9”x12” mount Campbell Company 4EVR

Polara BDL3-B

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INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 47

Revised May 16, 2018 Contract No.______________

RISER FRAME

DESCRIPTION: Aluminum framework of 1/4 inch channel or 1/8 inch Sheet stock. One piece welded construction for new installations, two-piece bolt-together for retrofit. Both styles anodized after fabrication. USE: Elevates the controller cabinet to 8 inches off the concrete foundation, providing additional work space under cabinet. Use Building paper gasket and non-hardening water tight seal between riser and cabinet and between foundation and riser. BRAND/MANUFACTURER CATALOGUE/PART NO.

Signal Control Co. (Peek) 1/4 inch Aluminum McCain M61036

MoboTrex AQC14844P001

Safetran 289700A332

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____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 48

Revised May 16, 2018 Contract No.______________

SERVICE CABINET

DESCRIPTION: Base mounted service cabinet with integral meter base. Includes circuit breakers, contactors, test switches, neutral and ground bars.

USE: Verify that size and circuit breakers submitted are as called for by plans.

BRAND/MANUFACTURER CATALOGUE/PART NO.

120/240 SERVICE

Fouch BMC

Brownfield/Rhino Mfg BMC

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____________________ _____________________

____________________ _____________________ 120/240 SERVICE w/Illum.

Fouch BMCL

Brownfield/Rhino Mfg BMCL

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____________________ _____________________ MISC. SERVICE CABINETS

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____________________ _____________________

CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 49

Revised May 16, 2018 Contract No.______________

SIGNAL HEAD COVERS

DESCRIPTION: Yellow prefabricated nylon “bag”. Includes a fine mesh insert for signal testing with integral elastic bands and clips to secure the covers to the signal. USE: Completely covers the head, visors, and backplate until traffic signal is turned on. BRAND/MANUFACTURER CATALOGUE/PART NO. Pedestrian Signals Freedom Roc (R. Hart Sales) Signal Shirt

Traffic Safety Supply Company 13905450

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____________________ _____________________ Vehicle Signals Freedom Roc (R. Hart Sales) Signal Shirt

Traffic Safety Supply Company 13905460

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____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 50

Revised May 16, 2018 Contract No.______________

SPAN WIRE HANGER

DESCRIPTION: A fitting of cast bronze that attaches to the messenger cable with 2 ‘U’ bolts. A wire outlet body hangs from this with a clevis pin through adjustable slot. ALL FASTENERS SHALL BE TYPE 304/316 STAINLESS STEEL. USE: Allows equipment to hang plumb from spanwire, provides cable entrance when wire installed with correct drip loop. BRAND/MANUFACTURER CATALOGUE/PART NO.

McCain M66298 Traffic Signal Hardware Drawing No. 1003 Inc. (GDM)

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____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 51

Revised May 16, 2018 Contract No.______________

TERMINAL CABINET DESCRIPTION: Constructed of 1/8 inch stainless, galv. steel, or powder coated aluminum. Contains terminal blocks, weatherproof fittings at bottom. USE: Pole mounted terminals for all signal circuits. BRAND/MANUFACTURER CATALOGUE/PART NO. Fouch 18 x 8 x 6

Brownfield/Rhino Mfg 8000

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____________________ _____________________

CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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Revised May 16, 2018 Contract No.______________

TETHER / STABILIZER CABLE

DESCRIPTION: 1/4 inch GALV. STEEL CABLE COMPRISED OF 7 STRANDS OF GALVANIZED WIRE. Class A coating conforming to ASTM A 475. USE: Attached at bottom of equipment to prevent wind movement. BRAND/MANUFACTURER CATALOGUE/PART NO. National Strand 1/4 inch, 7 strand Class A

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____________________ _____________________

CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 53

Revised May 16, 2018 Contract No.______________

TETHER CLAMPS

DESCRIPTION: Fitting on bottom of span mounted signal or sign constructed of 1 1/2 inch galv. steel pipe or galv. metal conduit with plate welded on bottom, tether wire keeper bolted to plate. Galv. after fabrication. ALL FASTENERS TYPE 304/316 STAINLESS STEEL. USE: Attaches equipment to 1/4 inch tether cable. Correct assembly is shown on Standard Drawings. (Cable goes under keeper bolts). BRAND/MANUFACTURER CATALOGUE/PART NO. McCain M40699

GDM Drawing No. 1003

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____________________ _____________________

CMO REQUIRED (If steel or iron, see specifications)

Received Date: _______________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 54

Revised May 16, 2018 Contract No.______________

TRI-STUD ADAPTER

DESCRIPTION: Fitting of cast aluminum w/steel insert, powder coated as per spec. Three bolts, split washers, nylon insert lock-nuts of stainless steel, with 2 stainless backing washers. USE: Used for attaching vehicle signal heads/signs to 1 1/2 inch conduit riser which is supported by a plumbizer or spanwire hanger. BRAND/MANUFACTURER CATALOGUE/PART NO.

Cost Cast Inc Drwg. No. A-164

Taylor Machine Company Drwg. No. 10702

Traffic Signal Hardware Drawing No. 1003 Inc. (GDM)

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____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 55

Revised May 16, 2018 Contract No.______________

VEHICLE SIGNAL BRACKET (ADJ) DESCRIPTION: An extruded aluminum assembly that is adjustable. It’s full length, that supports a vehicle signal on a mast arm and attaches to the arm by means of stainless steel cables. USE: To support vehicle signals on a mast arm. Allowing for adjustment of signal for height and full support of signal sections. BRAND/MANUFACTURER CATALOGUE/PART NO. Pelco AG-0125-X-X-PNC-SS

Olson Sky Bracket SS-SBC64-XX

Olson Sky Bracket SS-SBC64-SCB-XX

Traffic Hardware, Can-Brac CULxxxVT

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4” SIDE POLE MOUNT

Pelco SE-0567

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____________________ _____________________

____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 56

Revised May 16, 2018 Contract No.______________

VEHICLE SIGNAL VISOR DESCRIPTION: Aluminum powder coated black or black polycarbonate open at bottom standard (tunnel). Visor must attach to signal heads with stainless steel screws. USE: All signal heads. Tunnel visors with open bottom unless otherwise noted on plans. BRAND/MANUFACTURER CATALOGUE/PART NO. ALUMINUM

McCain M19263

Peek 0700027E

Econolite E8260P1-14

Econolite E8265P1-14

MoboTrex TV12

___________________ _____________________

___________________ _____________________

___________________ _____________________

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____________________ _____________________

____________________ _____________________ POLYCARBONATE

McCain M19271

Econolite EP1529P4-14

Econolite 106-1001-014

MoboTrex TVP12

___________________ _____________________

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____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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Revised May 16, 2018 Contract No.______________

VEHICLE SIGNALS DESCRIPTION: Aluminum powder coated black or black polycarbonate. May have 1,3,4, or 5 signal faces. May be programmable. All fasteners shall be type 304/316 stainless steel except for brass terminal screws. USE: Flashing beacon, 3-section RYG signal, 4-section with green arrows, 5-section with arrows and balls. BRAND/MANUFACTURER CATALOGUE/PART NO. ALUMINUM

McCain Standard: 8 inch

McCain Standard: 12 inch

McCain Programmable:12 inch

Peek Standard: 12 inch

Econolite Standard: 8 inch

Econolite Standard: 12 inch

MoboTrex Standard: 8 inch

MoboTrex Standard: 12 inch

___________________ _____________________

___________________ _____________________

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____________________ _____________________

POLYCARBONATE (STANDARD DUTY)

McCain 12 inch: M22435

Econolite Standard: 8 inch

Econolite Standard: 12 inch

MoboTrex Std w/Plates: 8 inch

MoboTrex Std w/Plates: 12 inch

___________________ _____________________

___________________` _____________________

___________________ _____________________

___________________ _____________________

POLYCARBONATE (HEAVY DUTY 12”)

McCain M52536

MoboTrex WS.POLY12.REINF

____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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BLUE SHEETS Page 58

Revised May 16, 2018 Contract No.______________

IN-LINE FUSE HOLDER

DESCRIPTION: 30A 600V single pole or double pole in-line fuse holder with KTK fuse, insulating boots, and set-screw terminations. USE: To splice illumination wires and provide a fused disconnect. BRAND/MANUFACTURER CATALOGUE/PART NO. IN-LINE FUSE HOLDER (120/240V systems)

Cooper Bussmann HEX-JJ

Little Fuse LEX-JJ

Ideal - SLK 30-S1212D

Ideal - SLK 30-S2222

Mersen FEX-81-81-BA

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IN-LINE FUSE HOLDER (120V only systems)

Cooper Bussmann HEB-JJ

Little Fuse LEB-JJ

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____________________ _____________________ KTK 10A FUSE

Cooper Bussmann Limitron KTK-10

Mersen OTM-10

Mersen ATM-10

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INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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PHOTOELECTRIC CELL

DESCRIPTION: A photoelectronic device used for turning on Illuminated signs or luminaires meeting specifications under 00970. USE: To activate illumination systems, luminaires at traffic signals and interior illuminated signs BRAND/MANUFACTURER CATALOGUE/PART NO. PHOTO CELL

Dark to Light (DTL) D Series

Dark to Light (DTL) DP Series

Fisher Pierce Series 7570

Sun-Tech S124-1.5-ETM

Area Lighting Research 2090-NPS

SELC 8483

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TWIST LOCK RECEPTACLE

Intermatic K122

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INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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TC CABLE

DESCRIPTION: Typically a three conductor cable with XHHW conductors and overall PVC jacket. USE: Illumination cable between the luminaire and the in-line fuse holder in the pole base. BRAND/MANUFACTURER CATALOGUE/PART NO. Encore Wire Type TC

Nexans Ultrex XL TC

Lake Cable VIGX102

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____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________

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RADIO MOUNT

DESCRIPTION: Attaches to a pole and accepts one 1.5 inch tube to mount a radio. It is very similar to the adjustable vehicle signal bracket, but without the tube and arms. USE: Mounting radios to poles. BRAND/MANUFACTURER CATALOGUE/PART NO. Pelco AS-3004

Pelco AS-3009

Traffic Hardware, Can-Brac CULxxxV

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____________________ _____________________

____________________ _____________________

____________________ _____________________

INITIAL SUBMITTAL

QUALIFIED

QUALIFIED AS NOTED

RETURNED FOR CORRECTION

Date:________________________

Name:_______________________

CTSI Card#_________

Qualifications or corrections are subject to all requirements of the current issue of the Standard Specifications for Highway Construction as modified by the Project Special Provisions.

INSPECTED & ACCEPTED ON PROJECT

Date:________________________

Name:_______________________

CTSI Card#_________

Verified Materials By Markings/Packaging Quantity accepted _________________ Quantity rejected __________________

Materials Accompanied By Manufacturer’s or Supplier’s Certification (Copy attached)

Quantity accepted _________________ Quantity rejected __________________