TxDOT Elastomeric Bridge Bearing Pad Fabrication Notification DMS-7365

Manufacturer Information
Project Information

Step 1 of 2

Manufacturer Information

Manufacturer's Name and Location:

Manufacturer's Contact Person:

Manufacturer's E-mail Address:

Manufacturer's Phone Number:

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

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

Revised

Manufacturer's Job Number:

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

Projected Compression Load Test Date:

Type of Bearings:

Plain

Laminated

Step 2 of 2

Project Information

Control Number (CCSJ):

Other Entity Name (if applicable):

County:

Project Number:

Material Description	Bid Item Code(s)	Quantity

For TxDOT use only

Notes: