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Pipeline Video and Cleaning Video Inspection Report
35849 Military Rd S,Auburn, WA 98001
800.TV.A.PIPE 253.661.0828
Assigned ID: 31002 PO or Job# Date: 12/18/2001
Client: Pivetta Bros Const., Inc. Legal description or orientation:
Project Name: Locate Leak
Address: Renton Ave &130th
City: Renton State: Technician. Gary Bond
Weather: Rainy Truck Number: 3 Inspector: None -
Cleanliness: Minimal debris Grade:Good Condition:Fair Joint type: Gasket Joint length: 20'
Starting Structure: , Depth: Ending Structure: Depth: Direction: Video Ref: Line Length:
MH-7 18 MH-8 19 Upstream 0:00:00 291.6
Line Type: Pipe Type: Size: Ref. Ball: Air Test. Air Quality: Ventilated: i Mandrell: Pass:
Sanitary PVC 8" none N/A N/A N/A No N/A
Cleaned: Comments:
Yes Cleaned Line Full of Debris Possible Leak At Servic Connection
Footage Position Comments Severity Notes Photo Clip Vid Ref
1 0.0 Centerline of manhole 0:00:00
2 23.5 9 o'clock Service lateral left- 0:09:28
3 43.2 7 o'clock Offset joint- infiltration 0:14:00
4 101.2 3 o'clock Service lateral right- 0:19:40
5 104.3 3 o'clock Service lateral right- 0:21:00
6 147.7 9 o'clock Service lateral left- 0:24:00
7 225.9 3 o'clock Service lateral right- 0:28:45
8 289.2 3 o'clock Service lateral right- 0:32:25
9 291.6 Centerline of manhole 0:33:48
10 291.6 End of inspection-
Page 1 of 2
Fp""� 253661 .0828 line Inspection _Repvt
vff 1 800 882.7473
35849 Military Rd S Page --- of
VIDEO & CLEANING Auburn, Wa. 98001 Video ref: 449 tit*lo' Date: qlZ 7sc'
City:
Location: CSC>7h c:syd 1_3Z o�
Custom e �� /oS
Customer: i �/ � �
Contractor:
Sanitary: X Storm: - Length: Pipe size: Type: '��
Inspector: __ - Technician:
Origin M.H. Number Terminal M.H. Number
Origin (Terminal
Direction of Flow
Reference Ball = __— Ventilated Yes No /A Air Quality Good Bad N/A
Ref. Foota a L R Top Service Lat.
9 Water Comments
1 C.", 4
2
3 11. e,1 d o/ wq �
4 73
5
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
a:
Pass ❑ Fail El this line cleaned? Yes i� No❑ Was this line mandrelled? Yes ❑ Now
"""jvff
253 661 .0828 Pipeline Inspection Report
1 800 882.7473
35849 Military Rd S Page of
VIDEO & CLEANING Auburn, Wa. 98001 Video ref: 44 3-'2- Date: "1'S2 7X/
City: 7��
Location: 'VO*r ' 4--A
Customer: °ycfii �L �✓�S
Contractor:
Sanitary: _-- Storm: Length:— _ Pipe size: T e: 1,6
y 9 P yP
Inspector: - - — Technician: —90- � .
Origin M.H. Number Terminal M.H. Number
DOrigin4 Te r m i na l
2-
Direction of Flow
Reference Ball = l_' _ Ventilated Yes No Air Quality Good Bad /A
Service Lat.
Water Comments
Ref. Footage L R Top
1 O 4 '
�t
3 6 3
4 3 -
8 -
9
10
11
k
12
13
14
15
16
17
18
19
20
21
Was this line cleaned? Yew No❑ Was this line mandrelled? Yes ❑ Nor Pass ❑ Fail ❑
"""jvff
253661 .0828 Pipeline Inspection Report
1 800 882.7473
35849 Military Rd S Page 3 of
VIDEO & CLEANING Auburn, Wa. 98001 S,� gs2-�sG1
Video ref: Date:
City' C�✓1 �,�
Location: 74 aed % 3Z »d.
Customer: /"i r/G ItL� /3,/t>s
Contractor:
Sanitary: X Storm: Length: Pipe size: Type:
RIC-
Inspector: Technician: y
Origin M.H. Number Terminal M.H. Number
�� Origin o Terminal
Direction of Flow
Reference Ball =
Ventilated Yes No Air Quality Good Bad /A
I Service Lat.
Ref. Footage � R Top Water Comments
1 O
3 3. (., X
4 1`l.-7
5
J 6 7,5 5-
7 32 3
8 x
J 9 x
10
11 Z20, 6 �l
1 12 2 71/. Z X
✓ 13 2*3-. :r
14 25�. g' X
15 7 2 . 6
16 3223
17 �9. X
18 107. 6' 4
19
20 g
21 - -
Was this line cleaned? Yes INo ElWas this line mandrelled? Yes ElNo❑ Pass ❑ Fail El
:.-::.. -- am,:- `^'' vr.. are. ,..: �,x 'a.... .,i ,'.:e. astir •>y;. aMre:
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253661 .0828 Pipeline Inspection Report
1 800 882.7473
35849 Military Rd S Page 2 of
VIDEO & CLEANING Auburn, Wa. 98001 4�2 /ar
Video ref: Date:
City. Re► +60
Location: OOT" as4d 132wd
Customer: PVG*ic�
Contractor:
Sanitary: _X Storm: Length: Pipe size: 8' Type: PLIC-
Inspector: - Technician:
Origin M.H. Number Terminal M.H. Number
L Origin Terminal
Direction of Flow
{r
Reference Ball = _ Ventilated Yes No /A Air Quality Good Bad /A
Service Lat.
Ref. Footage L R Top Water Comments
2
3 �-
4
5 _
6
7
8 --
9
10
11
12
13
14
15
16
17
18
19
20
21
Was this line cleaned? YesY No❑ Was this line mandrelled? Yes ❑ No L�' Pass ❑ Fail ❑
"""jvff
253661 .0828 Pipeline Inspection Report
1 800 882.7473
35849 Military Rd S Page of
VIDEO & CLEANING Auburn, Wa. 98001 MA-7/Gj
Video ref: Date:
City. Reel too
Location: gorh aKd 13 Z i4d
Customer: A eta DI'oc
Contractor:
Sanitary: -X— Storm: Length: _ Pipe size: e Type: PVC
Inspector: Technician: ,,-�� a�
Origin M.H. Number Terminal M.H. Number
Origin � OTerminall
Direction of Flow
Reference Ball = 1 Ventilated Yes No 0 Air Quality Good Bad d7
Ref. Footage Service Lat. Water Comments
L R Top
1
f 2 4� G.
3 69. 6' X — -
4 7
5
6 16s' 1 X
7 23s-1 4 cp74
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Was this line cleaned? Yes 5C No❑ Was this line mandrelled? Yes ❑ NoX Pass ❑ Fail ❑
"""Jvff
253661 .0828 Pipeline Inspection Report
1 800 882.7473
35849 Military Rd S Page 6 of
VIDEO & CLEANING Auburn, Wa. 98001 Video ref: Date: g02-7ic%1
City �C�✓i t�✓t
Location: ffoT`'
Customer �iliG1-�• YS/b S
Contractor:
Sanitary: X Storm: Length: Pipe size: �R Type: F V G
Inspector: _ Technician: w� ,
Origin M.H. Number Terminal M.H. Number
Origin Terminal
Direction of Flow /
9
Reference Ball = l Ventilated Yes No N/ Air Quality Good Bad
3-
Ref. Foota a Service Lat. Water Comments
9 L R Top
1 0 �
3 33.7 N
4 241.3
6
7
8
9
10
11
I 12
13
14
15
16
17
18
19
20
21
Was this line cleaned? Yes No❑ Was this line mandrelled? Yes ❑ Nop Pass ❑ Fail ❑
"A
"""Affff
253661 .0828 Pipeline Inspection Report
1 800 882.7473
35849 Military Rd S Page of
VIDEO & CLEANING Auburn, Wa. 98001 Video ref: Date: 12
City: 12n"Ia'n
Location:
Customer: tte.- S
Contractor:
Sanitary: X Storm: Length: Pipe size: 1 Type: AvG
Inspector: _ Technician: —Sv�� "eae-�
Origin M.H. Number Terminal M.H. Number
Origin Terminal
12
Direction of Flow ) p
Reference Ball =
Ventilated Yes No N/ Air Quality Good Bad
Service Lat.
Ref. Footage L R Top Water Comments
1 H
2
3 US• S
X
4 el
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Was this line cleaned? YesK No❑ Was this line mandrelled? Yes ❑ No L Pass ❑ Fail ❑
"""jvff
253661 .0828 Pipeline Inspection Report
1 800 882.7473
35849 Military Rd S Page - of
VIDEO & CLEANING Auburn, Wa. 98001 Video ref: I'G� ' 3 L Date: ;�27r`"�
City. eh+0',
Location: k?0 '" xa.iJ '3/Z w
Customer: 191 Ve-f-+c- /3111S
Contractor:
Sanitary: Storm: Length: Pipe size: Type: c..
Inspector: Technician: IFZ _
Origin M.H. Number Terminal M.H. Number
' I Origin Terminal I
Direction of Flow
r '
Reference Ball = Ventilated Yes No Air Quality Good Bad N/A
Service Lat.
Ref. Footage L R Top Water Comments
2 • � � - --
3
4
5
6
8 --
9
10
11
12
13
14
15
16
17
18
19
20
21
Was this line cleaned? Yes❑ Nq Was this line mandrelled? Yes ❑ N� Pass ❑ Fail 0
<3
WF"WW253 661 .0828 Pip line Inspection Report
1 800 862.7473 2
35849 Military Rd S Page -- of — ---
VIDEO & CLEANING Auburn, WA 96001 t `7 .'L
Video ref:_ -__- Date:
City:
Location: 1 3
Customer: L i y(f /3✓% C1 .5 - ---
Contractor: - -
Sanitary: Storm: Length:- Pipe size: , Type: ' G4�
Inspector: - Technician:
Origin M.H. Number Terminal M.H. Number
Origin Terminal
Direction of Flow
Reference Ball = _ Ventilated Yes No N/A Air Quality Good Bad N/A
Service Lat.
Ref. Footage R Top ,Water;' Comments
1 i a7-- -
2 2 3.-2
5 11102.1
7 /,1S• ct
8
9 gs- xF
10 2 50.
11
12
13
14 -
- —
15
16 ' -
17
18 - - -
19 - -
20
- 21
Was this line cleaned? Yes)<'No El. Was this line mandrelled? Yes 0 No Pass ❑ Fail
.� 33n�.,£xn:--:Eev =rt...:�SmR�ks` '�F�:�..;fX�*'o���aYA�"`:�I.duq .'� .. F"•::'^.;ia..�. ne.;»:'�^= ..� '<,a3`rz�.`a5Y••"•; "^':;k".'fir�w!�Lv'.'.: ;dY"at" �`•
253 661.0828 Pipeline Inspection Report
1 800 882.7473
35849 Military Rd S Page > - of
VIDEO & CLEANING Auburn, WA 98001 Video ref: Date: ,� 'Z /o
City:
Location: 347`? �✓1� �o'�� �t.j= _— --
Customer:
Contractor:
Sanitary: - Storm: Length: _ Pipe size: _ �' Type: AC S cc.,
Inspector: _ Technician:
Origin M.H. Number Terminal M.H. Number
Origin 0 erminal
Direction of Flow
Reference Ball = Ventilated Yes No N/A Air Quality Good Bad N/A
Ref. Footage Service Lat.L R Top Water Comments
,
2
3 / S 2.2
2 -
8
9- - -
10
12
13
14 '
15
I
16
17
18 --
19
20
21
Was this line cleaned? Yes>No❑ Was this line mandrelled? Yes No Pass Fail
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253 661.0828 Pipeline Inspection Report
1 800 662.7473
35649 Military Rd S Page _ of
VIDEO & CLEANING Auburn, WA 96001
Video ref: Date:
City: I',
C k
Location: 30 7- a -�cf �f 0 7�
Customer: lob 13✓a S _
Contractor:
Sanitary: Storm: _ Length: Pipe size: Type:
Inspector: - _ - Technician: 't,�-rc. , mod"'` - - -
4
Origin M.H. Number Terminal M.H. Number
Origin 0 erminal
Direction of Flow
Reference Ball = Ventilated Yes No N/A Air Quality Good Bad N/A
Service Lat.
Ref. Footage FFL R Top 'Water Comments
1
2 3.6
-
4
i
5 ?G
6
8
9
10
11
12
13
14
15
16
17
18 - -
19
20
Was this line cleaned? YesK No❑ Was this line mandrelled? Yes El N Pass Fail
.: .. .... .. •.:Aa@&t`.'�A}`A. b`3.h"'_ "'..=�`qbr i��> >::::SKA`�awb.���a�.kbM�Ftl^":k....��r.e.. .'.'a"'_--. --
253 661 .0828 Pipeline Inspection Report
PIPW"4ME
1 600 882.7473 1`j
35849 Military Rd S Page of _._
VIDEO & CLEANING Auburn, WA 98001
Video ref: Date:
City.'
Location: O r~ r'_,3 ka-7h
Customer: Five �� 3eaS
Contractor:
Sanitary: Storm: Length:- Pipe size: X Type: _ -
Inspector: - - Technician: rt�
Origin M.H. Number Terminal M.H. Number
Origin 0 erminal
Direction of Flow
Reference Ball = _ _ Ventilated Yes No Air Quality Good Bad N/A
Service Lat.
Ref. Footage Water Comments
1 - Gar -
- -
3
4
5 .6
6 eflo jF
2 -
- - - - -
8
9
10j
11
12
13
15
16
17
18
19
20
21
Was this line cleaned? Yes No' Was this line mandrelled? Yes ' No - Pass Fail
CITY OF RENTON DEVELOPMENT SERVICES
CITY OF RENTOIV
WASTEWATER MAINTENANCE SECTION JAN 15, 2002
"WALK-THRU" INSPECTION PUNCH LIST RECEIVED
DATE: 01/15/2002
TO: Neil Watts
FROM: John Thompson
PROJECT NAME: 8 "' a t�erxtention
INSPECTOR: Rocky Sittner and Lee Walmsley
COMMENTS:Walk thru inspection of new sewer put in annexation. All was in real nice shape.
No problems.
Inspector and contractor were there as well.
Sewer
MH# 1 OK
MH#2 OK
MH # 3 OK
MH#4 OK
MH # 5 OK
MH # 6 OK
MH# 6 OK
MH # 6 OK
MH# 6 OK
MH# 6 OK
MH# 6 OK
MH# 6 OK
MH# 6 OK
MH# 6 OK
J:\ADMINVOHN\INSPECT\2002\80thExt.DOC 1
DAILY INSPECTION DIARY
REPORT
DAY: Cn DATE: /16ORK PERIOD: a.m./p.m. to a.m./p.m.
WEATHER: 7� OC6VEMP. MAX J�o °F MIN 3) °F PRECIPITATION:
WORK ACCOMPLISHED TOD Y:
AC70-% 5knyeve_
-elf Coo v"N��I
w nos e
CONTRACTOR SIGNATURE INSP CTOR SIG TURE
DATE:
DAILY INSPECTION DIARY
�� REPORT
DAY: DATE: / �/ WORK PERIOD m./p.m. to
WEATHER TEMP. MAX 27A °F MIN__-') OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
awt
CONTRACTOR SIGNATURE NS CTOR GNATURE
DATE:
DAILY INSPECTION DIARY
j REPORT
DAY: - DATE: !'Z�p/ g WORK PERIOD: a.m./p.m. to a.m./p.m.
WEATHER: TEMP. MAX ,52—°F MIN 34 -F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
z�T
1
/&g000 �o
In 4-l/ C, _�-6 /A/C t ,a::p
CONTRACTOR SIGNATURE INSPECTOR SIGNATU
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: DATE: `Z /«O/C)i WORK PERIOD:6'.(b a.m./p.m. to.5tljt-�a.m./p.m.
WEATHER: ' - TEMP. MAX OF MIN.,3-OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
�- 'y% �Rat O� ;�-�l /� �✓�/ti✓'�C, ,. j/
CONTRACTOR SIGNATURE I ECTOR SI NATURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY. - DATE: *0 WORK PERIOD: a.m./p.m. to a.m./p.m.
WEATHER: IGL TEMP. MAX y� OF MIN -5WOF PRECIPITATION:
WORK ACCOMPLISHED T DAY:
bl0.4 rT➢cy q-L 'Q=ter- VAL uW, � OIL)
CONTRACTOR SIGNATURE INSP CTOR SIGNA URE
DATE:
DAILY INSPECTION DIARY
REPORT #
DAY: it, DATE: WORK PERIOD:]&;�Oa.m./p.m. to-5-L4A)a.m./p.m.WEATHER: TEMP. MAX OF MIN OF PRECIPITATION:
WORK ACCOMPLI HED TO AY:
12 Z-. A-IV
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0
CONTRACTOR SIGNATURE rNSPECTOR IfMATURE
DATE:
DAILY INSPECTION DIARY
,J REPORT #
DAY: Z /lJ L' DATE: / %/�! WORK PERIOD:61L)Ca.m./p.m. to m./p.m.
WEATHER: p TEMP. MAX OF MIN OF PRECIPITATION:
WORK ACCOMPLISHED T AY:
CONTRACTOR SIGNATURE INSPECTOR AIYATURE
DATE:
DAILY INSPECTION DIARY
-�. REPORT
DA :% Y " DATE:/Z / 3k WORK PERIOD: ,(SUa.m./p.m. to>� a.m./p.m.
WEATHER: TEMP. MAX T%=l °F MIN / °F PRECIPITATION: 1'l�
WORK ACCOMPLISHED TODAY:
CONTRACTOR SIGNATURE INSPECTOR fGMATURE
DATE:
DAILY INSPECTION DIARY
REPORT #
DAY: DATE: WORK PERIOD: a.m./p.m. to a.m./p.m.
WEATHER: .�f��C TEMP. MAX )"�-F MIN OF PRECIPITATION:,:!�Nlx�/&X✓4�7
WORK ACCOMPLISHED TODAY:
vT � f -S1'h t�7-
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77
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CONTRACTOR SIGNATURE I SPECT R SIGNATLTur
DATE:
DAILY INSPECTION DIARY
REPORT #
DAY: v DATE: WORK PERIOD: 1 .m./p.m. to m./p.m.
WEATHER: CTv, TEMP. MAX -"??Z�/°F MIN _°F PRECIPITATION:
WORK ACCOMPLISHED ODAY:
5cg C 1�2 -
ey
_ �i �� f��u L�S� •r��—�Y- ���i�TI�Z�c rJ�-J /yl�J`lLy9 7 �.f�s�
CONTRACTOR SIGNATURE INSPE TOR SI
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: DATE: (')/6 WORK PERIOD: 4'ext.m./p.m. to `L, a.m./p.m.
WEATHER: C 1,7 Li
TEMP. MAX y' OF MIN QOF PRECIPITATION: 'AIr4
WORK ACCOMPLISHED T AY:
1,J6-m4
iF4,3-11, In NWT
CONTRACTOR SIGNATURE I PECTOR AT
DATE:
DAILY INSPECTION DIARY
REPORT #
DAY: DATE: ,rj WORK PERIOD 4,-',&ua.m./p.m. to ; a.m./p.m.
WEATHER: TEMP. MAX �- �OF MIN OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
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Ptyc=mi T'S ' ; `>
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CONTRACTOR SIGNATURE INSPECT �GNATU�RE
DATE:
DAILY INSPECTION DIARY
ii REPORT #
DAY: —rkU1r A DATE: 1�,/��p/O I WORK PERIOD:jp%O��/p.m. to 413 C,a.m./
WEATHER: (f>N;"jZC,/ TEMP. MAX 4 OF MIN 3'7 °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
1 -�r2�t�►� 1�-s-- w� eo�,m Z �
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CALnSs-� —1 L y s N V1N )Qn/�
CONTRACTOR SIGNATURE INSPECTOR SIfITRE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: a/evf DATE:/Z.. A�Z/ ' WORK PERIOD: a.m./p.m. to a.m. /p.m.
WEATHER: C�, EMP. MAX OF MIN -3 >°F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
Wy L&-)9 `
A- 21.3` ' Dlff25j r4 oc
CONTRACTOR SIGNATURE INSPECTOR SIPT-TRE
DATE:
DAILY INSPECTION DIARY
/ REPORT
DAY: DATE: l?�o� WORK PERIOD: 6A'L'la.m./p.m. to �a.m./p.m.
WEATHER: C�)✓4qQC,4,3'T- TEMP. MAX4z:---F MINZ-�b PRECIPITATION:
WORK ACCOMPLISHED TODAY:
9-\"4; �
TUC C- r,-JV A &240k-2 7 f2-yS 4--
1,7
CONTRACTOR SIGNATURE INSPECTOR S ATURE
DATE:
DAILY INSPECTION DIARY
f REPORT 4i
DAY: /"ILA/ DATE: / ���/ WORK PERIOD: a.m./p.m. to a.m./p.m.
WEATHER: TEMP. MAX °F MIN OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
(62 c
5 L)1
CONTRACTOR SIGNATURE INSPECTO �IGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: / K l DATE: It /,301621 WORK PERIOD: a.m./p.m. to a.m./p.m.
WEATHER: OUZ�2(�- TEMP. MAX % Z--F MIN,��°F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
CONTRACTOR SIGNATURE I ECTOR S FlAlfURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: r DATE: h /�7/ � WORK PERIOD: a.m./p.m. to a.m./p.m.
WEATHER: TEMP. MAX MIN OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
v o v
-- ,54-In �
oCT80 _ f
CONTRACTOR SIGNATURE P OR SI ATUR
DATE:
DAILY INSPECTION DIARY
REPORT 46
DAY: , DATE:/1 � /,C� WORK PERIOD: a.m./p.m. to a.m./p.m.
WEATHER: TEMP. MAX // OF MIN Z35- OF PRECIPITATION / L
WORK ACCOMPLISHED TODAY:
C:)
p
CONTRACTOR SIGNATURE INSPECTOR S GN TURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: �( DATE: J / �� WORK PERIOD:�G�a.m./p.m. t05 �(:m.
WEATHER:Q TEMP. MAX °F MIN ?j °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
olq
' Zq Its l .� 'a.4lo ►.J iN ► C.� �J
w
4-7 Lr
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CONTRACTOR SIGNATURE INSTTCTOR SIG ATURE
DATE:
J7
DAILY INSPECTION DIARY
REPORT
DAY: DATE:/` /,C WORK PERIOD:4;—ae--s p.m. to '-c-.m.lq m'
WEATHER: �TEMP. MAX r�fL °F MIN °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
41
�. r
CONTRACTOR SIGNATURE S TOR GNA
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: DATE: WORK PERIOD: a.m./p.m. to a.m./p.m.
WEATHER: J TEMP. MAX OF MIN '�� OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
67M
ZV t� fir' k"MbLtzW
�'151 1&AD� cJsl is .4 &A-Mg g—E)2.- 7-0 &etf4K- Zr c/I'e
���P� - .- �'�a �,4✓�►-err o�/:
Ji iCC)
CONTRACTOR SIGNATURE INSPECTOR EIGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: DATE: / / WORK PERIOD: a.m./p.m. to a.m./p.m.
WEATHER Y TEMP. MAX OF MIN '3�' °F PRECIPITATION: /vA�AA,4e
WORK ACCOMPLIS ED TO AY:
c
r
/ 5 Ogg
CONTRACTOR SIGNATURE INSPECTOR 94RATURE
DATE:
DAILY INSPECTION DIARY
l REPORT 4P
DAY: 1_ DATE: �� /cdlcr fly/ WORK PERIOD m./p.m. to Z;itn./p.m.
WEATHER: TEMP. MAX -711 °F MIN, °F PRECIPITATION:
WORK ACCOMPLI ED TO AY:
�l.L�'��.�-an�.�/� Yrz� �- c,rLl-,i✓�`z-�✓ �'Y' 4d�'�',-�i` � i
116" I iy yiEf''/J� fi t. ' I ✓�C�+} �.
u lz �Vjt —,577Z-;?,� 13i,t9 1k&7--5.
-jr .��-z /
6
CONTRACTOR SIGNATURE SPECTO IGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: /Ey DATE: /L��/i.� WORK PERIOD&Oj'a.m./p.m. to �,� :m./p.m.
WEATHER: C.
l TEMP. MAX S:2_°F MIN Z °F PRECIPITATION:
WORK ACCOMPLISHED TOD Y:
kq
M v /- c° e
1
17 c) L N
CONTRACTOR SIGNATURE INSPECTOR aIGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT 4P
DAY: DATE: WORK PERIOD:U•c--lC-a.m./p.m. to �ir—h.m./p.m.
WEATHER: TEMP. MAX °F MIN` -" °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
-0--7
^v
CONTRACTOR SIGNATURE I� E TOR �GNAT�URE
DATE:
DAILY INSPECTION DIARY
REPORT 4�
DAY: DATE: WORK PERIOD: tva.m./p.m. to a.m./p.m.
WEATHER: TEMP. MAX .5% -F MIN °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
e
yvws- 00:�2-5 f
T
CONTRACTOR SIGNATURE NSPECTO SIGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT 4�
DAY:r-A AfQ A§,3w7 ATE: /, / WORK PERIOD;J�a.m./p.m. to S m./p.m.
WEATHER: �,� TEMP. MAX-15,5 °F MIN "j�°F PRECIPITATION:
WORK ACCOMPLISHED T DAY: T"
`4-1''
CONTRACTOR SIGNATURE INSPECTOR SIGNATURE
DATE:
DAILY INSPECTION DIARY
/ REPORT
DAY: DATE: /�° WORK PERIOD: a.m./p.m, to a.m./p.m.
WEATHER: TEMP. MAX- °F MIN °F PRECIPITATION: /
WORK ACCOMPLISHED TODAY:
" G` ocar ,BPS-'el `X:tz c)r4 l L
CC
Cam✓ 1- t--�% --! X CA r ILI �I7/3'Aj hot
CONTRACTOR SIGNATURE I SPECTOR GNATURE
DATE:
DAILY INSPECTION DIARY
REPORT #
DAYAM DATE: /0/;ZV/g WORK PERIOD: 4?VOa.m./p.m. to 4!Q:R.m./p.m.
WEATHER: TEMP. MAX OF MIN, rp OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
L'7�,: - 1
;v
?a
CONTRACTOR SIGNATURE INSPECTOR I ATURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: DATE: LO fZ,�&G WORK PERIOD .1 �; a.m./p.m. toq;oz.m./p.m.
WEATHER: TEMP. MAX °F MIN � �F PRECIPITATION: � .,k :7r j
WORK ACCOMPLISHED T AY:
T.
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CONTRACTOR SIGNATURE INSPECTOR SVGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: {7 rlg-JOyDATE: ly/�4nI WORK PERIOD: a.m./p.m. to a.m./p.m.
WEATHER: ' [TEMP. MAx�°F MIN�°F PRECIPITATION:
WORK ACCOMPLISHED TOD Y:
�r.��m,e�w' � .4•r/
-J
ACC v J�t�"�"�'` � �y-S� a-"►��-Rr�"''�
v
-510 v�
CONTRACTOR SIGNATURE INS CTOR SUNATURE
DATE:
DAILY INSPECTION DIARY
_ REPORT
DAY: DATE: WORK PERIOD: I)CV�a.m./p.m. to4
;Loa.m./p.m.
WEATHER: JFTEMP. MAX °F MIN °F PRECIPITATION:
WORK ACCOMPLIS ED TO AY:
V
CONTRACTOR SIGNATURE NSPECTOR ATURE
DATE:
DAILY INSPECTION DIARY
� �, REPORT 4�
DAY: YN(, DATE: lU/�C� WORK PERIOD:6`i<� a.m./p.m. to4i'3- !m./p.m.
WEATHER: , TEMP. MAX 57 °F MIN OF PRECIPITATION: F� �>/)I
WORK ACCOMPLISHED TODAY:
1
L 32� a-7 r 1,
CONTRACTOR SIGNATURE INSPECTO S GNATURE
DATE:
DAILY INSPECTION DIARY
// _ REPORT
DAY: low DATE: 9/U WORK PERIOD:b%�h.m./p.m. to a.m./p.m.
WEATHER: TEMP. MAX,j� °F MIN c,, °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
L4
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CONTRACTOR SIGNATURE N TOR GNATURE
DATE:
DAILY INSPECTION DIARY
REPORT #
DAY: DATE: 1011B101 WORK PERIOD�LZl?m./p.m. to a.m./p.m.
WEATHER: TEMP. °F MIN °F PRECIPITATION:
Q
WORK ACCOMPLISHED TODAY:
it
1-1''3
Ael
,9� ���yr�i ��c_ / �� ,fig ��� s��rrvj✓ v''c�2._
i
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CONTRACTOR SIGNATURE IIN&ECTOR 4IGqAf�CRE
DATE:
' DAILY INSPECTION DIARY
rr '' -.I REPORT
DAY: DATE: `v/ 1�0 WORK PERIOD: p.m. toy-1J�v a.m . i.,
' WEATHER: n TEMP. MAX OF MIN `l OF PRECIPITATION: /✓T�lb/(
' WORK ACCOMPLI HED TO AY:
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v (3- ro S
`
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1
1
CONTRACTOR SIGNATURE Q��l PECTOR S NATURE
DATE: _
' DAILY INSPECTION DIARY
REPORT
' DAY: DATE: ��/��j/a WORK PERIOD• 1 a. .m. tom ,'Cta.m.4
WEATHER: TEMP. MAX6 --F MIN �� °F PRECIPITATION:
' WORK ACCOMPLIS ED TODAY:
1 _
' CONTRACTOR SIGNATURE aSPECTOR 3jGfrATURE
' DATE:
1
1 DAILY INSPECTION DIARY
REPORT 4�
1 DAY: DATE: 1U/ WORK PERIOD:�n�.m. t tX! -)a.m ,
WEATHER: TEMP. MAX OF MIN °F PRECIPITATION:
1 WORK ACCOMPLISHED TO AY:
�.4iZ,4--l )iu („r �t 4t,-
r y*,
�s1yG�YJi�fy . '%71i' �rsyJ T.�i�c 7�'L- 1�irJ�t/yr�.Qf�l7il)/f� w*- lAx V 's
1 A5-
wr� /y. /. rHyL / C✓ 'S�'r�.�ri�a�./ P.4y�3"d o� -f
1 �Ae-e- 17kW u,46" _oc -- /-Z�
1!�h/5��.�.. �-� G�;y �`�P��1 L,�-�/ r'c�1 d ta-�Z-� G��/i2 /�l�i y=�. c.9��a.✓,�'
L �i,G iyG# r c/•4 5 P;7 L1-65P
ffl4lid1
<<!AV a(41 ZAD n , ems �wd udl�
�( PV Cr... ` 1
_ C h�l L,;"V H y /
1 Lo
CONTRACTOR SIGNATURE INSPECTO S NATURE
1 DATE:
DAILY INSPECTION DIARY
REPORT
DAY: DATE: / / WORK PERIOD: a.m./p.m. to a.m. /p.m.
WEATHER: CV�0 - n3-TEMP. MAX OF MIN f�7_°F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
5u 1
Je9w , r
CONTRACTOR SIGNATURE INSP TOR SIGHT TUTE
DATE:
DAILY INSPECTION DIARY
,�,� REPORT #
DAY: DATE: �/ w WORK PERIOD:!y C e` /P.m. to o�'�'
WEATHER: TEMP. MAX &-)°F MIN °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
44
A� i 728i L is Z-41,4 1 z �
CONTRACTOR SIGNATURE INSVECTOR SIG TURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: DATE: / WORK PERIOD;��P.m. to �.m -
WEATHER: TEMP. MAX C'j°F MIN S" F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
Z!;-77 ,��
-yam-��%.�� �" .0� /y/��•'�L1.��--
ZHA�6 1
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CONTRACTOR SIGNATURE INSPECTOR TIGNATURE
DATE:
DAILY INSPECTION DIARY
_ REPORT �l
DAY: / DATE: / /"� WORK PE/RIOD:, ,".4X�m,/p.m. toJ;`>L;a.m./p.m.
WEATHER:C'X ' , k TEMP. MAX °F MIN /// OF PRECIPITATION: TAo; fZ,-�,, A rY`
WORK ACCOMPLISHED TODAY:
L' v� .� ✓ic�t--i� )� it��,cT.t ���a,�'Nr,�{J_r�'ttJ. j ��✓hf�1L. � YbIZ.�`3Y�-�t��'
HA
4.11 & 0L0&4L-
ram' r� 1-,72 - � ��- r 2-74,6�Y 1711
�r✓� �s�/�7/.��t�� �t�--l'' €` �'l�/�,/l� h�-�` JAM"f�a V faF G`�' �/r��CONTRA1-4
CTOR SIGNATURE SIGNATURE INSPE OR SIGNATURE
DATE:
DAILY INSPECTION DIARY
DAY: ,t',tZ
/_1��fj� /��
��-p-✓) DATE: (�/� /C, WORK PERIOD: a.m./p.m. to a.m./p.m. REPORT
WEATHER: ,F'O TEMP. MAX -F MIN °F PRECIPITATION:
WORK ACCOMPLISHE TODAY:
C dl ���� M Y✓ �L h_.'f����
/ / J` G 1✓
CONTRACTOR SIGNATURE INSPECTO SIGNATURE
DATE:
DAILY INSPECTION DIARY
CO, REPORT
DAY: q DATE: v J6dtj- WORK PERIOD: a.m./p.m. to a.m./p.m.
WEATHER: TEMP. MAX MIN OF PRECIPITATION:
WORK ACCOMP HED TODAY:
IF
CONTRACTOR SIGNATURE ECTOR SI WRE
DATE:
DAILY INSPECTION DIARY
REPORT 4�
DAY: WORK PERIOD: a.m./p.m. to a(A.m./p.m.
WEATHER:G Tj` TEMP. MAX& 7 °F MIN OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
piry s
CONTRACTOR SIGNATURE INSPECTOR S �URE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: DATE: IDI / WORK PERIOD: a.m./p.m. to a.m./p.m.
WEATHER: TEMP. MAX -F MIN °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
oL,4
CONTRACTOR SIGNATURE INSPECTOR SIGVTURE
DATE:
DAILY INSPECTION DIARY
'I
REPORT
DAY: ,O Akt DATE: ��/ / WORK PERIOD a.m./p.m. to y .m./p.m.
WEATHER: TEMP. MAX OF MIN OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
077
CONTRACTOR SIGNATURE INSP CTOR SI jTlftt
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: DATE: ` C /l ! WORK PERIOD: a.m./p.m. to a.m./p.m.
WEATHER: TEMP. MAX Cr - OF MIN �� OF PRECIPITATION:
WORK ACCOMPLIS ED TO AY:
CONTRACTOR SIGNATURE 1APECTOR S NATURE
DATE:
DAILY INSPECTION DIARY
Q REPORT
DAY: DATE: [. ��/ � WORK PERIOD 40c�a.m./p.m. to_�; C' a.m. /p.m.
WEATHER: TEMP. MAX z7-;i °F MIN _5�, °F PRECIPITATION: � )ti
WORK ACCOMPLISHED TODAY:
"3 z
CONTRACTOR SIGNATURE SPECTO IGNATURE
DATE:
DAILY INSPECTION DIARY
�+ REPORT 4�
DAY: DATE: / /G WORK PERIOD:(d�.�.m./p.m. t0` m./p.m.
WEATHER: TEMP. MAX�3 OF MIN 154-10F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
h rT-
rn
13 C-3 2. „QA-1,Q i��c��/c�' ��`'�-�. �2 s-.-c., C3 A:T
fl
CONTRACTOR SIGNATURE SPECT SIGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: DATE: WORK PERIOD: '` •�a.m./p.m. t l a.n /p.m.
WEATHER: TEMP. MAX C °F MIN �°F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
CONTRACTOR SIGNATURE INSPECTOW SIGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: _ /Q) DATE: C? /-Z /C JrJORK PERIODIC ��- "a.m./p.m. to } 'fit../p.m.
WEATHER: TEMP. MAX A, OF MIN °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
►-yew*
Ion
��►�J 9 �l�a' o CP E3� �lI c,�-tie cz-
CONTRACTOR SIGNATURE INSPECTOR SlYNATURE
DATE:
DAILY INSPECTION DIARY
'. REPORT
DAY: e DATE: /�/ )L WORK PERIOD: iVj'a.m./p.m. tt?& a.m./p.m.
} n/y�✓
WEATHER: 'r (, TEMP. MAX °F MIN / °F PRECIPITATION:
WORK ACCOMPLIS ED TO AY:
3 Off"Af.Jo l`�2e'`sro
CONTRACTOR SIGNATURE INSPECTOR IGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: L DATE: / /�} WORK PERIOD:(_c�.m./p.m. to, --3 .m./p.m.
WEATHER: -c-)V—TEMP. MAX OF MIN J , OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
�� C��� //IJC..0 �Jl ✓L'����'� �SYZ.�23 �.s�CiG�Y���
sipt
G G
CONTRACTOR SIGNATURE INSPECT R IGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: DATE: WORK PERIOD: /p.m. to d�'Y(2Dm./p.m.
71
WEATHER: 0 V TEMP. MAX & / °F MIN .S-�j OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
/N-67NC- �
2-1
CONTRACTOR SIGNATURE IN C OR SlJNATURE
DATE:
DAILY INSPECTION DIARY
REPORT #
DAY: DATE: WORK PERIOD• �,,'c.�..A.m./p.m. to3L�a.m./p.m.
WEATHER: Y, TEMP. MAX( -F MIf� -F PRECIPITATION: V.) ZZ� y�s
WORK ACCOMPLISHED TODAY:
c
V� S
b _\
CONTRACTOR SIGNATURE INS ECT R SIGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: DATE: /r�ld WORK PERIOD: a.m./p.m. to a.m./p.m.
WEATHER: TEMP. MAX OF MIN OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
yvL A
C
23 3 L
13 L/ 1'e �
CONTRACTOR SIGNATURE INS CTOR SIGN
ffoln
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: U,627A1. DATE: /�/ WORK PERIOD:jic-r-A m./p.m. to3la,OA)m./p.m.
`
WEATHER:C O,� TEMP. MAX F MIN F PRECIPITATION..
WORK ACCOMPLISHED TODAY:
.�. ,9 }-' '' PSG Cilnigw",i y
(' " OUP -r - ,01'!e7E <�
CONTRACTOR SIGNATURE INSPECTOR SN�ATURE��
DATE:
DAILY INSPECTION DIARY
�,,,�.,,�� REPORT
DAY: - DATE: / /('� WORK PERIODOX�/p.m. to3� a "--tma
WEATHER: TEMP. MAX 1( --F MIN-T- _°F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
7
wor
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CONTRACTOR SIGNATURE I ECTOR SI TURE
DATE:
DAILY INSPECTION DIARY
REPORT #
DAY: 1 44 DATE: / Q/P �'s,Cl WORK PERIOD: ia j; n.m./p.m, to .m./p.m.
WEATHER: C t TEMP. MAX '7V °F MIN : "Z.--9 F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
°f� , ,L4-.
AAA. - f2t
C&uvs2�t"e-5
dw
PVC
CONTRACTOR SIGNATURE INSPECTOR SI A E
DATE:
DAILY INSPECTION DIARY
REPORT #
DAY: DATE: / IZ 101 WORK PERIOD /p.m. to 3 -m./p.m.
WEATHER: TEMP. MAX? `;,,- °F MIN °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
�c3
CONTRACTOR SIGNATURE INSPECTOR VGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY L�bz DATE: / /C� WORK PERIOD .'i•��_�.m./p.m. to j��.m./p.m.
WEATHER: TEMP. MAX /OF MIN.0 OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
� Ey z
IT
CONTRACTOR SIGNATURE PECTOR SI URE
DATE:
DAILY INSPECTION DIARY
a // REPORT
DAY: DATE: / / /C- WORK PERIODS.��OC)a.m./p.m. to3 m./p.m.
WEATHER: ' TEMP. MAXGo_°F MIN -5<-,-' °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
-T yes -� Q
G4.v 'vim'-4cf�4VA— cir9M 4C-'-t kj A
oe
A114—
).4A4T l-r/ 75
CONTRACTOR SIGNATURE INSPECTOR G ATURE
DATE:
DAILY INSPECTION DIARY
REPORT 4i
DAY: J DATE: /� /0 , WORK PERIODZ(6-0a.m./p.m. t�I .Y-Qm./p.m.
WEATHER: - TEMP. MAX�7_Z°F MIN &(-D°F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
-/74
•�-mil 1 �� �.r7 rC-)L.//[-� "� f�
T-v
'00&6 eft=
CONTRACTOR SIGNATURE INSPECT R SIGNA E
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: \/L2Y) DATE: / .m WORK PERIOD• p.m. t,!�,7--a. p.m.
WEATHER: � 2j TEMP. MAX OF MIN OF PRECIPITATION: M
WORK ACCOMPLISHED TODAY:
AV
o
Ir�-All 6zve7- 04
CONTRACTOR SIGNATURE INSPECTOR SIGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT �k
DAY: DATE: WORK PERIOD) S a.m./p.m. t03 L-Rni.m./P.m.
WEATHER: C i._ TEMP. MAX76 °F MIN 6 Z-°F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
.6,Q52nq
A� 31)
7—rV,6,7 1920&#� 97'155t Z7140 --6"�ol w%-t— /�#
CONTRACTOR SIGNATURE INSPECTOR NATURE
DATE:
��►vti
DAILY INSPECTION DIARY
7 / REPORT
DAY: sx,'� DATE: /C��/G WORK PERIOD:C�iC �/p,m, toj
WEATHER TEMP. MAX F MIN (,., G. F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
/v -7"0
IV
CONTRACTOR SIGNATURE INSPECTOR IGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: DATE: /Z WORK PERIODI., `zi.m./p.m. to a m./p.m.
WEATHER: TEMP. MAX OF MIN OF PRECIPITATION:
WORK ACCOMPLIS ED TODAY:
t Jk 7S
7-0
� Z- Win► A0
L
CONTRACTOR SIGNATURE SPECTOR IGNATURE
DATE:
DAILY INSPECTION DIARY
--�� REPORT
DAY: DATE: 9 /Z3,t�1 WORK PERIOD:611' .m./p.m. tod�.m./p.m.
WEATHER: '` TEMP. MAX6,5 MINS °F PRECIPITATION: � Z�l-[c;
WORK ACCOMPLISHED TODAY:
Awa-
&7�,0 �
p
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CONTRACTOR SIGNATURE INSPECTOR SI A URE
DATE:
DAILY INSPECTION DIARY
REPORT 4�
DAY: DATE: C /Zs WORK PERIOi&r()Oa.m./p.m. t3i .m./p.m.
WEATHER: ( ' ;/ TEMP. MAX °F MZ 7°F PRECIPITATION: /Ila
WORK ACCOMPLISHED TODAY:
5
CONTRACTOR SIGNATURE INSPECTOR SItTXTURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: L��Cj`�� �� DATE:B WORK PERIOD ./p.m.
WEATHER: TEMP.TEMP. MAX °F MIN °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
n
,�.�-cam rc�� � ,-_- c�r-� .�•��1,��- �J.9.-�auz�, i:,.�5v�a4 U
Ag�r r7 5
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CONTRACTOR SIGNATURE SPECTO GNATURE
DATE:
DAILY INSPECTION DIARY
.,,,. REPORT 4�
DAY: L'� DATE: K-l�l WORK PERIOD:��(!X)a.m./p.m. to3 �a.m./p.m.
WEATHER: ! TEMP. MAX OF MIN OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
A-v cD�-Z'A-As7e,
A
CONTRACTOR SIGNATURE INSPECTOR SIGNATCRE
DATE:
DAILY INSPECTION DIARY
REPORT 4�
DAY: DATE: / WORK PERIOD: aC /p.m. t p.m.
WEATHER TEMP. MAX F MIN 2R�°F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
14
CONTRACTOR SIGNATURE INSPECTOR SIGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT #
DAY: DATE: / WORK PERIOD: e:� 62./p.m. t�a.m p.m
WEATHER: y TEMP. MAX FQ°F MIN OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
12 174 �i ci
X
5
I�1
IP V l�
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le544—
ONTRACTOR SIGNATURE INSPECTOR SIG A URE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: DATE: / WORK PERIOD:E//> ay ./p.m. a.m p.m.
WEATHER: TEMP. MAX °F MIN OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
0
y14! .
Le g C�? -
C-P Q---
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CONTRACTOR SIGNATURE NSPEC OR SIG ATURE
DATE:
DAILY INSPECTION DIARY
REPORT #
DAY: DATE: elA2/ WORK PERIOD a. /p.m. to ;�•,a. ./p.m.
�S rr �'
WEATHER: TEMP. MAX _°F MIN&OQ °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
42
L�
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CONTRACTOR SIGNATURE INSPECTOR SIGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: �'7—,`;��✓�� DATE: <6/ / WORK PERIOD: /p.m. ./p.m
WEATHER: TEMP. MAX �F MIN (g5,f> oF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
10
.�
CONTRACTOR SIGNATURE INSPECTOR SIGNATURE
DATE:
DAILY INSPECTION DIARY
g� REPORT #
DAY: DATE: WORK PERIOD: /p.m. t9k-7
WEATHER: &/< TEMP. MAX 75°F MIN �°F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
Iss
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A.(9 e �'
G
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CONTRACTOR SIGNATURE INSPECTOR SI N URE
DATE:
DAILY INSPECTION DIARY
REPORT 4�
DAY: �,( � DATE: / WORK PERIOD
WEATHER: -Lm-fz,,TEMP. MAX-��°F MIN ,o °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
CONTRACTOR SIGNATURE INSPECTOR SIGNATURE
DATE:
DAILY INSPECTIM DIARY
REPORT #
DAY: DATE: / / WORK PERIOD/P.m. �.m. p.m.
WEATHER: TEMP. MAX ��F MIN& °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
06
r
CONTRACTOR SIGNATURE INSPECTOR SIGNATURE
DATE:
DAILY INSPECTIM DIARY
REPORT
DAY: DATE: 8/�j �j� WORK PERIOD:� /p.m. t2.24,-3;� ./p.
WEATHER: TEMP. MAX OF MIN _,�F PRECIPITATION: AfM Z`
WORK ACCOMPLISHED TODAY:
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CONTRACTOR SIGNATURE INSPECTOR SIGNATURE
DATE:
DAILY INSPECTION DIARY
/
DAY: �,¢�� DATE: _t�L WORK PER--IOD:� aim /p.m. t� REPORT
a. ./p.m.
WEATHER: _ TEMP. MAX �C� °F MIN (56 F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
OF
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CONTRACTOR SIGNATURE INSPECTOR IGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT #
DAY: i DATE: 4a&ORK PERIOD:c�/p.m. �a. p.m.
`mot--��
WEATHER: TEMP. MAX OF MIN � °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
mil ()1 L -
CONTRACTOR SIGNATURE INSPECTOR SIGNATURE
DATE:
DAILY INSPECTION DIARY
REPORT
DAY: HuoQAVA DATE: Lc WORK PERIODX r"' a.m./p.m. to /p.m.
WEATHER: TEMP.TEMP. MAX OF MIN5&0F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
Pi
Ska 7 K0 c1.-. �S
!' —tW 3 1oe�
/ v2> r���✓
'��1-�7� ��v�i_ _Sim�r,✓C� �� h2��� `l.4� G�s�/�
1019
04
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CONTRACTOR SIGNATURE INSPECTOR NATURE
DATE:
DAILY INSPECTION DIARY
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