ST9302-CR000317'ATER MAIN CONSTRUCTION
kJSPECTOR'S DALLY REPORT
CITY OF DALLAS WATER DEPARTMENT
,K AUTHORIZ*TION it 7 fl ~ ~ ~ ~
HOURS: ~TO
REPORT*
WORK DAY ( ~YYES) ( NO, WHY?)
Page / of / ·
CATION Ur LIN'-
UANTITY ITEM STATION ITEM #
~,( /-[, Ft. Pipe:Size "~( .Type~,r~(r.L
Ft. Class Emb. in Rock
Ft. Class Emb. in Eadh
Ft, Class _Gr. Mat'l
Ft, Polyethylene Wrap ~'"
,
Ft. ~ipe: Size .Type
Ft. Class Emb. in Rock
Ft. Class Emb. in EaCh
Ft. Class Gr Mat'l
Ft, Polyethylene Wrap
AD HEAD ~SP_..HVI~I=~ I1,t~1 /.~l.i..r,.L~
UANTITY SIZE BLOCK LOT NO. ITEM #
EA. INCH
EA. INCH ~ ~
TINGS, VALVES, FIRE HYDRANTS, PAVING, ETC. ~ -- ITEM #
~ ~ DESCRIPTION ~
ITEM
NUMBER
__ Ft Inches Thick Over Pipe: Stations:
Inches Thick Over Pipe S'tations:
,. Ft.
#Concrete For: Location:
Foundation Location:
Cy JStab. Backfill Location:
-IE PROGRESS OF BACK FILL AND CLEAN UP WORK SATISFACTORY? t /'¢c'"i , ARE ALL DITCHES AND OTHER OBSTRUCTIONS AND HAZARDS TO PUBL'
:'TYPROPERLY BARRICADED?~ NC. PERSONS WORKING OI~YJ~;BO:~ "o~
SIDE IF REQUIRED)
the Contractori -- I agree that the above report is correctwith the following exceptions:
C FORM 171
WTU-01129
FORMAN