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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‘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.
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.
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.
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.
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.
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)
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)
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)
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)
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)
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)
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
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)
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)
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)
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)
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
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O-Z Gedney YR-121006-CSV
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O-Z Gedney YR-121008-CSV
Appleton WYR-121208-CSV
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O-Z Gedney YR-161206-CSV
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O-Z Gedney YR-161208-CSV
Crouse-Hinds WJBF-161208
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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)
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
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JB-1 (Portland Cement Concrete)
Brooks Products 36PB w/Poly Tier 15 Lid
Oldcastle N9 w/ Poly Tier 15 Lid
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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
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JB-2 (Portland Cement Concrete)
Brooks Products 40PB w/Poly Tier 15 Lid
Oldcastle N30 w/ Poly Tier 15 Lid
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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
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JB-3 (Portland Cement Concrete)
Brooks Products 66PB w/Poly Tier 15 Lid
Oldcastle N36 w/ Poly Tier 15 Lid
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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)
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
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Oldcastle Box - S1324B12AA Lid –S1324HBBOA
Newbasis FCA132412T-90013
Newbasis FCA132412T-00150
Oldcastle (Duralite) 132412DL
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Oldcastle Box - S1730B12AA Lid - S1730HBBOA
Newbasis FCA173012T-90007
Newbasis FCA173012T-00294
Oldcastle (Duralite) 173012DL
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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)
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”)
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)
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)
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
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)
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)
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)
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)
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)
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)
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
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)
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
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)
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)
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)
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)
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)
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)
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).
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)
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
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)
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 ____________________ _____________________
____________________ _____________________
____________________ _____________________
___________________ _____________________
___________________ _____________________
___________________ _____________________
___________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
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)
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
___________________ _____________________
___________________ _____________________
___________________ _____________________
___________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
___________________ _____________________
___________________ _____________________
___________________ _____________________
___________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
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)
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)
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
___________________ _____________________
___________________ _____________________
___________________ _____________________
___________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
___________________ _____________________
___________________ _____________________
___________________ _____________________
___________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
____________________ _____________________
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)
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)
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
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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)
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)
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)
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)
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)
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)
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)
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
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)
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)
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)
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)
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)
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)
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)
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
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)
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
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POLYCARBONATE (HEAVY DUTY 12”)
McCain M52536
MoboTrex WS.POLY12.REINF
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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)
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)
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)
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)
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)
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)