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Date:    
Name:    
Company:
Address: Apt./Suite:
City:
State: Zip Code:
Phone: Fax:
E-Mail: Cellular:
Project:
Location:
Address: Suite:
City:
State: Zip Code:

Total Sq. Ft.
Turndown LF
# Areas to be Covered
Color

Maximum Height of Playground Equipment
or
Thickness of Shock Pad
(Used to determine thickness)
       

What are the actual colors and percentages (if known)?
Color
Percentage

Location:
Outdoor Indoor Ground Level Other  
Sub-base:
Asphalt Compacted Aggregate Concrete Other  

Concrete curbs and / or sub-base preparation quote needed? Yes No
If Yes, please provide a brief description.

Can all areas be surfaced at the same time? Yes No
If No, explain:

Is saw cutting required for keyway in asphalt? Yes No
If Yes, how many linear feet?

Are there color patterns in the surface? Yes No

Is this a prevailing wage job? Yes No

Is geotextile fabric required? Yes No

Additional information or comments:


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T.J Janca Construction, Inc.

Licensed Contractor, California
License 774195

Pro-Tect Turf, Inc.

Licensed Contracotor, Arizona
License 148918/K-05

Toll Free: 1-888-272-1191

2328 N. Batavia St., Unit 105, Orange, CA 92865
Phone: 714.921.3940 • Fax: 714.921.3941
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