Title Page
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Document No.
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Project Number
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Project Name
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Conducted on
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Superintendent Name
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Location
Project Type
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Who authorized this work to be performed on a time and material basis?
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Type the contact's name here
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What type of project is this?
- Roof Deck
- Floor
- Operable Partition
- Fireproofing
- Ironwork
- Other
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Was material used?
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Description
Material
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Was material used?
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Add signature
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Description
Material
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Was material used?
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Description
Material
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Was material used?
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Description
Material
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Was material used?
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Description
Material
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Is there rental equipment onsite?
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Is there WestPro equipment onsite?
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Describe the additional work completed
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Take a picture of the completed work.
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Confirmation Signature