Product Sample Checklist Page 3
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3Failure to supply all information may result in a delayed QPL review. Have you completely read the PNS
specifications and included all the required information into the submittal package?
Yes _____________ No _________________
Signature of the Individual making the submission __________________________________
Date of Submission _______________________
Please send all information to the following address:
Attention: Ron Wright
Idaho Transportation Department
Materials Section
P.O. Box 7129
Boise, Idaho 83707 -1129
Please ship all samples to the following address:
Attention: Ron Wright
Idaho Transportation Department
Materials Section
3311 W. State Street
Boise, Idaho 83703 -5879
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