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Truck Manifest Entry
AGGREGATE ORDER
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
KIEWIT JOB ACCOUNT:
(Required)
Select Job Account
270138-119061 Pradera Rambla - Kimmins Haul
270138-116229 Pradera - Whitney Hauling
270169-116123 Tampa Pipe Armenia - Kimmins Haul
270089-115928 Lake Manatee Dam
259866-115786 Tampa Pipe Borrell Prk
PCS ITB
(Required)
Choose job for invoice
258735 = ITB 19613-4006-008
258754 = ITB 19549-4107/4005
270131 = ITB 23316-4202-008
Job Name:
(Required)
Transcor Job Account #: (If unsure enter "NEED")
(Required)
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
Confirmed With:
(Required)
Dan Segale
Loyd Ealy
Candice Agosto
Winnie Jackson
Other - Enter info in comments.
Material availability confirmed with.
Select Material - 53rd Yard
(Required)
C-30 Bedding Stone
C-32 Bank & Shore
C-33 Ditch Lining
DOT B-12 Concrete Road Base 1.5" Minus
Concrete Road Base 1.5" Minus
#57 Recycled Concrete 1.5"
#4 Ballast Recycled Concrete
Concrete Fines 3/8 Minus
Rip Rap 6-12 Inch
Rip Rap 12-18 Inch
#89 DOT Limestone
#57 DOT Limestone
Crushed Asphalt 1.5" Minus
Premium Crushed Asphalt (Screened)
Asphalt Millings 4" Minus
DOT Coarse Underdrain
Underdrain Sand
Screened Recycled Dirt
Select Material - Dirt Pit
(Required)
A-3 Structural Fill
Number of loads:
(Required)
Run all day.
1
1-3
3-5
5-9
9-11
11 +
Other - see comments.
Purchase Order #:
Your Name and Phone:
(Required)
Email
(Required)
Comments:
