Form 10-6131 - Department Of Veterans Affairs - Daily Log - Formal Contract

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OMB No. 2900-0208
Estimated Burden: 12 minutes
DAILY LOG - FORMAL CONTRACT
The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in
accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. We
may not conduct or sponsor, and you are not required to respond to, a collection of information unless it
displays a valid OMB number. We anticipate that the time expended by all individuals who must complete
this form will average 12 minutes. This includes the time it will take to read instructions, gather the
necessary facts and fill out the form. If your firm does not already have a similar form, this is used to record
the data necessary to assure the contractor provides sufficient labor and materials to accomplish the
contract work. This form or a similar document is required to guarantee the performance of the work
necessary to complete the project.
STATION
PROJECT
NAME OF CONTRACTOR
WEATHER
CONTRACT NO.
DATE (mm /dd/yyyy)
8 A.M.
TEMPER-
PROJECT NO.
NOON
ATURE
DAY
4 P.M.
BRANCH
SKILLED
UNSKILLED
LOCATION AND
OF WORK
WORKERS
WORKERS
DESCRIPTION OF WORK
AND HELPERS
TOTAL
EQUIPMENT
FORCE
PROGRESS
DELIVERY OF MATERIALS
SATISFACTORY
USATISFACTORY
REMARKS
SIGNATUREOF RESIDENT ENGINEER
VA FORM
Page 1 of 1
10-6131
OCT 2005

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