HomeMy WebLinkAboutGS Inspection Form 8-4-23e
Contractor Nam
Number:
Weather:
Inspector: � ���
Day of the Week: � � �;
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Resident Engineer: fF
Date: � ;
Items of work'affected by weather Na Affect Affected - Descriptions an`d/or Comments
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0
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Prime/Super/Foreman
Sub/Foreman
Operator
Operator
Operator
Laborer
Laborer
Laborer
Laborer
4
3
5
•.. r
r �� 3
No
Yes � If yes, a separate report dated is attached.
Hours Worked..
Hours Worked
Names
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Resident Engineer Signature
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Contractor Name:
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Number: � ,
Weather: ��
Items of work affected by,weather
2
3
Y
Details
Prime/Super/Foreman
Sub/Foreman
Operator
Operator
Operator
Laborer
Laborer
Laborer
Laborer
2
3
C�
5
0
x
No Affect:
No
n
f` � �1
f Y�°
Inspector: � � Resident Engineer: �
Day of the Week: � � ��� Date:
Work performed � � �,
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Affected
� Yes
Hours Worked
Hours Worked
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InspectorSignatur
s
Descriptions and/or Comments
[f yes, a separate report dated is attached.
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Resident Engineer Signature
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