ST9302-CR000302VATER MAIN CONSTRUCTION
iNSPECTOR'S DALLY REPORT
CITY OF DALLAS WATER DEPARTMENT
'4TRACTOR
RKAUT.OR'ZAT'ON'
3ATION AND DESCRIPTION OF JOB
DATE,
WORK DAY (~.YE$) ( NO, WHY?)
TO /9:00
)CATION OF LINE
ITEM #
~UANTITY ITEM
Ft. Pipe:Size 30 Type l'~_t~.~
Ft. Class Emb. in Rock
Ft. Class ~ Emb. inEa~h
Ft. Glass ~ Gr. Mat'l
Ft. Polyethylene Wrap
Ft, Pipe: Size Type
Ft, Class Emb. in Rock
Ft. Class Emb. in EaCh
Ft. Class .Gr Mat'l
Ft. Polyethylene Wrap
HEAD SERVICES INSTALLED
UANTITY SIZE BLOCK LOT NO. ITEM
EA. INCH
EA. INCH
TINGS, VALVES, FIRE HYDRANTS, PAVING, ETC.
ITEM I NUMBER
Ft
Ft.
Inches Thick Over
Inches Thick;Over
#Concrete For:
Foundation Locauon:
Backfill Location:
DESCRIPTION
Pipe: Stations:
Pipe: Stations:
Location:
ITEM
PROGRESS OF BACK-FILL AND CLEAN-U'P WORK SATISFACTORY? ~, J'~'-~ ARE ALL DITCHES AND OTHER OBSTRUCTIONS AND HAZARDS TO PUBLI{
rY PROPERLY BARRICADED?~ NO. PERSONS WORKING ON JOB: ~?t COMMENTS:
, / -
I
he Contractor: -- I agree that the above report is correctwith the following exceptions:
~O~U ~7, WT U- 0 1 1 2 9 FORMAN