ST9302-CR000303,¥ATER MAIN CONSTRUCTION
INSPECTOR'S DALLY REPORT
CITY OF DALLAS WATER DEPARTMENT
DATE:_*" .....
HOURS: ~1 ~" ', ~ TO
REPORT ~
WORK DAY ( YES) ( NO, WHY?]
:)CATION OF LINE :'"(!"" /,r~ ="~'"
')UANTITY ITEM STATION' ITEM
/~ //Ft. Pipe:Size '>(.~ Type/('((/':
Ft, Class Emb. in Rock
; ' ~t Ft. Class /~ Emb. in Eadh /
'~,/t Ft. Class ~ ,Gr. Mat'l /"
Ft. Polyethylene Wrap ..... '
Ft. Pipe: Size Type / ( ~ ~ ~
Ft. Class . Emb. in Reck'
Ft, Class Emb. in EaCh
Ft. Class Gr Mat'l
Ft. Polyethylene Wrap
--AD HEAD SERVICES INSTALLED
)UANTITY SIZE BLOCK LOT NO. ITEM
EA. INCH
EA. INCH
-TINGS, VALVES, FIRE HYDRANTS, PAVING, ETC.
ITEM
NUMBER
DESCRIPTION
__ Ft Inches Thick Over
__ Ft. Inches Thick Over
J #Concrete For:
Cy IRock Foundation
Cy IStab. Backfill
Pipe: Stations:
Pipe: Stations:
Location:
Location:
Location:
ITEM
4E PROGRESS OF BACK-FILL AND CLEAN-UP WORK SATISFACTORY?~ ARE ALL DITCHES AND OTHER OBSTRUCt'lONE AND HAZARDS TO PUBLI
¢¢ES OR NO)
:TY PROPERLY BARRICADED? //'~'~; NO. PERSONS WORKING ON JOB: COMMENTS:
(CONTINUED ON REVERSE , . .4 ~
SlOE IF REQUIREDI ~ - INSPECTOR
the Contractor: -- I agree that the above report is correctwith the following exceptions:
WTU-01129