NV5 Daily and Staking Grade Sheet 2020-12-21RE i VEST FOR
ws, Inc.
SURVEY
42-829 Cook Street, Suite 104
Palm Desert, CA l STAKING
Tel: (7b0)341-3101 01
Fax:(760)469-4086
I
Note: This form must be faxed to NV5's office a minimum of 48 hours in advance of requested
staking to allow for office calculations. All work needed must be included in fax; if not
included, client must not expect NV5 Survey Crews to commence work.
*Information to be completed by NV5_ All other information to be completed by client.
II
REQUEST
COMPANY NAME:
DATE: 1
TIME:
\ J " 1 9174T
*REQUEST RECEIVED BY:
*JOB #:
*DATE:
NAME:
TYPE OF STAKING REQUESTED (CURBS, SLOPE STAKING, SEWER, ET(
TO BE STAKED PER:
DRAWING NO.
�.: Z-GS
SHEET NO.
AREA TO BE STAKED (USE STATIONS IF APPLICABLE):
OFFSET DISTANCE: ON WHICH SIDE? (Right or Left looking up station):
SPECIFIC INSTRUCTION (Be specific — mark up a6d fax portions of plans
* CONTRACT INFO:
* IS WORK REQUESTED INCLUDED IN CONTRACT? YES NO
DATE AND THE REQUESTED FOR SURVEY CREW TO BEGIN WORK:
DATE AND TIME SURVEYORS ARE ABLE TO SCHEDULE
TEST REVISION DATE1A
clarity):
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