DR8902-CS 890912 (2)TO
Consulting Ehglnee
17103 Preston
Suite lO0, LB-118~\ I
OAL~St TEXAS
(2Z4) 248-4~
WE ARE SENDING YOU A[~ffached [] Under separate cover via
the following items:
[] Shop drawings [] Prints [] Plan~ , ~,_~mples
[] Copy of letter 0 Change order ~ ,~/~Z/'tv/ (-~ ~'.~
[] Specifications
COPIES DATE NO. DESCRIPTION
THESE ARE TRANSMITTED as checked below:
[] For approval [~pproved
[:] For your use
[] As requested
[] For review and comment
[] FOR BIDS DUE
as submitted
[] Approved as noted
[] Returned for corrections
[]
[] Resubmit.__
[] Submit
[] Return
copies for approval
copies for distribution
corrected prints
19 [] PRINTS RETURNED AFTER LOAN TO US
~1 ' / ' //~ ~ ' ·
~/ ~ / - r SIGNED:
REPORT OF FIELD CHANGE
LOC^T'O" 7--,' PROJECT
SPECIAL REPORT NO.
PAGE ~OF / PAGES
CROSS REFERENCE TO
DALLY REPORT NO.
INSTRUCTIONS
Whenever an'/ corrective change is made in field construction which }$ at variance with ~he specifications and drawings as orlgina{l¥ issued.
a complete de~eiled report shall be filed, Iisting the following items, so that sl)ecifications or drawings storage data can be corrected. I. Identify the problem: Indicate why orlginall¥ specified construction was not used.
2. The Solution: Describe. in detail, the recommended change or changes that were made, as applicable.
3. Inclicate whether this is ab isolated case or a general condition which could be improved by changing future Sbeclfication$ or drawings.
4. Submit sketches as nec~r~.
REFERENCE DATA /~/~
SPEC FICATION SECTION No PAGE No ~ · PARAGRAPH. No.
DETAILED SOLUTION PROPOSED OR ACCOMPLISHED
3. IS TIlE PROBLEM AN ISOLATED CASE OR,GENERAL?
4. SUBMIT SKETCHES AS NECESSARY
BY