ST9302-CR000309tATER MAIN CONSTRUCTION
NSPECTOR'S DALLY REPORT
CITY OF DALLAS WATER DEPARTMENT
TO 17:00
"4° I,o,I
,K AU..OR.ZAT'O"""t~5 3 I \ WOR' DAY I ~"¢"S~I .O. W"Y?~. ,
ATION AND DESCRIPTION OF JOB
(;AIIUN ur I..~m~- ~[~'- ~,.t',,(3_')tA!'t'¢',~ it./ IIt-'r~v ~ ~ L'"" '"''
-" STATION ITEM
UANTITY ITEM
Ft. Pipe: Size "~,(.~ .Type .~t'r~ 2~)~S¢
Ft. Class . Emb. in Rock
Ft. Class ~ Emb. in Earth '7,/)()
Ft. Class (-~ .Gr. Mat'l '70
Ft. Polyethylene Wrap
Ft. Pipe: Size .Type /
Ft, Class Emb. in Rock -
Ft. Class Emb. in Earth '.
Ft, Class Gr Mat'l
Ft, Polyethylene Wrap '
AD HEAD SERVICES INSTALLED
EA. INCH
EA. INCH
TINGS, VALVES, FIRE HYDRANTS, PAVING, ETC.
ITEM
DESCRIPTION
, Ft
Ft.
Pipe: Stations:
Pipe: Stations:
Location:
Inches Thick Over
inches Th ck Over
Rock #Concrete For:=.
Cy Foundation Location:
Cy Stab. Backfill Location!"
ITEM #
IE PROGRESS OF BACK-FILL AND CLEAN-UP WORK SATISFACTORY? ( s OR N~)
Y PROPERLY BARR CAOED? t /,'~"~ NO PERSONS WORKING ~
(CONTINUED ON REVERSE
ARE ALL D TCHES AND O~I'HER OBSTRUCTIONS AND HAZARDS TO PUBLI
COMMENTS;
S~DE IF REQU,IRED)
the Contractor: I agree tha{'th'~ above report is correctwith thefollowing exceptions:
INSPECTOR
: FORM 171 WTU-01129