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["SiteManager User Security Request Form     "]
[null,"Send completed forms to:",null,null,null,"TDOT.SiteManagerSupport@tn.gov",null,null,null,null,"Updated: 06/08/17"]
["Date of Request:"]
["User Name:",null,null,"Unit #:",null,null,null,null,"For Supervisor Use Only"]
["Company Name:",null,null,"JJ Number:",null,null,null,null,"Supervisor Name:"]
["Wk Address:",null,null,"JJVP number:",null,null,null,null,"Phone Number: "]
["Wk City, Zip",null,null,"Edison ID #:",null,null,null,null,"Date form approved: "]
["Wk Phone:",null,null,"NOTES:  "]
["Wk E-mail"]
[]
["What Security Group(s) should the user be assigned to?",null,null,null,null,null,null,null,"How was the Sampler/Tester Qualified?"]
["MAY CHOOSE MORE THAN ONE GROUP"]
["FIELD - District Operations Engineer",null,null,null,"Inquiry Only",null,null,null,"Certification Classes"]
["FIELD - District Operations Supervisor",null,null,null,"Lab Supervisor",null,null,null,"On the Job Training"]
["FIELD - M&T Inspector",null,null,null,"Lab Technician",null,null,null,"   *check only for tests that are not restricted by qualification or certifications."]
["FIELD - Operations Inspector",null,null,null,"REG - Director's Representative"]
["FIELD - Operations Office Staff",null,null,null,"REG - M&T Final Records"]
["HQ - Dock",null,null,null,"REG - M&T Office Staff"]
["HQ - Materials Management",null,null,null,"REG - M&T Supervisor"]
["HQ - M&T Mix Designs Marshall",null,null,null,"REG - M&T Supervisor (SA)"]
["HQ - M&T Mix Designs PCC",null,null,null,"REG - Operations Final Records"]
[null,null,null,null,"REG - Operations Supervisor"]
[]
[]
[]
[]
["What is the user's Testing Level?",null,null,null,null,"What is the user's Tester Qualifications?"]
[null,"CHOOSE ONE",null,null,null,"MAY CHOOSE MORE THAN ONE",null,null,"CERT. NUMBER","EXPIRATION DATE"]
["Sampler Only",null,null,null,null,"Asphalt Roadway Technician"]
["Sampler and Tester",null,null,null,null,"Asphalt Plant Technician"]
["Global Tester *",null,null,null,null,"Asphalt Mix Design Technician"]
[null,null,null,null,null,"Concrete Field Technician"]
["     * ALL Global Testers must be approved by HQ",null,null,null,null,"Concrete Plant Technician"]
[null,null,null,null,null,"Concrete Mix Design Technician"]
[null,null,null,null,null,"Radiation Safety Technician"]
[null,null,null,null,null,"Laboratory Tech"]
[null,null,null,null,null,"Office Staff",null,null,"N/A","1949-12-31"]
[null,null,null,null,null,"Pavement Evaluation Technician"]
[null,null,null,null,null,"Soils & Aggregate Technician"]
[null,null,null,null,null,"TDOT - On the Job Training Tech"]
[]
["If the user is performing tests in the field, and/or a contractors location, and/or at a TDOT Lab please indicate below:"]
[null,null,"MAY CHOOSE MORE THAN ONE LAB"]
[147001,"Reg 1 - Main Lab",null,null,619001,"HQ - Aggregate Lab"]
[190001,"Reg 1 - Johnson City",null,null,619002,"HQ - Asphalt - Emulsion Lab"]
[233001,"Reg 2 - Main Lab",null,null,619003,"HQ - Asphalt - Liquid Lab"]
[216001,"Reg 2 - Tullahoma",null,null,619004,"HQ - Asphalt - Mix Design Lab"]
[271001,"Reg 2 - Cookeville",null,null,619005,"HQ - Cement Lab"]
[457001,"Reg 4 - Main Lab",null,null,619006,"HQ - Chemical Lab"]
[409001,"Reg 4 - McKenzie",null,null,619007,"HQ - Concrete Cylinder/Core Lab"]
[455001,"Reg 4 - Bethel Springs",null,null,619008,"HQ - Physical Lab"]
[479001,"Reg 4 - Memphis",null,null,619010,"HQ - Research & New Products Lab"]
[698001,"Contractor Lab",null,null,619011,"HQ - Soil Lab"]
[699001,"Field Lab",null,null,697000,"T2 Certification"]
[]
["APPROVING SAMPLES IN LIMS"]
["(This only effects the review samples window)"]
[]
["OPERATIONS STAFF",null,null,null,"MATERIALS STAFF"]
["Who will be authorizing samples?",null,null,null,"Will you be reviewing and authorizing samples?"]
["User","Supervisor",null,null,"Yes","           No"]
[]
[]
["What BOE folders will user need access to for reports:",null,null,null,null,"NOTES"]
["SM-Matls & Tests"]
["SM-Operations Inspector"]
["SM-Operations Mgmt"]
["SM-Operations Office"]
[]
[]
[]
["Date received"]
["Date entered"]
["By"]

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