HomeMy WebLinkAboutGS Inspection Form 7-25-23r
Contractor Name:
Number:
Weather:
Details
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Inspector:
Day of the Week:
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Inspector Signature
Resident Engineer: `��
Date: 'z � �� I'��
Descripfiions and/or Comments
if yes, a 'separate report dated: is `attached.
Names
Descriptions
Resident Engineer Signature
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Contractor Name:
Number:
Weather:
Details
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Inspector: i CA/I F
Day of the Week:
Resident Engineer:
Date: ��7/
Descriptions and/or Comments
Lf yes, a separate report dated is attached.
ontr ctor ersonnel
No.
Hours Worked
Names
Prime/Super/Foreman
Sub/Foreman
Operator
-
Operator
Operator
Laborer
Laborer
Laborer
Laborer
Equipment -Active
No.
Hours Worked
Descriptions`
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3
4
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5
6
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Inspector Signatur
Resident Engineer Signature