ST9302-CR000313YATER MAIN CONSTRUCTION
I, NSPECTOR'S DALLY REPORT
CITY OF DALLAS WATER DEPARTMENT
~ITRACTOR ?~Y~ ' C(~
RK*UT.OR'Z*T'O"" 7q. 3 it
;ATION AND DESCRIPTIC
.OURS= O7"
REPORT. /V
WORK DAY ( [,~YES) ( NO,~ H¥?) .:
:ATION OF LINE
)UANTITY ITEM STATION ITEM #
Ft. Pipe: Size ~0 Type ,/'~fY'
Ft. Class ,. Emb. in Rock
Ft. Class ?'.~ Emb. in Earth . 7~0
Ft. Class ¢'~ .Gr. Uat'l
Ft. Polyethylene Wrap
Ft. Pipe: Size- T~pe
Ft. Class Emb. in Rock -
Ft. Class Emb. in Earth
Ft. Class ..Gr Mat'l
Ft Polyethylene Wrap
:.AD HEAD iERVICES 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
For:
C~, P~ #Concrete
"~ Cy Rock Foundation
Loc~ion:
Cy Stab. Backfill Location:
Pipe: Stations:
Pipe: Stations:
Location:
ITEM
4E PROGRESS OF BACK-FILL AND CLEAN-UP WORK SATISFACTORY?
:"TYPROPERLY SARRICADED?~ NO. PERSONS WORKING ON JOB:
(CONTINUED ON REVERSE
SIDE IF REQUIRED)
the Contractor: -- I agree that the above report is correct with the followi?g exceptions:
ARE ALL DITCHES AND OTHER OBSTRUCTIONS AND HAZARDS TO PUBL~
COMMENTS: ·
INSPECTOR
C FORM 171
WTU-01129