REPORT NO.	NEW JERSEY DEPARTMENT OF TRANSPORTATION

PROJECT SUPERVISOR FIELD INSPECTION REPORT	SHEET 1 of 2

CONTRACT DESCRIPTION

REGION

FEDERAL PROJECT NO.

ROUTE & SECTION

DP #

TYPE OF CONTRACT

FEDERAL FUNDED

100 % STATE NHS/INTERSTATE

100 % STATE NON NHS/INTERSTATE	OTHER
RE

FIELD MANAGER

CONTRACTOR

ACTUAL START DATE

CURRENT COMPLETION DATE

PERCENT COMPLETE BY TIME

PERCENT COMPLETE BY VALUE

INSPECTION MADE BY

DATE OF INSPECTION

PERSONNEL IN ATTENDANCE AND AFFILIATION

CONTRACTOR or SUBCONTRACTOR ACTIVITY

WORK(List Items)/ACTIVITY(IES) OBSERVED

OBSERVATION(s) OF ACTIVITY(IES)

QUALITY OF WORK/ACTIVITY(IES) OBSERVED

SATISFACTORY UNSATISFACTORY

RECOMMENDATION/FINDINGS

DC-152 11/29/2012

REPORT NO.	NEW JERSEY DEPARTMENT OF TRANSPORTATION

PROJECT SUPERVISOR FIELD INSPECTION REPORT	SHEET 2 of 2

DC-152 01/28/2013

FIELD INSPECTION REPORT

DC-152

TPSSAND

2013-01-25

CONSTRUCTION SERVICES

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