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0206500_CP_11_07_en_A3.1 DAILY CONTRACT INSPECTION REPORT 1. CONTRACT NUMBER 3. ABBREVIATED CONTRACT NAME 4. NAME OF...

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0206500_CP_11_07_en_A3.1

DAILY CONTRACT INSPECTION REPORT

1. CONTRACT NUMBER

3. ABBREVIATED CONTRACT NAME

4. NAME OF CONTRACTOR (COMPANY NAME)

CENTENNIAL CONTRACTORS ENTERPRISES, INC.

2. SPECIFICATION NUMBER 5. NOTICE TO PROCEED DATE

7. WEATHER AND TEMPERATURE AM

PM

N/A

6. ACTUAL DATE STARTED

N/A

8a. CONTRACTOR DESCRIBE WORK BEING PERFORMED (INCLUDE LOCATION OF WORK)

Company

Equipment Data

Owned/Rented

8b. NUMBER OF WORKERS ON JOB

# Workers

Trade

Hours Used

Total Hrs

Hours Standby

Work Performed

0.0 0.0 0.0

HRS THIS DATE PREVIOUS HRS TOTAL HOURS

8c. NAME OF CONTRACTOR'S REPRESENTATIVE

9. CONTRACTOR INSTRUCTIONS GIVEN / RECEIVED (i.e. materials received, off site activities, Three Phase meetings, inspections, etc.)

10. CONTRACTOR DESCRIBE DIFFICULTIES ENCOUNTERED (INCLUDE DELAYS, DESCRIBE WORK NOT PERFORMED IN ACCORDANCE WITH SPECIFICATIONS, CORRECTIVE ACTIONS, ETC.)

11. GOVERNMENT REPRESENTATIVE COMMENTS

12. SAFETY OBSERVATIONS

Contractor Verification: The above report is complete and correct. All material, equipment used, and work performed during this reporting period are in compliance with the contract documents except as noted above. 13. CONTRACT COMPLETION DATE

14. PERCENT COMPLETE

15. QUALITY CONTROL SIGNATURE AND DATE

16. QUALITY ASSURANCE SIGNATURE AND DATE

17. CONTRACTING ADMINISTRATOR'S SIGNATURE AND DATE

18. DATE OF REPORT(S)

19. REPORT SERIAL NUMBER