Warehouse Material
Inspection Request / Report of Shipment

Step 1 of 3

Fabricator Details

(For use ONLY with MTD Commercial Warehousing Program)

Fabricator & Location:

Fabricator's E-mail Address:

Fabricator's Phone Number:

Step 2 of 3

Person Requesting Inspection:

¹Preferred Inspection Date:

² Date Paperwork Sent Electronically:

¹ Allow 3 business days minimum after receiving paper work for scheduled inspection.

² All documentation must be verified for project compliance and initialed by qualified personnel prior to scanning and E-mailing to our address.

Type of Inspection:

Fabrication (Black)

Final (After Galvanizing)

³ Fabricator's long description examples: S3X5.7 Stub, T2/201 Retro Plate Left, etc.

For TxDOT Use Only:

Inspection Assigned To:

Remarks:

Step 3 of 3

If you purchased this product, please indicate the fabricator here:

Control Number (CCSJ):

Other Entity Name:

County:

Project Number:

Purchase Order #:

Customer Req #:

Date Shipped:

Invoice / BOL #:

Material Category (select one)	Material Code	Bid Item Code(s)	Batch/Lot/Heat #	Quantity

For TxDOT Use Only:

Lab / Sample #

Producer Code