TxDOT Fabrication Notification

Fabricator Information
Project Information

Fabricator Information

Fabricator's name and location:

Fabricator's Contact Person:

Fabricator's E-mail Address:

Fabricator's Phone Number:

Projected Fabrication Start Date<sup>1</sup>:

1. Fabrication start date is defined as the date welding operations begin.

Revised

Fabricator is required to notify MTD_Structural at least seven (7) calendar days prior to the start of fabrication. A revised TxDOT Fabrication Notification is required if the projected fabrication start date changes. The seven (7) day requirement applies to the revised form as well.

Projected Fabrication Completion Date<sup>2</sup>:

2. The projected fabrication completion date is the date in-plant fabrication is completed, which does not include coating application.

Type of Coating:

Galvanizing

Painting

Powder Coating

Who is performing coating?

Project Information

Control Number (CCSJ):

Other Entity Name (if applicable):

County:

Project Number:

TxDOT Purchase Order Number (if applicable):

Fabricator's Job Number:

Material Description³	Bid Item Code(s)	Quantity

For TxDOT use only

Inspection assigned to:

Notes:

3. Example: Traffic signal poles, Roadway illumination poles, High Mastillumination poles, Railing…etc.