Construction Section - Manuals & Forms Purchase Form - Oregon Department Of Transportation

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Construction Section
Submit
Manuals & Forms Purchase Form
Order Number
Print Form
Please check below which you wish to purchase:
Number of
Price per
Manual Title
Amount
Copies
Copy
Bridge Construction Inspector Training Manual
50.00
$0.00
Drilled Shaft Inspector Training Manual
35.00
$0.00
Environmental Construction Inspector Training Manual
6.00
$0.00
Erosion Sediment & Control Manager Training Manual (contractors only)
20.00
$0.00
General Construction Inspector Training Manual
30.00
$0.00
General Construction Inspector Resource Manual
20.00
$0.00
General Construction Inspector Project Plans (provided for exam)
20.00
$0.00
General Construction Inspector Project Special Provisions (provided for exam)
12.00
$0.00
ACP (formerly HMAC) Inspector Training Manual
25.00
$0.00
Inspector's Job Guide
15.00
$0.00
Traffic Signal Inspector Manuals (set of 3)
30.00
$0.00
Number of
Price per
Form Title
Amount
Copies
Copy
Daily Force Account 734-3428 (pad of 25)
3.04
$0.00
Field Inspection Report (FIR) Sticker 734-2207 (pad of 50)
4.20
$0.00
Flagger & Pilot Car Receipt 734-3955 (pack of 50)
6.62
$0.00
General Daily 734-3474 (pack of 50)
5.69
$0.00
Pile Record Book 734-3485 (each)
3.60
$0.00
Project Manager's Diary 734-3120 (each)
1.50
$0.00
Sprinkling Tally Sheets 734-3427 (pack of 100)
17.64
$0.00
Total (manuals and forms)
$0.00
Shipping charges
Total due
$0.00
ODOT PERSONNEL: Please enter an PIN or IN expenditure account to
charge for this order. All other orders, please include the payment
information below.
Payment Information
Please credit payment for manuals and forms to MB0210/400 (Revenue Source: 844010-18)
Payment Type
Send Invoice
If you prefer to pay by check, please send an additional copy of this form with your payment to
Check
ODOT Financial Services, 355 Capitol St. NE, MS 21, Salem, OR 97301-3871.
Billing Name (if different from shipping name)
Billing Address (if different from shipping address)
City
State
Zip Code
Ship Manuals / Forms To
Name
Organization
Street Address (shipping)
City
State
Zip Code
Phone Number
E-mail Address
To receive your order, you must return this form to ODOT.
Choose the submit button at the top of this form.
(You may also mail to Susan Herring, ODOT Construction Section, 800 Airport Rd. SE, Salem, OR 97301 or scan and e-mail to susan.c.herring@odot.state.or.us or fax to 503-986-3096 Attention:
)
Susan Herring. For more assistance, contact Susan at 503-986-3009.
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manual_purchase_form 11-29-2016)

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