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Truck Manifest Entry
Aggregate Order
Credit Card Sale
Yes
If you are paying by credit card, check box.
Card Info/Authorization Sent?
Yes
No
Calling Office 877-563-7625
Have you sent credit card authorization?
Credit Card Holder Name
Exact Name on Credit Card
Date of Pull:
(Required)
MM slash DD slash YYYY
Material Bill To:
(Required)
RIPA JOB ACCOUNT:
(Required)
New need account number
251924 Generic Yard Under $600
259903 Parrish Lakes
259879 Mandarin Grove
259967 Silverstone Phase 2
256153 Waterset Phase 4
259960 Bessie
260217 Coca Cola Causeway
PCS ITB
(Required)
Choose job for invoice
271037 = ITB 23-24187 Stormwater 4209,4210,4211,4213
270131 = ITB 23316-4202-008
270160 = ITB B-004-24 Hookers Point
270940 = ITB Reo Street E7Q08
Select Kiewit Job Account:
(Required)
Select Bill to Account
270138-116061 Tampa Pipe Pradera
259866-115786 Tampa Pipe Borrell Park
259898-115344 Tampa Pipe Renfrew
270089-115928 Lake Manatee
This is to properly bill correct location.
Job Name:
(Required)
Transcor Job Account #:
(Required)
"Type Need" if new, or call 877-563-7625.
Project Information:
(Required)
Street Address
Onsite Name & Number
City
ZIP / Postal Code
Pulling From:
(Required)
53rd Street - 1921 N. 53rd Street
Leonard Lee - 1006 Leonard Lee Rd, Wimauma, FL 33598
Other
Who at Transcor Confirmed Order:
(Required)
Call 813-924-5059 or 877-563-7625 to confirm material is available.
Select Material - 53rd Yard
(Required)
Choose One
C-30 Bedding Stone (DOT)
C-33 Ditch Lining (DOT)
C-32 Bank & Shore (DOT)
#89 Limestone (DOT)
#57 Limestone (DOT)
#57 Recycled Concrete
#57 Granite
DOT B-12 Concrete Road Base
Concrete Road Base
Ballast Entry Rock Concrete
Concrete Fines 3/8 Minus (Paver Base)
Concrete Rip Rap 6-12
Concrete Rip Rap 12-18
Asphalt Millings 4" Minus
Premium Crushed Asphalt
Crushed Asphalt 1.5" Minus
DOT Coarse Underdrain
Underdrain Sand
Screened Recycled Dirt
Recycled Limerock Base
Mulch
Other - Add details in comments.
Select Material - Dirt Pit
(Required)
Choose One
A-3 Structural Fill
Loads
(Required)
Less than 1 (# in comments)
1 Load
2 Loads
3 Loads
4 Loads
5 Loads
6 Loads
7 Loads
8 Loads
9 Loads
10 Loads
+ 10 Loads
Purchase Order #:
Your Name and Phone:
(Required)
Email
(Required)
Truck Number(s) / Comments: