Form 700-030-10 "Noncomplying Prestressed/Precast Concrete Component Data Sheet" - Florida

What Is Form 700-030-10?

This is a legal form that was released by the Florida Department of Transportation - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2020;
  • The latest edition provided by the Florida Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 700-030-10 by clicking the link below or browse more documents and templates provided by the Florida Department of Transportation.

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Download Form 700-030-10 "Noncomplying Prestressed/Precast Concrete Component Data Sheet" - Florida

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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
700-030-10
CONSTRUCTION
NONCOMPLYING PRESTRESSED/
08/20
PRECAST CONCRETE COMPONENT DATA SHEET
TO:
DATE:
DISTRICT:
CONTRACTOR:
PROJECT ENGINEER:
PROJECT TITLE:
PRESTRESSED PRODUCER:
BUDGET ITEM NO.:
FIN PROJECT NO.:
FEDERAL PROJECT NO.:
CONTRACT NO.:
SHOP DRAWING PREPARER:
SHOP DRAWING REFERENCE NO.:
COMPONENT REFERENCE NO.:
DESCRIPTION OF DEFECT OR NON-COMPLIANCE:
LISTING OF ATTACHED SUPPORTIVE INFORMATION:
PREPARED BY:
DATE:
(Contractor/Prestressed Concrete Producer)
(Date)
FOR DISTRICT MATERIALS OFFICE USE
DESCRIPTION OF DEFECT VERIFIED BY:
DATE:
(District Prestress Verification Inspector)
(Date)
DESCRIPTION OF PROPOSED REPAIR ENCLOSED:
YES
NO
ENGINEERING ANALYSIS (EAR) REQUIRED:
YES
NO
EAR SCOPE ATTACHED:
YES
NO
The District Prestress Verification Inspector verified the description and dimensions of the
defect ONLY. The proposed repair and/or scope has NOT been approved at this time.
This non-compliance needs to be resolved as described in CPAM 10.2.
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
700-030-10
CONSTRUCTION
NONCOMPLYING PRESTRESSED/
08/20
PRECAST CONCRETE COMPONENT DATA SHEET
TO:
DATE:
DISTRICT:
CONTRACTOR:
PROJECT ENGINEER:
PROJECT TITLE:
PRESTRESSED PRODUCER:
BUDGET ITEM NO.:
FIN PROJECT NO.:
FEDERAL PROJECT NO.:
CONTRACT NO.:
SHOP DRAWING PREPARER:
SHOP DRAWING REFERENCE NO.:
COMPONENT REFERENCE NO.:
DESCRIPTION OF DEFECT OR NON-COMPLIANCE:
LISTING OF ATTACHED SUPPORTIVE INFORMATION:
PREPARED BY:
DATE:
(Contractor/Prestressed Concrete Producer)
(Date)
FOR DISTRICT MATERIALS OFFICE USE
DESCRIPTION OF DEFECT VERIFIED BY:
DATE:
(District Prestress Verification Inspector)
(Date)
DESCRIPTION OF PROPOSED REPAIR ENCLOSED:
YES
NO
ENGINEERING ANALYSIS (EAR) REQUIRED:
YES
NO
EAR SCOPE ATTACHED:
YES
NO
The District Prestress Verification Inspector verified the description and dimensions of the
defect ONLY. The proposed repair and/or scope has NOT been approved at this time.
This non-compliance needs to be resolved as described in CPAM 10.2.