2883 (3)YDWY Inspection Report No.
�• i'� :� .4cl ,of W Quin,
+ r
`' �'e' -ti ,. a •{
- ' -., f },•
'' �';;
�` • Contractor y�r�--/2��i O� .,
♦ �, .
•
Supt. on Job 'mil -�.c� ,
n �.
Sheet of "7
-
; weather ` '-�eJQ�mJ
' ` Date
....
y
Temperature F Max °F
Min . Project !
. ,..
Work Hours' �� Ito �Memos Issued
-%� ♦F
Photoss
50/
Delays, Changes
'
s • Special Conditions;
.=
;•
Accidents Damage
Sampling,'Testing
Visitors to Site
Work Report (Work done, Personnel/Equipment working)
M
• I
_ _ _"�— / �+�/iC.P f� I � ..
t ` s J�'v .� �
x s �, •. , r
� � -_''
AM1