HomeMy WebLinkAboutWTR2700489(9) W-489 WEST HILL RESERVOIR 1ITR-11 +
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DAILY INSPECTION DIARY
PROJECT TITLE:
PROJECT NORNER: fB9 (=seyr. y
rAOJECT NOA
ENSINEEAINC ►EASCNNEL.
TITLE $IRE LOCAL PHONE LOCAL ADDRESS
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insrector
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OWNER PERSONNEL:
NAME TITLE OFFICE /NONE NONE PHONE
CONTRACTOR PERSONNEL'
NAME TITLE OFFIoc PHONE NONE PHONE
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DAILY INSPECTI?7 DIARY
! REPORT
DAY: �C6�B� _ DATE: ;3/ T WORK PERIOD:_ a.m./p.m. [o '� e.a./ �j
WEATHER: 1-/TEMP. MAXI ''Y°F HIS 6' °F PRECIPITATIO"
WORK ACCOMPLISHED TODAY:
_ �//Jl/rS nF 7ii�iyLt_ .v3flr1D `--- —
__ _��L:�' (GE✓ L dU /F J@� L I.�ASP�clAtil .9l /`�O
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CONTRACTOR SIGNATURE 145CTOR SIGNATURE
DATE: /Y/
DAILY INSPECTION DIARY
REPORT 4
rl�E30rfd DATE: /$0 /o°/ WORK PERIOD:_ a.m./P.m. to _ a.m./p.m. i
WEATHER: ,Q TEMF. MAX °F MIN PRECIPITATION:
WORK ACCOMPLISHED TODAY:
.44J.YIQLl�i� —
7filb/tleaey c?,�,Srl�s-�,�• .ts.�,ra,VG /,y sm•
CONTRACTOR SIGNATURE --
.PECTOR SIGNATURE
DATE:
DAILY INSPECTION DIARY
L�
REPORT
t': .WAf0jAftfjjV DATE: / / HORR PERIOD:_
HEATHER: _ TEMP. MAX �jl "F MIS 1_°F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
,uo ura�er rv�f( -�n ✓.s.�T AT ,4.is' .� �w _
CONTRACTOR SIGNATURE I!7SPECTOR SIGNATURE
DATE:
N {• m i
DAILY IWECTICN DIARY
Ate_ DATE: 'Z"o I
WORK PERIOD: a.m,/p, [o
e.a./P.m. _
WEATHER: TEMP. .y __o
Ax _ "p MIN _ m. REPORT
WORK ACCOMPLISHED TODAY:
"P PRECIPITATION;
------------
------------
CONTRACTOR SIGNATURE C\.
DATE;
[N,�S PF.CTLORIS'_._---'GNATURE ._
_1L�L/��CXT
� r 1
. DAILY INSPECTION DIARY
DAY: p�Z/` DATE: f uotu
►
1/dK PERIOD:___ a.m./D•m. c REPORT
WEATHER: D•s.
/^� TEMP. NA% L+F MIN J',�_ RECIPISA7TON;
WORK ACCOM.PLISNED TODAY;
op
i
CONTRACTOR SIGNATURE - :: �
INS OR SIGNATURE
DATE:
DAILY INSPECTION DIARY
DAY: //}OtiOrQY DATE; /$ /
.d 119f WORK PERIOD: REPORT t
WEATHER: __ a.m./p.e. to •.m./P.m- --'�-
Tl- MAX jlg •c MIN _;6
WORK ACCOMPLISHED TODAY: F PRECIPI7ATI0.N:
LK
---------------
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— — --
------------
CONTRACTOR SIGNATURE
R SIGNATURE
DATE;
DAILY INSPECTION DIARY
DAY: yDATE: /Ly /BL WOR% PERIOD:_ a.m./P.m.
PORT 0
_ PRECIPITATION:
RR
-TIP o
WEATHER: 2 ffi/1ST nF MIN —
YORS ACCOMPLISHED TODAY: )—
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—_ F16m/ :Liar b _
/?ffJe�arl.— L�sS a_�u0.6E✓ —11i.�0
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CONTRACTOR SIGNATURE '
INSPECTOR SIGNATURE
DATE:
• DAILY INSPECTION DIARY
DAY; _�FD/9S� DATE: /1' I f/ WORK PERIOD:_ a.m./p.m. tO a.m. / REPORT 4
WEATHER:
& TEMP. MAX _6_°F MIN — F PRECIPITATION: yy
MURK P.000NPLISHED TODAY:
CONTRACTOR SIGNATURE -
"- '0ECI R SIGNATURE ----
DAT1::
= MIN = M IN s
• DAILY INSPEL'TION DIARY
DAY: �p�`JAt/ DATE: 1Zj1,rjg#r WORK PERIOD:
a.s. to REPORT Y
..P.ww
WEATHER: e•m•/P.m. �`
TEMP. MAX ��p MIN �_^p PRECIPITATION:
WORK ACCOMPLISHED TODAY:
------------
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---------------
-_ —"�---.-
-_
-------------
CONTRACTOR SIGNATURP. - INSPECTOR SIGNATURE
SIGNATURE
DATE:
s s• o s s s s s s s ` s
• DAILY INSPECTION DIARY
DAY: Al �yi�/ DATE: / / REPORT
tdlf WORK PERIOD:__ a.m./P.m. [o a.m./P.m. JL_
WEATHER: TEMP. MAX
�'F MIN _re PRECIPITATION:
PRECIPITATION: K/
WORK ACCOMPLISHED TODAY:
_ GX"9✓f�7J7A1 f]�IA��_ .�a:6 �:,.sw.ier -
/n('AftSI
CONTRACTOR SIGNATURE - --!��
INSPECTOR SIGNATURE
DATE:
—r
mi = = =
DAILY INSPECTION DIARY
D Y: LfeY REPORT
DATE:
/,Ff 1AlRK PERIOD:_ a.m./p.m. to i /p.m. 142 __.
WEATHER: TEMP. MAX 0 *F MIN 2� °F PRECIPITATION: f
WORK ACCOMPLISHED TODAY:
mil �.A11JisY'_a•> wxj— /'OOA+�.,_E� , >994�✓
— _l3G°G/aJ ,ft oUdnnr >Jf ,Pj Lfr� yna.J._ �.►�� ---
.EhA>> G r.ovo.n�J C�ssft'f2 ---
CONTRACTOR SIGNATURE. — A
INSPECTOR SIGNATllRF.
DATE: __--
M M aA ale ! r o M M M M M M M M
0 DAILY INSPECTION DIARY
t
DAY: ZMj6*jjj!e DATE: !'/. !�Jf� VDRR }fRIDD t a.m.(P-r REMIT. tc VF
WEATHER: Lx&ft TEMP. W JqO &F NI`7 t_6F PRECi PiTA?ION: _ d
WORK ACCOMPLISHED TODAY:
II?/f1Pl�.4S/> � �Pi,��j�fl[�__6ytG9✓A Rau Ar A,W.ss��f.�.fn,
._..__Y., ice"
CONTRACTOR slaWTUR6 [f1$p�R�Ci<}p SIGNATt'i4 —�-
DATE: �i jr
DAILY INSPECTION DIARY
DAY: DATE:�_'A/�� WOU PERIOD:_ a.m./P.s. to a.m.Jp. REPORT
M.
WEATHER: ' ,j,�� TDgP, MA% _Z_•F MIN _�90 _•F PREI'IPITATION:
WORK ACCOMPLISHED TODAY:
/� .1�srru�P,�tf ,txa�,Gdo
�NTRACTOR SIGNATURE �� H
EIGNATURE
DATE:
� � rs rY a■
i
DAILY ?NSP£CHON DIARY
DAY: r�/�CSLW DATE: / Y( WORK PERIOD:_ a,®,/P•m, REPORT a.m./P.m.
HEATHER: TEMP. !IA%
— OfJ 'F HIN F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
AL97Z
•-� �� /� 47aP
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�—
CINTRACTOR StGNAl'URE
,,/cam mn Ss I4TATI R� —
DATE:
DORY INSPECTION DM
DAY: 'Ofi'/ DATE: / REPORT
_ :ORK PERIOD:__ a.m./p.m. to a.m./P.m. Al
WEATHER: :xyn-/ / TEMP. MAX lFe eF MIN 0A 'F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
L.NT.CAL�A.G f_r'✓?Jal / 7 I&
CONTRACTOR SIGNATURE -- - - 1
TSSPFCTOR CMATLgkE
DATE: +
m = m
• DAILY INSPECTION DIARY
DAY: ,Ti}j/,CaC�/ ..ATE: / /31 WORX PERIOD:-- a.m./p.m. to REPORT
i
WEATHER- �[�` TEMP. MAX! L^.F MI.J
SL °F PRECIPITATION: (Z(
WORK ACCOMPLISHED TODAY:
---
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CONTRACTOR SIGNATURE -
--'...ti N'PECTOR� CNA E
DATE:
DAILY IWCTION DIARY
DAY: DATE: i' l a/ RUM P
_�s WORK PERIOD:_ a.m. to _ a.m./ps.
WEATHER: /;xy _ TEMP. MAX *•F M:N sC °F PRECIPITATION:
WORK ACCOMPLISHED TODAY: --
____li��.o fm� ;S,sryLi'�? lJO�3rS .4• .Ab�f_ - v r
CONTRACTOR CNATUPE -- ` INS' SICNATI E
• DAILY INSPECTION DIAFY
R
DAY: DATE: ! y( �WORK PERIOD: a.m./p.m. to
WEATHER: -t' �TMP, •4,( Jr, .+F MIN _•F PRECIPITATION: ®�
WORK ACCOMPLISHED TODAY:
-- <_Ib.slF.fEJbbw, aV /ryar .e �`.- ._�� ,c.h •h.Mpy� ,
y�� =.'9.rfii._ ti :i' A19T nt! � tY a„Y- fifiN
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CON*UtCTOR S 6 �'�ECT'W! 52( A�'IRIE
DATE: /'L✓a,•�fl�
r r r r r r r1 w� r r r
t DAILY INSPEQILN DIARY
DAY: DATE: ! /i ( _ WORK PERIOD:__ a•s./P•a• to a.m./p.m.
REPORT 1
P-w. 1!`
WEATHER: dfge Tk24P. MAX F MIN
�_° JW, _°F PRECIPITATION: D,r
WORK ACCOMPLISHED TODAY: -�
i2AI Ifs v rtn �r4?s/ s_LS 6 �L? W.Oe
56r2r&-
WNTPALTOR SIQUTURE
INSP R CNATURE
DATE:
■r rr r r r r r NNr r r Nr Nr r !11 r
DAILY INSPECTION DIARY
DAY: _ DATE: / I WORK PERIOD:-- a.m./p.m. to a.m." REPORT A
P.m.
WEATHER: TEMP. MAX 'P KIN
__'F PRECIP[TATION:
WORK Af.COMPLISHEp TODAY; —.
CONTRACTOR SIGNATURE
[NSPECTOA 516'NATURE
DATE:
�s +� rrrwsrrraRrrrrr
DAILY INSPECTION DIARY
REPORT r
DAY: DATE: / / WORK PERIOD:_ a.m./p.m, to a.m./p.m.
HEATHER: __ TEMP. MAX _°F MIN _°F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
CONTRACTOR �IGNATIIRE INSPECTOR SIGNATURE
DATE:
DAILY MPECfIDN DIARY
DAY; DATE: / ( WORK PERIOD:-- a.m./p,m, to •,m,/p.m. REPORT 1
WEATHER: TEMP. MAX _•F MIN •F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
CON'CRACTOSI SIGNATURE W -"INSPECTOR 5ICNATi1RE --
DATE:
DAILY INSPECTION DIARY
DAY: _ D`TE: / / WORK PERIOD:^_ A.m./P.m. to a.m./P.m.
REPORT /
WEATHER: TFMP. MAX __°F MIN __•F PRECIPITATION:
WORK ACCOMPLIgHED TODAY;
_— CONTRACTOR SIGNATURE --
[NSPE(TOR SICNATUR F. --
DATE;
r� �r rr r■r rr r� r r r r r r
DAILY INSPECTIM DIARY
REPORT
DAY: DATE'. / ( `- WORK PFRIOP: a.®./p.s. to a.r./p.n.
WEATHER: TRIP. MAX `_OF MIN _"F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
CONTRACTOR SIGNATURE INSPECTOR SIB
DATE:
DAILY INSPECTION DIARY
DAY- REPORT
DATE: /-�.__ WORK PERIOD: a.m./F.U. to _ a.s./p-m.
WEATHER: TEMP. MAX •F MIN _•F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
CONTRACTOR SIGNATURE INSPECTOR SICNATI E
DATE:
i i i i i i i i i i
DAILY INSPECTION DIARY
DAY: DATE: / / WORK PERIOD:__ a.m,lp,m. toP.m. REPORT P
_
WEATHER: TEMP. MA.I °F MIN__ _ °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
CONTRACTOR SICNATURE INSPI:ITOR SIGNATURE —
DATE:
DAILY INSPECTION DIARY
DAY: DATE: REPORT R
-- .� � � MORK PEAIGD:__ a.m./p.m. to a.o./ ®.
WEATHER: TEMP. MAX __•P MIN `F PRECIPITATION:
WORK ACCOMPLaSHED TUDAY:
CONTRACTOR SIGNATURE —
INSPEC TOY SIGNATtRt F.
DATE:
. IrrrIrriMrwmmr = rr
GAILY INSPECTION DIARY
DAY: _ DATE: �/_/ _ WORK PERIOD:_ a.m./p.m. to _ a.m./p.m. REPORT /
WFATHER: TEMP. IUX _°F MIN °F PRECIPITATION: _
WORK ACCOMPLISHED TODAY:
CONTRACTOR SIGNATURE INSPECTOR SIGNATURF,
DATE:
DAILY INSPECHON DIARY
DAY: DATE: _ / J i WORK PER104;i a.m./p.m. to REPORT i" •.o./p.m.
HEATHER: z TEMP. MAX _`°F MIN °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
GINTRACTOR SIGNATURE INSPECTOR SIGNATURE
DATE:
DAILY INSPEQIGN DIARY
DAY: - _ DATE: / ! WORK PERIOD:_ o.s./p.s. to a.a./p.m. RRPoRT
WEATHER: TEMP. MAX -OF MIN OF PRECIPITATION:
MIRK ACCOMPLISHED TODAY:
CONTRACTOR SICNATURE INSPECTOR SICNATURF
DATE:
M m m UNOtlNNR m m m m m m NNE
DAILY INSPECTION DIARY
DAY: DATE:
. / / 40RR pF.RIJD• ....1p... t o REPORT I
YFATHER: A-4p.m.
- -- MAx _°F MIh °P PRECIPITATION; --
WORK ACCOMPLISHED TODAY:
Y: �--
-------------
CONTRACTOR SIGNATURE `--
INSPECTOR SIGNATURF
DATE:
DAILY INSPECTION DIARY
DAY- DATE: / / WORK PERIOD:-- a.m./P.m. to e.a./p.m. WORT /
WEATHER: TEMP. MAK -F MIN '—
WORK ACCOMPLISHED TODAY: - --�F PRECIPITATION:
^------�_
CONTRACTOR SIQUTMRF
INSPECTOR SIGNATURE`
DATE:
t
!NSPELTION DIARY
AI �: REPORT
��
Ii
TODAY:WORK ACCOMPLISHED
Li
IF^
1
1p
DAILY INSPECTION DIARY
' REPORT P
LL$17 DATE: . /BD WORK PERIOD:_. A.M./P.M. to — a.m./P.M.
WEATHER; �C _ TEMP. MAX �qF'-F MIN OP •F PRECIPITATION:
WORK ACCOMPLISHED IODGY:
l�J�A LSIh i//lir
—
AS
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/s S ab -�Cbs �c/4t7 SvL _� chit rta
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L�i _ c1F RY4__�t' f�le✓rQ&> 8Y HRY1nY �:r er! /1�.
CONTRArTOR SIGNATURE ~ SINS F.CaT0i=TSI—CNATURE
DATE:
M w = = r = i wm = em s
® DAILY INSPECTION DIARY
DAY: ll1EbJAA240h/ DATE: /f / 'WORK PERIOD: a.m./P.m. to REPO" I
WEATHER: P. MAX SS' °F MIN It OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
° �c�.tf---� Cl�•_s��TO.e !A✓ /��._tQ�E A' ,PQC [ar ----
45_>b e-isr iar tr 0r7- --- __---
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IINN/°S�', SIGNATURE"—'---
DATE:
DAILY INSPECTION DIARY
—Z . DATE: ypRX PERIOD; a.m./ REP'RT t
— P.n. to _ a.e./F.w.WEATHER: 4z TEMP. MAX �,'F "IN j__l •F _
PRECIPITATION:
WORK ACI:OMPLISNEb TODAY:
�T A! ---_
l'L.✓ii/L� NC c i c
pacs� �Il4dbr Met�N,+1�r_
— �'•!+--'ems_.��iRtiy_B.G� r��i.. 1 --
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CONT CTOR SICN^— A— TUBE — -�
." INSPRC I ATCF—�"'-----
DATE;
�w NI((lr � � � �■r r• N� N� � N� NNE r� N� �
• IWILY INSPECTION DIARY
DAY _ DATE: /&'i1410RK PERIOD: as./p s. to •.a./p.m. A
WEATHER: AgZ Y� TEMP MAX -Z+ •F MIN _*•F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
._. /�'���5 t3sTiJl�►t�___!Ak'.Pxi�,f! a� .E'cl'E L(l.9Yc
o /3t�i'ic�AC
CONTRACTOR SICNATUAE
DATE:
DAILY INSPECTION DIARY
/JRicXJAY DATE: l j 5 ImRR PERIOD:_ a.m./p,a. t REPORT io _ a.�,/P.w• _39
HEATHER: TRIP. MAX _&_•F MIN 4f •F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
I�/f�'Slit�.5 13tAT�'El� !e�rlLluJ C l.G1W1q[G
CONTRACTOR Ct CNATURE l+4 A
DATE:
i
DALY INSPECHONDIARY
DAY: l:' DATE: s WORK
/
TEMP. w 'F MIN __*F PRECIPITATION:
naw
!• . a
/w
CONSACTM SIGNATURE
DAILY INSPECTICN DIARY
i REPORT
DAY: / DATE: S1v 1 db HDRK PERIOD a a.m./p.m. to _ m.a.lp.m. _
HEATHER: Jd TEMP. MAX _'F MI!. _°F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
LlPC/.G'Ci L'nI ff,CL lb.YaG�. /1L'I.TTM rO/.0
CONTRACTOR SIGNATURE
DATE:
r r■�
• DAILY IWECT1ON DIARY
DAY; � ! DATE: -„ /t� . REPORT3 WO P.m. t,, a.m./Pm. I
�_
WEATHER: ,�y/{/ TEMP. K:.%„-X5 °F MIN
__°F PRECIPITATION;
WORK ACCOMPLISHED TODAY: --_.
._.-1 -�J.��i.G/G dh� i?/�!s •h its
r
CONTRACTOR SIGNATURE
�..` INS C/TOUR.. SIGNATURE
DATE;
_� �
. DAILY INSPECTION DIARY
DAY: _/1i F',RJfyJ� DATE: //Ii&WORK PERIOD:_ a.m./P•m• to a.m./ REPORT
p.m. _
WEATHER: TEMP- MAK ;} IF MIN 1�po F PRECIPITATION:
WORK ACCOMPLISHED TODAY: �--
._,711-site%�•cw� - - - �____.�i�m+
7o riir
r�»in rl°1.yC Li9•t v74!-��� Ot�fi LiLp' cs'r7 .cvtJr �
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• COMTRACTOR SIGNATURE
s [CTDR SIGNATURE
DATE:
DAILY INSPECT.D1i DIARY
REPORT
.D .dim DATE: //j�WORR PERIOD:_ a.m./P.m. to a.m./p.m. 4fx
WEATHER; __ TEMP. MAX _°F ,MIN _°F PRECIPITATION:
WO^l ACCOMPLISHED TODAY:
—CONTRACTOR ' I(NATURE sPe it
sICNAr —_
DATE: _ j//" —
Ire M = r
DAILY INSPECTION DIARY
DAY' �.�Ll* DATE'' 3 l,.E-A REPORT WORE PF.RIU6:__ a.m./P,o. tc
WEATHER:
____ TEMP. MAX _,•F MIN F PRECIPITATION;
WORK ACCOMPLISHED TODAY: �-----�_�.
CONTRACTOR SIGNATURE
- PE' '1CNATIIRE'
DATE:
r r � ■■ si r r ■■ r r r ■ err
s r
DAILY INTELTIQV DIARY
DAY: -_ ,G' DATE: WORK PERIOD: REPORT 0
_ a.m./P.m,HEATHER. -. TEMP. MAX —_'F MIN 'F PRECIPITATION:
WORK ACCCCOMM.PLISHED TDDA!:
l 00 P,os-
—
p
CONTRACTOR SIGNATURE
_ ICNA E
DATE:
��
DAILY INSr'ECHON DIARY
REPORT r
1.l�atlGCJ9✓_ DATE: / / _ WORK PERIOD:_ a.m./p.m. to _ a.m./p.m. 056 .
WEATHER: _ Tprp, MAK j-�•F MIN +,Gj� 'F PRECIPITATION; ,yirAciY.h-gory
WORK ACCOMPLISHED TODAY:
C3.w i - -_
/�.yi/ tirir !/yF� � �jo � :� CYO✓.eK! - �IXAO s —
,(.b �L�ssriY1 Sri Cr.cA-Ac.Rt
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CONTRAC'COR SIGNATURE tLN-qWelogC bu,-ATURE
DATE; AiLEl -
DAILY INSPECTION DIARY
DAY: REPORT /
,_j lJ(��Q►/� DATE; / /S-4 WORK PERIOD:_ a.m./p.m. to _ a.m. Ip,m. !j7
VFATHER: jy TEMP. MAX °F MIN 1�i _•F PRECIPITATION: E-
WORK ACCOMPLISHED TODAY:
r1L/7JA1I�1/C I.fdtilb. / ivi�i-. ._ —__
__ fi4oJ5 C>rU Inoy�y \.//Ol�it/l �� /,yn-o._,v Fi�� �✓iJ
CONTRAC?OR SIGNATURE - ECTOR SIGNAT-ZE
DATE:
DAILY INSPECTION DIARY
REPORT 1
2A2So7�✓ ¢(s_ DATE: ¢/ � PORK pF.RIGD:_ a.m./p.m. to
WEATHER: / TEMP, MA% _'F MIN i'F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
&A4G /AJWP. _ 1/AnPrIA_y [7Ai .C/,.3P�.iY '�
n'S✓/7 ir/�TRLG eti[, t"aP r?.9TiaPi, /911.Y7 .sF-t6�S in.➢..}IEYL
CONTRACTOR SIGNATURE —� iNS R SIGNATURE
DATE: �� b�
.. r ■� r r wu r r r s r
DAILY IWECTION DIARY
DAY: `ATE: I lam /> WORK PER10D: a.m./p.m. [o REPORT
WEATHER: i 'fsAy TEMP, K� �_.F MIN Ar _•F PRECIPITATION: /J(
WORK ACCOMPLISHED TODAY: —7"--
CONTRACTOR SIGNAMRE
INSPECCOR SIGNATURE
c
DATE: 5`/SJdS
DAILY WSPECTION DIARY
HOIErT TITLE: �,/`' 5'r- p/`ik.1 lex_2 o%E
Fill ECT NNNNER: --
PROJECT NCR 1, .�.CiK' /1J➢, 5�'l'
ENGINEERING PENS/NNtl
TITLE NINE LOCAL PRONE FOCAL ADDRESS
Res. Enlr. ii �P.✓ai/ __ 53 ' �Zfi ___.
In;r. crar �.
Inca et for — _
InsCNclei —
InsCecfor —_—
INNER PEISINNR
NINE TITLE OFFICE PRONE "ONE PRONE
CONTRACTGI PERSONNEL
MANE TITLE OFFICE PRONE NONE PONE
df1 /Y50,A/
ff 'aC�d�s. As DF _i �(`2y Mi --
DAILY INSPECH N DIARY
DAY: ,! REPORT
� Lr DATE: y-/ L'JRK PERIOD: _ a.m./P s. to a,m./V•m•
WEATHER: i� TEMP- MAX _'P MIN 4W _°F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
6K.i if//.V..LCr ilvr�c!
�.E' C.-V I'i�' T2/Yf✓ W.yN7f9 D .C.(/C�LfI fL�..f� C��J?
'^--! 'i _tUK JaFSIr" r----
L1'J11-% A49 fir_ as G..c.: .y10•! Ti �k-
Ike PEA 1 �_ ` �,r � ,-of
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C 212E _
CONTRACTOR SIGNATURE - INS CTU�NATURE
DATE:
DAILY INSPECTIM DIARY
DAY: DATE: / ( WORK PERIOD: REPORT /
__ to a.m./P.m,
WEATHER: _p//J TEMP. MAX Z.Z_•T MIN YOq-' ^P PRECIPITATION:
FORK ACCOMPLISHED TODAY:
V.nir n,V �/iyrry
------------
CONTRACTtlR SICNATl1RC �
NSPECTtlR SIGNATURE
DATE:
DAILY S• ODIARY
REPORT
DAY� t: /,
•, ACCOMPLISHED
77
I .1 & ✓O.
:i .l
y,.
Oc
s.
r.:
.. ..: _ /.
M M M M m
! m m
DAILY INSPECTIDN DIARY
DAY: -- DATE: 34- .4& WORK PERIOD
WEATHER: ;_ �,w,/P•M. Co REPORT f
KAX WORK ACCOMPLISHED TODAY: P PRECIPITATION:
` G--L!•-�..r�.° w,�, 'may=- l'.a/�r.4 ,.
sir ,aQ .a�
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-- ------_----_
CONTRACTOR SICMATURF. "'-
NNS/PE SIGNATURE
DATE: 44
/� h;-
� rr � e s ■w r s rAi � �
DAILY INSPECf1ON DIARY
DAY: !/ DATE: 6__/ r g!, WORK PERIOD: • _. REPORT
a.n./p.e.
WEATHER: , faAl TEM^ MAX -F MIN JfIL. _
I.ORK ACCONPLISRFD SVDAY, PRECIPITATION:
- 'Cn� S�fiG�aV f�AC mar/ i%/AC �•i� -_ r��_.L
—_�_ Lu_u_. .W✓L •^-_a� t�.11•()if�JJ /and
�gl_-tea' -LfGJ� i fP.'E' S.iary
-! --
CONTRAI'TOR SIIMUTDRE
-� PECTYAtURE
DATE:
w w w w w �■r w w w w w wl w w w
DAILY IISPECHOI DIARY
DAY: DATE: h/ft-gka_ WORK PERIOD:__ a.m./p.m. to RMRT
�.e./D•m.
WEATHER: TEMP MA% _do -F MIN ,1r`_•F PRE, IPITATION:
WORK ACCOMPLISHED TODAY:
_Sazr cze X.AapeGn,t� I ,iJL
20
—_�til'� 'ltW a.0 .vr �r L1C�US i✓lh i> s
dwe /N .C�G� JWS A-yj�c�J ral
11•'I ULM)
-,r'2A&lla J'/iAA �fy�,�•.�.�I JIyK� .�B/K'�r(�- {L.✓_ lean [ �+ 7AfC- .� _
CONTRACTOR SIGNATURE �— -- "I ���—_
WS4RlftSR SIGNATURE
DATE:
in in in in min in in in wo in in in
DAILY INSPECTION DIARY
DAY: ..wd2a-oy DATE: 2/-LA: ORK PERIOD; REPORT /
__ a.m.1P•m, to lP.m.
WEATHER: S,'W_-_ TAP MAX /:� o,F MIN , •F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
.4uAJ,Yvl� �7r1,�.� san�
�_.tibDr�C:tkq/
rrz yz
— eF
CDNTRAC[OR Str-.—�NATURE
- - OR SIGNATURE
DATE:
DIARYDAILY INSWCTION
DAY: DATE: WORK pEp,,OD:_,L C- REPORT
ua
TODAY:6K)RK ACCOMPLISHED �i • . ..
/ --
-we C2245;k�w
my
op ! Wwr
r .• !. '
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SIGNATURE
2.
r r r r
DAILY INSPECTION DIAPY
DAY: {/ DATE: S^/ &5 WORK PERIOD:_ •.m./p.m. [o •.m./p.m. REPORT�
WEATHER: _ �(f TEMP MAX __•F MIN _^F PRECIPITATION:
61(WORK ACCOMPLISHEh TODAY:
CONTRACTOR SICNATURF. !!/ PE
TSrC�/T�O�R/gS I�GNATURE
DATE: 4`/�--C=�
DAILY INSPECTION DIARY
DAY: _ y DATE: }�/ �S�WORK PERIOD: a.m./p.m. to REPORT /
WEATHER: _PUS TEMP. NA% -- _—
MIN Lf PRECIPITATION:
WORK ACCOMPLISHED TODAY:
�m/XirYi ALb �Pai �r/T�t ,�.J
COMTRACTOR SiCNATURE
INS OR SICNATURt---'
DATE: S/� �
i man ` _ _
DAILY lWECIIDN DIARY
DAY; DATE: +,�/
~ARK PERIOD; a,s•/P.m, to REPORT
aEATHER: `—"' �_ a•m•/P•s. �_
TEMP. VX LL•P MIN
WORK ACCOMPLISHED TODAY: PRECIPITATION;
1-�
i
SIC
NTRA ATURe
.-.•— EY'0 SIGNATURE
DATE:
DAILY O DIAM
WORK ACCOMPLISHED TO,'
WEATHER; TEMP. MAX IJ2�:'F MIN %) *F PRECIPITATION:
is ., !<i.i ♦
I
giz-
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i e.>
A
i C64*0 2VrxAmr le gap �.
N ,
♦CONTRACTOR�SIGNATURE
INSPECTOR SIGNATtYRE
r ,
DAILY INSPECTIDN DIARY
DAY: REPORT I//fii,I LLy� DATE: .5_ltL l� WORK PERIOD:_ a.m./p.v. to _ •.m./p.m. �z t
WEATHER: ,tl
Y, MA.� �°F MIN ST_'F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
JAL
----
�'�
fix
CONTRACTOR SIONAVUlE �� u.TOR SIGNATURE
DATE: 4eA
DAILY INSPECTION DIARY
DAY: _�✓ DATE: y /�i REPORT
7
WORK PERIOD: a.m./p.m. to
a.m./P.m. Zl'WEATHER: �,(/ TEMP. MAX y� (O.
L°P M1H �_°p PRECIPITATION: ,ef WORK ACCOMPLISHED TODAY: .r�--
--- ---—
CONTRACTOR SIGNATURE
INSPECTOR SIGNATURE
DATE:
I
DAILY INSPECTION DIARY
REPORT S
DA": _« _ DATE: _/yJ_ NOPK PERIOD:_ a.m./P.m. to _ A.W./P.W.
MEATMEn. i:X.lOY TFNF MAX ,46' 'I' KIN �_°F PRECIPITATION: _�f
WORK ACCOMPLISHED TODAY:
CONTRACTOR SICNATURl PECTOR SIf.NATURE
DATE:
ICI! /i !A ti = m = m m O m i m
DAILY 7 tPEC£(Qi DIAPY
DAY: DATE: / WORK PERIOD:_ a.m./p.m. to _ a.m./p.m.
WEATHER: Tpyp 4M
70_°F NI`. °F PRECIPITATION:
WORK ACCONPIISHED TODAY:
— tom.�,(!l.'i .C�'-9Goy'/OL 70�1✓ /YLM/!f 7D.YAA!' ��(ffi i
l�YS9.tS6�L- � �SrfY��jN 4N
--- Pi !wl /f5- .Et.Y_�iil � Ste! �ti✓� .:,y, � --
19E jnIf /e C.J�tJ .e3lCWiL !i/!r!
J1YI� �' _�71.Pf.'JOR/f_.BPS
CONTRACTOR SIGNATURE 1NSpEC?'OR SIGNATURE
nATE: --
w w w w w w w w w w ■■ w w w w
DAILY INSPECTION DIARY
DAY: DATE: REPOVT t
. /�$ WORK PP,Ri00:_ a.m./P.m. to a.m./p.m. i
WEATNI,R: � TEMP, MA% — MIN °F PRECIPITATION:
WORK nCCOKPL.ISHrn TODAY:
CONTRACTOR SIGNATURELN3rtLJVK iCMATURE
DATE: 44�
DAILY UiSFECTION DIARY
DAY: -,CMAO& DATE: Y
ORI( PERIOD:__— a.m./P.M. to REPORT P_ a.
WEATHER: .� IMP. MAX
WORK ACCOMPLISHED TODAY: °F PRECIPITATION: _
/�/1' e.aaU! �e �-° Bg(c'• 5t- ear ----„_ --.
._ c wd/ir .�rc
/at' ._fd1LL_t�'C L�# .Sr. I As .. ,�.sv�•r.'� ---
----------------
CONTRA'70R SICNATVRE
INSPE ' R SIGNATURE
DATE: /�� —
w w w w w iw � iw w w iw w
w w �
DAILY INSPECTION DIARY
DAY: _ //7fJy/ DATE: �p !4/'IPS�WORK PERIOD:_ n.m./P... to REPORT�_
WEATHER: _FaA.> TEMP. MAX
_°F `tIN _'F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
i
COHTRA 4CTOR IGNATUR—E
PECTOR SIGNATURE
DATE:
DAILY %PECrICN DIARY
DAY: REPORT Y
__ DATE: / / 'WORK PERIOD-:_ a.m./p,m. to
WEATHER: IWAY TEMP. MAX °F MIN -°F PRECIPITATION: �—
WORK ACCOMPLISHED SODA! :
CONTRACTOR SIGNATDRE SIGNATURE
DATE:
DAILY INSPECTION DIARY
DAY: W — DATE: / /91 WCRK PERIOD: a,m./ REPORT q
WEATHER: � _ _ TEMP KAy L°F MIN h3!°F PRECIPITATION: (ham
WORK ACCOMPLISHED TODAY: 7^`-----
-_-_���—�� .t�}id77wi�: .a.o4.:s:e0i.{ �✓SFf��/j;Ri
Ii.iro _�,Ao —
,�ir l% .��lE'sfdoR
CONTRACTOR SIGNATURE P^-�'
OR SIGNATURE —
DATE: --7
DAILY IW.CiIDN DIARY
DAY: — DATE: �, ' REPORT R
2 WORK PERIOD: e to
WEAT4ER:
�J__ TEMP. MAX ,�5 •F MIN ,�j_"a_°F PRECIPITATION:
WORK ACCOMPLISHED TODAY;
CONTRACTOR SICNATURP
R SIGNATURE
DATE:
DAILY INSPECTION DIARY
� �
MY: /1siJ�:G.cnf OATH: ,1!.Gl� A'CRK PERIOD:__ REPORT e.m.!p.�. to a.�./P.a. 9v
HEATHER: TEMP. MAX 'SZ'F MIN �_'F PRECIPITATION: _WORK ACCOMPLISHED ACCOMPLISHED TODAY:
,. Mu'r, aa) .Jdf &4251_1i l2i6aJ4 "7.I1Js4�va� 'c av
l en rt°6t AQ�w.'Ord 2&2_.. 6&A.AJc.� M y4ner ��
CONTRACTOR SIGNATURE ('��r����p� +^aY6CIOR 'ICNAiURE
DATE:
DAILY IWTr71Qd DIARY
DAY: RUM 9
/.hAAOOV DATE: IIDRR PERIOD:_— a.¢.(P.s. ro
HEATHER: . 1011 _ TEMP- 4AK •F NIN _ re_'F PRECIPITATION: __—
WRK ACCOMPLISHED TODAY.
Af ILK;
_. .dlb'P. /-� ��_ OXC.di/ .Aa✓) —.�1f�_ rQLM -����
—•------__—.�idlr_�e}r�.� .tic�� - �-
(1iiii.�
CONTRACTOR SIGNATURE --
IN TOR SIGNATURE
., DATE: J/.,f;e '
s a no m
DAILY INSPECTION DIARY
DAY: DATE: T/ j&:NORK PEAIOD:__ a.M./P.M. REPORT P
WEATHER: IAJ _ TEMP. MAX 11 _°F MIN / _OF PRECIPITATION: �y
WORK ACV- ISHED TODAY:
<�4G i fiJ o.J —
nwJ
' CONTRACTOR SIGNATURE ! ' r
___ A SIGNATURE
DATE: --
r r r i r r r r NNNr NNNNo r r .�
r r
y����P� DAILY INSPECTION DIARY
DAY' Q DATE: REPORT I
WORK PERIOD:_ a.m./ 9(�2 / _ p.m. to a.m./P.m. 3. ,
WEATHER: _JLN � —
TEMP. MAXNAX `° MIN �F PRKCIPITATION:
WORK ACCOMPLISHED TODAY:
CONTRACTOR SIGNATbRF, ,�.t--
INS SIGNATURE
DATE: ""��
DAILY INSPEMON DIARY
DAY: DATE: /� / 5 WORK PERIOD: a.m.l REPORT Y
./ P.m. t� a.m./p.m. ..t�tL._.
WEATHER: [) j TEMP. MAX �OF °F
MIN
— �_ --
WORK ACCOMPLISHED TODAY: PRECIPITATION:
--�7.aJT1�,6+��✓4,n�� Ch�1��iD,C C..kt<�--_-C_____
/.!/(dll LCA_✓r�.7/-f �,�..__C�M�T�btJ 77nsf. /J Z (J
CONTRACTOR SIGNATURE
ELP 'TOR SIGNATURE
DATE: .
! ! ! !
DAILY INSPECTION DIARY
DAY: DATE:
/�.�/f. WORK PERIOD: REPORT /
WEATHER: ( J a.w./D.�. co _ a.m./
TODAY:TEMP. MAX MIN P.m. _zz _MIN (p,S e
WORK ACCOMPLISHED F PRECIPITATION:
-- _� CcJ.�.k _
-
- Inc.�O,U,��! s o SC �y-,.�..d...✓T.35„-'`-�-/- Bpi_ Gal -
-
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CJNTRAC�i'0R S C•,ATUR- _v
I,N/PE�
DATE:
air ar r■r w r r r� +� s r r r r r r
DAILY INSPECTION DIARY
DAY: �i.. DATE: �? /�7,(fy-WORK PERIOD:_ a.m./p.m. to REPORT t
WEATHER: � � TWP. MAX 6f °F MIN .al_.°F
PRECIPITATION;
WORK ACCO.MPLISNED TODAY;
•� �" tb' __
—
� t a
A,#r, fig
CONTRACTOR >I CNATURC *NS ��4, "---
TOR SI ATURE
D'lIL`; FECTIUI DIARY
DAY: DATE: J /J818 WORK PERIOD:_ REPORT
e.m.1P.m. co a♦.s./P m. �_
MFATHER: 4 IMP. ykX _&_°F MIN 6`i °F PRECIPITA?ION: {G•
YORE ACCOMPLISHED TODAY:
---_— e ---� —
CONTRACTOR SIGNATURE
INSPECTOR SIGNATURE —
DATE: /
DAILY INSPECTION DIARY
DAY: C5 DATE: Z( Y /9 WORK PERIOD:_ a,m,( REPORT
tO
WEATHER: j',, TEMP. MAX _?L'F MIN -.L7 °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
r _
r
CONTRAC70R SIONATORE `'%SPECTOR ICNATORE--1 --
DATE:
W-489 WEST HILL RESERVOIR WT -
Construction Inspection_ a y Diary -�_
DAILY INSPECTION DIARY
DAY: DATE: Z ; OIBr' WORK PERIOD: a.m./ FEPORT
J
WEATHER: TEMP. MAX F MIN
--LSG_° ��°F PRF.CIPITAl'ION:
WORK ACCOMPLSSH TODAY:
A:
i
LCC
r
-
CONTRACTOR SIONATCRF, --
INS ECTOR SICNATDRL "
DATE: 7 �'j --
DAILY INSPECTION DIARY
DAY: � � �_ DATE: S/ /X, �NORX PERIOD: REPORT C
__ a.m./P.m. [u a.m./F.m.
WEATHER: TEMP. MAX "r .°F MIN
OF PRECIPITATE UN;WORK pCCOMPLISHFD TODAY:
__ .rip Jim/d .�yr✓ rGriL —'—
CONTRACTOR SIGNATURE --
INSPEf,TOR SIGNATURE—�—
DATE: --y[. c I
DAILY iNSPELTION DIARY
DAY: DATE: REPORT I
%BS WORK PERIOD:_ a.m./p.m. to a.m./P.M.
WEATHER: TEMP MAX MIN .�Z' 'F PRECIPITATION:
WORK ACCOMPLISHED TODAY: nyaOFiCo,L�
CONTRACTOR SIGNATURE I1KPlL'I6R SICVATIBE
DATE:
r r
DAILY INSPECTION DIARY
DAY: T(/_<.M�/' DATE: / / ��YORR PERIOU: REPORT P
P•m. a.m.%P.m. .
WEATHER: _�i rFMP yy�� /�
MAXL'L_�` NI" +m IL 'F PRECIPITATION:
40RR Af,COMPLISHE:. TAU 1Y: i�-----
_ --__•��.�. +tom �:
lifd----��.s':'a.�_CBl P/Q/� '�1f7Xii Ate_✓) _.
CONTRACT4A SIGNATURE
- - I F IGNATURE —'—
DATE: _ ��
DAILY IWEG71UI DIARY
DAY: —u —,U.��_ DATE: &IZ / ' —WORK PF"YIODe REPORT
a.m./p,s. to
WEATHER: LZ62 L-ly TF24P. MAX 1'^F MIN do °F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
rfh.
GL 129F c✓/J .(LiY. w4ET L Ly// _v a. p�L ie� '
A40 E3�T-�ZtL�nL. ::A) 27L2'
-- WNTRACTOP SIGNATURE
u+ OR SIGNATURE
DATE: A
,, DIM
REPORT
iWEATHER: TEMP. MAX A�*F MIN 490 *F PRECIPITATION:
WORX E.
�I 4'
flw
AJ
L ✓ .i s 2 / .u..
1 i_sa6 i. ./ w., Lam. / f.' r
CbRTEACT
J �
<y
O' �IICWTURE
.
I
DAILY INSPECTION D1AW
/ REPORT d
DAY: DATE: 9 / &f WORK PERIOD:_ a.m./p.m. to
WEATHER: Glr,.. TEMP. MAX �"� 'F MIN 6C 'F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
t
CONTRACTOR SIGNATURE INSPECTOR SIGNATURE
DATE: Allee %
DAILY INSPECTION DIARY
')AY: DATE: -GL&-/ t
/ WORK Pi-rlOD; a.m./p.m.
to _
a.n./P.o. REPORT�-
WEATHER: _L/s TEMP. MAX OF MIN
6G, OF PRECIPITATIGN;
WORK ACCOMPLISHED TODAY: ----�_
- 4
CONTRACTOR SIGNATURE
LNSeE:TOR SICNATUR
DATE:
i
A t� it o M M M M M M M M M
/ DAILY MACRON DIM'
DAY:
DATE: 8/ I6 1.5 WORK PE&IOD: a.m./p.o. REPORT to a.m./P.M. Irc
WEATHER: TEMP. MAX 63—°F MIN _t CI -F PRECIPITATION:
WORK ACCOMPLISHED TODAY:
nn
L'
lfeB �r4 �Qm
CONTRACTOR SI(:NAT JRE —�� u
INSPECTOR- SIGNATURF.
DATE:
r r r r r w r r r s r i r r r
DAILY INSPLCf1Oi DIARY
DAY: - I
_ DATE: Q 111 i WORK PERIOD:_ REPORT a.m.1P•m. ca a.s./P.m. �_
WEATHER: d.� TEMP. MAX fp •F MIN 65'F PRECIPITATION: -
WORK ACCOMPLISHED TODAY:
o
ALI, s r,
r i
CONTRACTOR SIGNATURE
INSPECTOR SIppCNAAT E
DATE: G'
• • rr r r r � � r r r r r r m,
DOY 'XYECTI(N DIARY
DAY- DATE: B /PL/SS WORK 'FRIOD:_— a.m./P,m. to a.m. REPORT 1
_ A.M./P.M. Tie
WEATHER: �/� _ TEMP. MAX L�- °F MIN 0 °F PREr IP1TATION: G'.•URA ACCOMPLi / ')AY:
4. 1 ae pWw
CONTRAGtOR SIGNATURE
INSPECTOR SIGNATURE
DACE:
TUESDAY DAILY INSPECTION DIARY
DAY: DATE: / / /8 WORK PERIOD: a.m./p.m. [o REPORT 0
--. a.m./p.m.
WEATHER: cuto TEMP MAX L` .P MIN ZC;*p PRECIPITAfiON: _ (�
WORK ACCOMPI. SHED ODAY: —L
f �
/ �., 1 T
_Ll...S_LCd
_ � J
gF
f -
C
CONTRACTOR SIGNATURE 4S C OR ` —GNAT
DATE: ��`'j
a r r r .a r r r r r Ir r ri r r
DAILY INSPECTION DIARY
DAY: DATE: lI� 8`i WORK PERIOD: a.m./ RLPPORRT /
_ p.m. to
WEATHER: TEMP. MAX �°F MIN 6e °F PRECIPITATION:
WORK ACCOMPLISHED OOAY:
1
F
-- -
r
-9T H
- < `
CONTRACTOR SIGHATIIRF.
INSPECTOK SIGNATURE
DATE: 9jGP3
F,,,j.� DAILY INSPECTION DIARY
DAY: DATE: / — REPORT A
/ WORK PERIOD: a.m./p.m. to a,m,/P•m• 1S
WEATHER: " I [ T}Hp F MIN F
_'"Lj"E(�S -- ��- PRECIPITATION: .�
WORK ACCOMP ISH TODAY:
- � t
N/
I
CONTRACTOR SIGNATURE INSPEC20R SIGNATURE
DATE:
r it r rw r r r r r r r r r r r
DAILY INSPECTION DIARY
DAY: DATE: REPORT
-,�•m 1 / z7/d WORK PERIOD; a.n./p,m, to a.e./p.w. �—
WEATHER: _ _ TEMP. ,MAIy 70 eF MIN 62D °P PRECIPITATION: p/
WORK ACCOMPLISHED TODAY: —Tom----
i _
ALdwaiwill
rq
CONTRACTOR SIGNATURE T (yNSPECTOR SIGNATURE
DATE:
w w w w w ar. w w w ►� ■e w w w w
DAILY INSPECHON DIARY
DAY: T • DATE: -1_1Z.fjef WORK PERIOD:__ y,m,/P,e REPORT. Co •.m./P.m. _7 7
WEATHER: TEMP. MAX 7f- °F MIN .°F PRECIPITATION: _
WORK ACCOMPLIS,4ED TODAY:
� !t?d1cL
G�
d.
7
CONTRACTOR SIGKATURF �M-Ll
OR
DATE: 1e f _.
i i i i si i i i i i i
DAILY MPECTIM DIARY
DAY: _� ! DATE: l /87 WORK .^ER10D:— a.m./ m. REPORT
D• [c e.m.1D•m.
WEATHER: TEMP. MAX 70_°F MIN ``l_•F PRECIPITATION: _
WORK ACCOMPLISHED TODAY:
--
CONTRACTOR SIGNATURE
[NSPEC, R S CNATIIRE
DATE: / 8i
o ios � ;• � � �. � � � � �r � — s
DAILY INSPECTION DIARY
DAY: DATE: lZL REPORT I
_._ .�_( WORK PERIOD:_ a.m./P•m. to
WEATHER: (/ TEMP. MAX _°F MIN LS °F IIECIPITATIONe L
WORK .::COHPLISXPD TODAY: � —Y�—
ucM/
CCNTRACTOR SIGNATURE
INSPECTOR SIGNATURE.
DATE: 7 0
DAILY INSPECTION DIARY
►101ECT TITLE: A�CG
PROJECT NUMBER: 19
PAOIECT NGA
ENGiNEENING PERSONNEL:
TITLE ME LOCAL $NONE LOCAL ADORES'
Res. Ent,. !mil OW/.FJ
Inspector
Inspector
Inspector _
I n spe ct 0r _
OWNER PERSONNEL:
NINE TITLE OFFICE PRONE NONE PHONE
CONTRACTOR PERSONNEL
RARE TITLE OFFICE PHONE NONE PHONE
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DAILY MECUM DIARY
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DAILY INFECTION DIARY
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DATE: A((y /z—WORK PERIJD; REPORT b
WEATHER: '� a.m.lP.m.
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CONSTRUCTION REPORT FOR PUBLIC WATER, SYSTEM PROJECTS
4kffective September 9, 1983 the following Regulation applies: WAC 248-54-035(2) - A
construction report shall be submitted to and accepted by the department within sixty days
of completion and prior to use of any project for which plans and specifications have been
approved by the department for projects designed by a professional engineer. The
construction report must be signed by a professional erg4neer. The report shall state in
the opinion of the signee whether the project has been constructed in accordance with
approved plans and specifications and the installation, testing and disinfection of the
system were carried out in accordance with department regulations.
(a) If a project is being completed in stage construction„ attach a map and description
of portion of projee: being certified as completed as approved on date given below.
(b) As future portions of staged construction projects are completed, each must be
certified as required by WAC 248-54-035(2).
(c) Additional certification forms are available upon request from DSHS offices
listed below.
CITY Of RENTON DSHS Water System No. ).Z 1�(
amw o ater ys em
Referendum
200 M111 Avenue S. No. (if any) �1 3 2 OTC rT)
ng ress
Date Plan, and Specifications Approved by
Renton, Washington 98055 Department of Social and Health Services
Ity State lip
_ August 7. 1984
PROJECT NAME AND DESCRIPTIVE TITLE: Date Project or Portions Thereof completed
Wes: Hill Transmission Main
Both Ave.So. N..vember 20, 1984
Wtr.?rol. No. W-717
The undersigned engineer or his authorized agent has inspected the above-described
uroject, which as to layout, size and type of pipe, valves and materials, reservoir and
other designed physical facilities has been constructed in accordance with the plans and
`pecifications approved by the Secretary. Department of Social and Health Services, and in
the opinion of the tngineer, tt,e installation, testing and disinfection of the system was
carried out in'accordance with the specifications appr wed by the Secr y for the
project.
w4s
n mar
a W Oeccmbe-, 21, 1984
Please
MAIL Om to DSHS office checked below.
—Sea tt a ^a •ice ymP�Ta�gl una Ice po one ee Iona ue
Health Services Division (—) Health Services Division (--( p'alth Services Division
Water Supply b Waste Section Water Supply a Waste Section Water Supply a Waste Section
Smith Tower Building Mail Stop LO-11 West 924 Sim .
Seattle. Wasnington 98104 Olympia, Wash_n9ton 98504 Spokane,;Nashington_99201
WTR- if St4c&CLGre Foc- lifi
ENDING
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