ST9302-CR000308~ATER MAIN CONSTRUCTION
NSPECTOR'S DAILY REPORT
CITY OF DALLAS WATER DEPARTMENT
TRACTOR ~(-~ ,~ (¢~_ ~,)
,K*U..OR,ZAT'O"" 3q?
.ou.s: ~7:00
.,PORT. //
CO.T.AcT.o.
, WORK DAY (__..~S) (
TO 17:(()
NO, WHY?)
ATION AND DESCRIPTIC
)CATION OF LINE~
UANTITY ITEM -~'
Ft. Pipe: Size ~Type~__...~
Ft,
Ft.
Ft.
Ft.
Ft.
Ft.
Ft.
Ft,
Class~Emb. in Rock
Class~Emb. in Earth
C ass~Gr. Matl
Polyethylene Wrap
Pipe: Size ~Type~_____
Class~ Emb. in Rock
Class~Emb. in Earth
Class~ Gr Mat'l
Polyethylene Wrap
STATION
[AD HEAD SERVICES INSTALLED
· TINGS, VALVES, FIRE HYDRANTS, PAVING, ETC.
ITEM NUMBER ~
Inches Thick Over
Ft
DESCRIPTION
__ Ft. Inches Thick Over
#Concrete For: ~,~: ~
- ~
Foundation Location:
.__~_[Stab. Backfill Location:
, Pipe: Stations:
Pipe: Stations:
Location:
ITEM #
ITEM #
HE PROGRESS OF BACK-FILL AND CLEAN-UP WORK SATISFACTORY? ( s o~ NO)
ETY PROPERLY BARRICADED?-J'aI-~''''';)~ NO. PERSONS WORKING
{~S OR NO)
· (CONTINUED ON REVERSE
SlOE IF REQUIRED)
ARE ALL DITCHES AND OTHER OBSTRUCTIONS AND HAZARDS TO PUBI
~INSPECTOR
' the Contractor: -- I agree that the above report is correctwith the following exceptions:
JC FORM 171
WTU-01129