ST9302-CR000301lATER MAIN CONSTRUCTION
NSPECTOR'S DAILY REPORT
CITY OF DALLAS WATER DEPARTMENT
:TRACTOR
HOURS:
SEPORT
CONTRACT . ~
~AUT.OR,ZAT'ON" 7q..~ ? I! WORKD^V~--.YES,( NO. WHY')~' 7'
OF LI NE '~
UANTI'rY ITEM STATION
Ft. Pipe:Size ~. r,)" Type C_ C t3 L~ '~ q (~('1, '71 LfqJr 12-, '2
Ft. Class Emb. in Rock ', :'
Ft. Class ~. Emb. inEarth ,;, ;' ,,
Ft. Class ~ Gr. Mat'l ~' 70/
Ft, Polyethylene Wrap
Ft, Pipei Sile ' Typ~ { ~1
Ft, Class Emb. in Rock
Ft, Class Emb. in Earth
Ft. Class ,.Gr Mat'
Ft. Polyethylene Wrap
HEAD SERVICES INSTALLED
,IANTITY SIZE BLOCK; LOT NO. ITEM #
EA. INCH
EA. INCH
rINGS, VALVES, FIRE HYDRANTS, PAVING, ETC.
ITEM NUMBER
DESCRIPTION
Ft. i'nches Thick Over Pipe: Stations:
Ft. Inches Thick Over Pipe: Stations:
c~kJ ~ nffdCa~ (~ '-L5., , Locaiion:
C ~3 rete For: \
y Ro Fo i ' Location:
Cy Stab. Backfill Location:
ITEM #
E PROGRESS OF BACK-FILL AND CLEAN-UP WORK SATISFACTORY?~
[YE]6 OR NO)
PROPERLY BARRICADED? ~
ry NO. PERSONS WORKING ON JOB:
(CONTINUED ON REVERSE
ARE ALL DITCHES AND OTHER OBSTRUCTIONS AND HAZARDS TO PUBLI;
COMMErCFS;
SlOE IF REQUIRED) INSPECTOR
he Contractor: -- I agree that the above report is correctwith the following exceptions:
fORM 171 W T U- 0 1 1 2 9 FORMAN
VATER MAIN CONSTRUCTION
:NSPECTOR'S DALLY REPORT
CITY OF DALLAS WATER DEPARTMENT
,R,cTOR
.OURS=
,EPO,T.
CO,T,ACT"O.
*UT.OR,ZAT,O"' 7q%'3 ![ WORKOAYI YES,, .O.W"Y?:_
JOB ~ -- --
LINE
~UANTITY ITEM STATION ITEM
_~8~' Pipe:Size
Ft. Class Emb, in Rock
,, 700
$~,~H Ft' Class I~ Emb. in Ea,h
~5,8k Ft. Class & Gr. Mat'l
Ft. Polyethylene Wrap
Ft. Class Emb. in Rock
[5,%~ Ft. Class 8 .Emb. in EaCh
~,8~ Ft. Class ~ Gr Mat'l
Ft. Polyethylene Wrap
:.AD HEAD SERVICES INSTALLED
EA. INCH
-rINGS, VALVES, FIRE HYDRANTS, PAVING, ETC.
ITEM NUMBER
__ Ft.
__ Ft.
ICy Rock Foundation
Cy Stab. Backfill
Inches Thick Over
Inches Thick Over.
#Concrete For: ~_/f)c.~'¢u~-(:
,
Location:
Location:
LOT NO.
DESCRIPTION
Pipe: Stations:
Pipe: Stations:
Location:
ITEM #
ITEM
LEAN UP WORK SATISFACTORY? ['/¢¢' ~
-tE PROGRESS OF SACK-FILL AND C - (YS OR NO)
:TY PROPERLY BARRICADED?~ NO. PERSONS WORKINGO~J;S:
' ,~ES OR NO)
the Contractor: --
(CONTINUED ON REVERSE
SlOE IF REQUIRED) ~'
agree that the above report is correctwith the following exceptions:
ARE ALL DITCHES AND OTHER OBSTRUCTIONS AND HAZARDS TO PURL
-- - ;NSPECTOR
C FORM 171
WTU-01129
FORMAN