Inspector'S Daily Work Report Page 2

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PROJECT WORK FORCE AND EQUIPMENT ON SITE
Prime Contractor
Subcontractor
Subcontractor / Utility
Labor
Equipment
EQ #
A / I
Labor & Equipment
Labor & Equipment
Problems / Delays / Accidents
Possible Extra Work / Cost Plus
Description of Work / Reason
Time Work Performed
Labor, Material, and Equipment Involved
Non Compliance / Compliance Issues
Number
Brief Description
Location / Reference
Inspector's Certification
To the best of my knowledge, information and belief, all work described in this report, including the pay items entered, was performed in
substantial conformance with the contract. This statement is for the Department's information only and does not place any obligation on the part
of the Department with regard to any party including but not limited to any subcontractor and Contractor's surety.
Chief Inspector / Resident Eng
Project Engineer
Inspector's Signature
Reviewed By
(Check applicable box at the right)
Other; Title:_______________
CON-134 (Rev. 12/08), DWR Back

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