Revised 03/02/09 “USE ON MANUFACTURER’S LETTERHEAD” MATERIAL CERTIFICATION FLORIDA D.O.T. GALVANIZING COMPOUND Material Number (797) APL Approved Material Name: APL Product Identifier Number: Batch Number: Manufacturer: D.O.T. Project Number (FIN): D.O.T. Contract Number: Project Location: We certify that the above listed product is the same product approved by the Florida D.O.T. and meets the requirements of Section 975-4 (Galvanizing Compounds for Field Metallizing and Touch up Repair) of the Contract Specifications for Road and Bridge Construction. Manufacturer Officer or Designee:_____________________________ Signature:_________________________________ Date:_____________________________________ (Notarized)