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WEARING COURSE PAINT SYSTEM <br />❑ LOW SLUMP wool SPECIFICATION NUMBER <br />2478 OR 2478 OR 07HER <br />❑ OTHER <br />IYPE DR MANUFACTURER MANUFACTURER NAME AND ADDRESS ICITv, STATE, <br />EXPANSION JOINTS PRIME COAT MnooT MATERIAL SPECIFICATION NUMBER <br />INTERMEDIATE COAT <br />JOINT MANUFACTURER MDDDT MATERIAL SPECIFICATION NUMBER <br />FINISH COAL <br />MANUFACTURER'S IDENTIFICATION MnDOT MATERIAL SPECIFICATION NUMBER COLOR <br />MFR S No AND/OR LETTER DESIGNATION FOR JOINT USED <br />GLAND MANUFACTURER NAME AND ADDRESS TIIY, SATE, PLAN QUALITY <br />SIZE OF GLAND RATE .1(AGREE, 2 (NEUTRAL,, OR 3 (DISAGREE, PLEASE COMMENT BELOW) <br />DIMENSIONING AND DETAILING ADEQUATELY DESCRIBED REQUIRED CONSIRUCIION <br />MANUFACTURER'S IDENTIFICATION <br />MEEK, No. AND/OR LEITER DESIGNATION FOR D USED BAR LISTS AND QUANTITIES WERE TYPICALLY COMPLETE AND FREE OF ERRORS <br />SCALE OF DRAWINGS AND OVERALL LEGIBILITY OF LINES AND TEX7 WAS GODD <br />EL ASTOMERIC BEARING PADS (SB)SPECIAL PROVISIONS ADEQUATELY DESCRIBED SPECIAL WORK AND PAYMENT <br />PAD MANUFACTURER coMMENIs <br />NAME AND ADDRESS (CITY, SIATEI <br />SPECIAL SURFACE FINISH <br />PRODUCT NAME: COLOR 8, IEXTURE: <br />FINISHING ROADWAY FACES OF BARRIER OR PARAPET <br />PRODUCT NAME: <br />MANUFACTURER <br />COLOR 8, IEXTURE: <br />ANTI -GRAFFITI COATING <br />NAME AND ADDRESS (CITY, STATE, <br />PRODUCT NAME: LOCATION <br />REVISION <br />APPROVED <br />AS -BUILT DETAILS <br />(AS NEEDED) <br />NUMBER OF BRIDGE <br />SUPPLEMENTAL AGREEMENTS: COST: T <br />SIGNIFICANTLIST ERRORS <br />OR OMISSIONS IN PLAN DETAILS DR PAY QUANTITIES IN THE <br />SPACEPROVIDED A <br />NOTIFICATION TO ADD, REMOVE, OR REHAB A STRUCTURE <br />PLEASE GO TO THE FOLLOWING WEBSIIE AND COMPLETE THE FORM WHEN ADDING.REMOVING <br />OR <br />ICONIACT THE A BRIDGE INVEMORY MANAGEMENT UNIT AT G51-366-4557 IF YOU HAVE QUESTIONS, <br />- WHEN ADDING A NEW STRUCTURE - (SEND WHEN THE BRIDGE IS OPEN TO TRAFFIC) <br />ins doi.sioie mn us/brldge/new-structure niml <br />- WHEN wwsudoi.sioieVING A Rmn.us//br(dga/UCTURE - DWHEN THE remove -sir BRIDGE IS LONGER IN SERVICE <br />n WHEN REHABILITATING A STRUCTURE - (SEND WHEN THE REHABILITATION IS COMPLETE) <br />nits //www doi.sioie mn usobrldge/renob-structure niml <br />CHANGE OF VERTICAL CLEARANCE <br />PLEASE GD TO THE FOLLOWING WEBS], WHEN CHANGING THE VERTICAL CLEARANCE OF <br />EXISTING BRIDGE STRUCTURE <br />TONIACT THE BRIDGE 5-76 <br />b p./ ww.dot strata mnEus//bridge/NIDRY MANAGEMENT UNIT AT Gpdt/dearancetorm.pd f6-455T ]F YOU HAVE QUESTIONS, <br />THIS FORM IS AVAILABLE IN AN ELECTRONIC FORMAT AT: <br />biipommmms dot.,ai e.mn us/bndgs/pdvas-bmH-bndge-dainm0.,Iss <br />TITLE: <br />OTHER ITEMS IO <br />O UTILITIES ADDED DURING CDNSIRUCTION AND SPECIALTY TEM, <br />FINAL DUANIITIES ENTERED ON SCHEDULE OF QUANIITES YES ❑ <br />REMOVE 8, PATCH QUANTITIES (SF) 'CONCRETE E <br />TYPE A IYPE B IYPE E IYPE D TYPE E: TYPE E: REPAIR (SE) <br />SUMMARY OF SIGNIFICANT <br />AS -BUILT CHANGES <br />THE AS -BUILT INFORMATION WAS ADDED TO THE PLAN BY: <br />INSPECTORT)SIGNAIURE DATE <br />CHECKED BV. <br />PROJECT ENGINEER/SUPERVISOR SIGNATURE DATE <br />WHEN BRIDGE IS OPEN TO TRAFFIC. COMPLETE ,HIS AS -BUILT BRIDGE DATA SHEET AND SUBMIT <br />TO THE BRIDGE OFFICE VIA EMAIL AT: BrIdgeFormsdotostote mn.us. <br />AS -BUILT BRIDGE DATA <br />FIG. 5-397.900 <br />S.A.P.199-010-012 APPROVED: BRIDGE NO. <br />SHEET NO.91 OF 99 SHEETS 02053 <br />