ST9302-CR000310'ATER MAIN CONSTRUCTION r~ r~ [~ [] r~ {~ ~ CATE:
NSPECTOR'S DALLY REPORT HOURS:
CITY OF DALLAS WATER DEPARTMENT REPORT J ~ P~e t O'~
~11~1~1 Vr /.H~ .~() '
/ STATION ITEM #
UANTITY ITEM
Ft. Pipe: Size .Type
Ft, Class .Emb. in Earth J
Ft. Class ,.Gr. Mat'l
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
VICES INSTALLED
UANTITY SIZE BLOCK LOT NO, ITEM #
EA. INCH
EA. INCH
TINGS, VALVES, FIRE {YDRANTS, PAVING, ETC.
iTEM I NUMBER
Ft Inches Thick Over
Ft, InChes Thick Over
Cy Rock #Concrete'For:
Foundation
C~ IStab. Backfill
DESCRIPTION
Pipe: Stations:
Pipe: Stations:
Location:
Location:
Location:
ITEM #
PROGRESS OF BACK-FILL AND CLEAN-UP"WORK SATISFACTORY? '~'~ ~ ,,
(Y/ES OR NO)
BARRICADED? ~ NO. PERSONS WORKING ON JOB:
TY PROPERLY ~
(CONT HUED ON REVER~E ' '
SIDE IF REQUIRED}
ARE ALL DITCHES AND OTHER OBSTRUCTIONS AND HAZARDS TO PUBLI,
COMMENTS:
-- - ' INSPECTOR
the Contractor: -- I agree that the above report is correctwith the following exceptions:
WTU-01129