Form 374-WF9 "Request for Retroreflectivity of Pavement Markings" - Rhode Island

What Is Form 374-WF9?

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

Form Details:

  • Released on April 25, 2019;
  • The latest edition provided by the Rhode Island 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 374-WF9 by clicking the link below or browse more documents and templates provided by the Rhode Island Department of Transportation.

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Download Form 374-WF9 "Request for Retroreflectivity of Pavement Markings" - Rhode Island

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RHODE ISLAND DEPARTMENT OF TRANSPORTATION
Office
MATERIALS MANAGEMENT
Traffic Eng.
REQUEST FOR RETROREFLECTIVITY OF PAVEMENT MARKINGS
File
NOTE: Must be submitted within 7 days of application to Materials email (DOT.Materials@dot.ri.gov).
Date:
RI Contract No:
PTSID:
F.A.P. No:
Resident Engineer:
Striping Contractor:
Acceptance
Info Only
QC
Item
Item
Length /
Color
Road / Item Description
City / Town
Limits
Date Applied
Results
No.
Code
Each
Y / W
Attached
Y / W
Y / W
Y / W
Y / W
Y / W
Y / W
Y / W
Y / W
Y / W
Y / W
Additional Information:
Note:
1. Initial 14-60 day retroreflectivity pay factors apply to permanent epoxy pavement markings installed on asphalt wearing surfaces only.
2. Concrete and chip seal surfaces do not apply.
3. Assistance with traffic control may be necessary. Crew will advise.
Resident Engineer / Technician
Date
Reviewed By Materials Engineer
Date
(Print / Sign)
(Print / Sign)
ID# WF9 - 374
REV. 4/25/19
RHODE ISLAND DEPARTMENT OF TRANSPORTATION
Office
MATERIALS MANAGEMENT
Traffic Eng.
REQUEST FOR RETROREFLECTIVITY OF PAVEMENT MARKINGS
File
NOTE: Must be submitted within 7 days of application to Materials email (DOT.Materials@dot.ri.gov).
Date:
RI Contract No:
PTSID:
F.A.P. No:
Resident Engineer:
Striping Contractor:
Acceptance
Info Only
QC
Item
Item
Length /
Color
Road / Item Description
City / Town
Limits
Date Applied
Results
No.
Code
Each
Y / W
Attached
Y / W
Y / W
Y / W
Y / W
Y / W
Y / W
Y / W
Y / W
Y / W
Y / W
Additional Information:
Note:
1. Initial 14-60 day retroreflectivity pay factors apply to permanent epoxy pavement markings installed on asphalt wearing surfaces only.
2. Concrete and chip seal surfaces do not apply.
3. Assistance with traffic control may be necessary. Crew will advise.
Resident Engineer / Technician
Date
Reviewed By Materials Engineer
Date
(Print / Sign)
(Print / Sign)
ID# WF9 - 374
REV. 4/25/19