ST9302-CR000324VATER MAIN CONSTRUCTION
INSPECTOR'S DALLY REPORT
CITY OF DALLAS WATER DEPARTMENT
HOURS: .TO
.SPORT, I C/ / o'A--
TION OF LINE
iUANTITY ITEM STATION ITEM #
Ft. Pipe: Size Type
Ft. Class Emb. in Rock
· Ft. Class Emb, in Earth
I /
Ft, Class ,_Gr, Mat'l
Ft: Polyethylene Wrap
Ft, Pipe: Size ,,.Type
Ft, Class Emb, in Reck
Ft. Class Emb. in Earth
Ft. Class Gr Mat'l
Ft. Polyethylene Wrap
HEAD ~ERVlCES INSTALLED
UANTITY SIZE BLOCK LOT NO. ITEM
EA. INCH
EA. INCH
TINGS, VALVES, FIRE HYDRANTS, PAVING, ETC.
Cy
Cy
NUMBER
ITEM
DESCRIPTION
Location:
Location:
Ft. Inches Thick Over Pipe: Stations:
Ft. Inches Thick Over Pipe: Stations:
RockFoundation #Concrete For: Location:
Stab. Backfill
ITEM
{E PROGRESS OF BACK-FILL AND CLEAN-UP WORK SATISFACTORY?~
TY PROPERLY BARRICADED?-.~L~---~ NO. PERSONS WORKING ON J~OB
{CONTINUE~ ON REVERSE
SIDE IF REQUIRED)
ARE ALL DITCHES AND OTHER OBSTRUCTIONS AND HAZARDS TO PUBLI
/cop?;
the Contractor: -- I agree that the above report is correctwith the following exceptions:
FORM 171
WTU-~l129