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STATE OF CALIFORNIA°DEPARTMENT OF TRANSPORTATION <br /> 8-C78(REV.1108) <br /> ❑ PRECAST CONCRETE PRODUCTS �Q.• },�( <br /> TO: , <br /> Ur✓luvt1--e e �� <br /> STATE HIGHWAY ENGINEER <br /> We certify that-the portland cement,chemical aA 7;7ineral admixtures contained in the <br /> material described below are brands stated and comply with specifications for: <br /> CONTRACT HUMBER: <br /> CEMENTS ND �t MILL 1-0". <br /> :j; c-4 <br /> Alp— <br /> TYPE <br /> CHEMICAL ADMIXTURE <br /> 1. BRAND MANUFACTURER <br /> TYPE <br /> .2. 13RAND MANUFACTURER <br /> TYPE <br /> CHECK BOX IF A CHEMICAL ADMIXTURE WAS NOT USED <br /> MINERAL ADMIXTURE <br /> MANUFACTURER CLASS <br /> CHECK BOX IF A MINERAL ADMIXTURE WAS NOT USED <br /> DELIVERY�(Rejdy-MKh�) DATES OF FABRICATION(Precast) <br /> LIST PRODIFICATE APPLIES. (Show size and tin.ft.of pipe,etc.,delivery <br /> slip numbers forready-mix.) <br /> l�3 S 7,�5 • <br /> MANUFA URER CON ETE PRODUCTS <br /> By: AUTH D REPRESENTATIVE SIGNATURE <br /> WHITE-Res.Engr. YELLOW-Contractor PINK-Vendor <br /> For individuals with sensory disabilities,this document is available in alternate formats. For <br /> ADA NoticenfomationManagement, 01 <br /> ll 9 )Street. 89,r TDD Sacramento,CA 4-3880 0 or write Records and Forms <br /> s�r��i�i5ii�•�-- <br />