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STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION <br />VENDOR'S CERTIFICATE OF COMPLIANCE <br />8-C78 (REV. 1/08) <br />0 PRECAST CONCRETE PRODUCTS OR ZREADY MIX <br />TO: <br />I/�Ila Dr $ --I I <br />STATE HIGHWAY ENGINEER 1j <br />We certify that the portland cement, chemical and mineral admixtures contained in the <br />material described below are brands stated and comply with specifications for: <br />TYPE <br />1. BRAND <br />TYPE <br />2. BRAND <br />TYPE <br />CONTRACT NUMBER: <br />Coll �oc� Il✓1� <br />/'1ojob2 <br />CHEMICAL ADMIXTURE <br />FIER <br />CHECK BOX IF A CHEMICAL ADMIXTURE WAS NOT USED <br />MINERAL ADMIXTURE <br />'ErCHECK BOX IF A CHEMICAL ADMIXTURE WAS NOT USED <br />UAI L6 OF FABHIUAI ION <br />TE APPLIES. (Show size and lin. ft. of pipe, etc., delivery <br />slip numbers for ready -mix.) <br />101007,Z <br />MANUFACTURER OF CONC ETE PR RDUCTS f� <br />fi- f e IliV{r- <br />By: AUTHORIZED REPRESENTATIVE SIGNATURE <br />�9 e rpt / d p c.,/1 . <br />WHITE - Contractor YELLOW - Vendor <br />For individuals with sensory disabilities, this document is available in alternate formats. For <br />ADA Notice information call (916) 654-6410 or TDD (916) 654-3880 or write records and forms management, <br />1120 N Street, MS -89, Sacramento, CA 95814. <br />