Title Page
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Contractor Name
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Project Name
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Project No.
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Shift
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Weather
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Date
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Prepared by
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Location
Contractor's Equipment On-Site
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Equipment
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Description or Type
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Size or Capacity
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Hours
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Worked
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Standby
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Down
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Remarks
Contractor's Work Force
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Work Force
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Classification/Duties
Limit of Work and Material Placement
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Bid Item No.
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Description
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Source (Limits)
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From
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To
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Placement (Limits)
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From
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To
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Approx. Quantity
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Work Completed & Accepted
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NARRATIVE (Include report of day's operations, contractor's production rates and efficiency, unusual conditions or problems encountered, orders given and received, discussions with contractor, etc.)
Photos
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Description
Completion
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Inspector (Name and Signature)