ST9302-CR000307~/ATER MAIN CONSTRUCTION
NSPECTOR'S DAILY REPORT
CITY OF DALLAS WATER DEPARTMENT
ITRACTOR
· WORK DAY ( ~'~ES) ( .NO, WHY?)
)CATION Wl-
IUANTITY ITEM STATION .. ~:: ITEM #
Ft. Pipe: Size Type
Ft. Class Emb. in Rock
Ft. Class_ Emb. in Earth
Ft. Class Gr. Mat'[
Ft. Polyethylene Wrap,
Ft. Pipe: Size Type .
Ft. Glass Emb. in Rock
Ft. Glass Emb. in Earth
Ft. Glass , Gr Mat'l
Ft. Polyethylene Wrap
[AD HEAD SERVICES INSTALLED
EA. INCH
EA. INCH
'TINGS, VALVES, FIRE HYDRANTS, PAVING, ETC.
ITEM NUMBER
LOT NO.
ITEM
DESCRIPTION
ITEM
___ Ft. Inches Thick Over
__ Ft. Inches Thick Over /'
#Concrete For: /
Cy Rock Foundation ~ Location:
Cy Stab. Backfill Location:
Pipe: Stations:
Pipe: Stations:
Location:
HE PROGRESS OF SACK-FILL AND CLEAN-UP WORK SATISFACTORY? ~
~'Es OR NO)
ETY pROPERLY BARRICADED? ('~ ~'~ ~ NO, PERSONS WORKING ON JOB:
S OR NO) ~..
(CONTINUED ON REVERSE
SiDE IF R~OUlREO)
ARE ALL DITCHES AND OTHER OBSTRUCTIONS AND HAZARDS TO PURl
the Contractor: -- I agree that the above report is correctwith the following exceptions:
FORM 171
W.~uLOl129
FORMAN