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State Materials Office

State Materials Office / Documents and Publications / Sample Certification Forms

Sample Certification Forms

FDOT: State Materials Office

 

For a complete listing of all available Materials Numbers, please review the Sampling, Testing and Reporting Guide.

 

* Sorted by Specification Number
 

Specification #

Material #

Sample Form

Format

346

160F

Chloride Certification

MS Word

449

206

Manufactured Precast Concrete Products

MS Word

450

205

Manufactured Precast/Prestressed Concrete Products

MS Word

526

656

Architectural Pavers

MS Word

536

165

Guardrail System

MS Word

536-2

183

Guardrail, Offset Blocks, Rubber

MS Word

550

730

Fencing System

MS Word

919

451

Ground Tire Rubber

MS Word

925-1

485

Burlap

MS Word

926

501

Epoxy Compound, (Types A and B)

MS Word

925-3

506

White Burlap - Polyethylene Sheet

MS Word

926

510

Epoxy Compound, (Types C to Q)

MS Word

931-2

520

Metal Materials for Joints

MS Word

931-2.3

516

Dowel Bars

MS Word

932-1.1

527

Preformed Joint Filler Material

MS Word

932-1.2

525

Hot Poured Joint Sealant

MS Word

932-1.3

529

Low Modulus Silicone Sealant

MS Word

932-2

535

Bearing Pads

MS Word

965

767

Aluminum Materials, Pedestrian Overpass, Handrail and Misc. Items

MS Word

970

912

Raised Pavement Marker Adhesive

MS Word

975-4

797

Galvanizing Compound

MS Word

975-5

797

Structural Steel Coatings

MS Word

975-6,
400-15.2.6

797

Class 5 Applied Finish Coating for Concrete

MS Word

972-7

972

Recycled Plastic Products

MS Word

982

835

Commercial Fertilizer, Dry Type

MS Word

992-4

322

Electrical Ballasts

MS Word

992-4

872

Luminares

MS Word

992-12

877

Pole Cable Distribution System

MS Word

993-1

890

Delineator - Type A

MS Word

993-3

896

Delineator - Type C

MS Word

993-3

900

Delineator Post Assembly

MS Word

993-5

910

Reflector Unit for Guardrail

MS Word

994

915

Reflective Sheeting

MS Word

994

917

Non-Reflective Sheeting or Film

MS Word

995

920

Demountable Sign Face Materials

MS Word