CEU Providence PUNCH LIST v1.1

• Project Number

• Contract Number

• Project Title

• Unit / Site:

• Location Address:
  Address

• Inspection Date:

  Date

• Prepared By:

  Charlotte Armstrong, PE

  Mike Black, PE

  LT Steve Blum

  CWO Don Wulff

• Contractor's Representative:

• Hi

Previous inspection

• Are there outstanding items from the last inspection?

  Yes

  No

  N/A

• Legacy items requiring attention.

Legacy Item

• Add media

  Media

• Previously identified deficiencies have been inspected and accepted.

Work area inspected.

Items requiring attention

• Deficiencies observed?

  Yes

  No

• Issues requiring attention.

Item

• Description / Remedy:

• Add media

  Media

• After a completed site inspection no deficiencies were noted.

• Yes

  No

  N/A

• Inspection Summary & Comments:

• Days required to resolve findings?

• Contractor's site representative signature:

  Sign