Submission Date*
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Submitter Name:*
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NCDOT Unit:*
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Division:*
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District:*
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Resident Engineer / Supervisor:*
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Physical Address (Include Zip Code):*
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Phone:*
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Fax:
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Cost Center:
Courier Number:
Items / Quantity
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Equipment Catalog
Swiss Hammer:
1
2
3
4
5
6
7
8
9
10
Concrete Vibrator:
1
2
3
4
5
6
7
8
9
10
Maturity Meter:
1
2
3
4
5
6
7
8
9
10
Maturity Probes:
1
2
3
4
5
6
7
8
9
10
Winsor Probe:
1
2
3
4
5
6
7
8
9
10
Type B Pressure Meter (Forney):
1
2
3
4
5
6
7
8
9
10
Volumetric Meter (Roll-A-Meter) (Forney):
1
2
3
4
5
6
7
8
9
10
Delivery or Pick-up Method
Select One*
Courier
Pick-up - 1801 Blue Ridge Road, Materials and Tests Office, Raleigh, NC 27607
Pick-up - 124 Prison Camp Road, Old Pavement Management Office, Statesville, NC 28625
*Please note items can be delivered via courier or can be picked up at one of our two office locations.
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