MURK 5d (4/87) STRUCTURAL CONCRETE Date:

INSPECTOR'S DAILY REPORT

Job Stamp Day of Week: S M T W T F S

The Replacement of Monroe Street Bridge I.R. No.:

Over the Rahway Bridge Sheet No. of Sheet
City of Rahway, County of Union High Low
Air. Temp.
During
Placing
CONTRACTOR : Rencor Inc.
General AM PM
DESCRIPTION OF WORK PERFORMED AND INSPECTED Weather
Specify for Each Operation: Item No., Sub-Contractor (if any), Location, Conditions
Nature of Work, Results and Details

MANPOWER EQUIPMENT

Type Prime Sub Sub Sub Sub Type Prime Sub Sub Sub Sub

Foreman -
Operators -
Laborers -
Teamsters -
Iron Workers -
Carpenters -

INTERIM FINAL QUANT COMPUTER

ITEM NO. FS ES DESCRIPTION OF WORK
QUANT. QUANT. CHK. ENT. CHK.

The above described work was incorporated into

this project and was inspected by:

Reviewed by:
Inspector's Signature Engineer-in-Charge Date
Resident Engineer
Reverse side used for additional remarks and sketches.
MURK 5d (4/87) TRUCK AND MIXING INFORMATION
REVERSE

Location of Use

1; 2; 3;
Mixer Type: TRUCK MIX TRANSIT MIX CENTRAL MIX OTHER (Note in Remarks).

Load
Size
C.Y.
Truck or End Start End Mixing Start End Air
Ticket No. Batch Mix Mix Revs. Disch. Disch. Slump Content REMARKS
1 2 3 1 2 3 1 2 1 1 3 1 2 2 1 2 3 1 2 3 1 2 3

CONCRETE SPECIFICATIONS* MATERIAL USAGE

Quantity Dispatched
Class of Concrete = BR-316 Report No. =
From Plant (BR-316) =

Min. Design Range Desired Max. No. of Tickets = Quantity Received =

Slump First Ticket No. = Quantity Used =

Air Last Ticket No. = Q'ty. Wasted/Rejected =

* See Specification Tables 501-3, 501-4, and 501-5 for values for specific type of placement.

Remarks:
MURK 5d (4/87) TRUCK AND MIXING INFORMATION
REVERSE

Location of Use

1; 2; 3;
Mixer Type: TRUCK MIX TRANSIT MIX CENTRAL MIX OTHER (Note in Remarks).
Load
Size
Truck or C.Y. End Start End Mixing Start End Air
Ticket No. Batch Mix Mix Revs. Disch. Disch. Slump Content REMARKS
1 2 3 1 2 3 1 2 1 1 3 1 2 2 1 2 3 1 2 3 1 2 3

CONCRETE SPECIFICATIONS* MATERIAL USAGE

Quantity Dispatched
Class of Concrete = BR-316 Report No. =
From Plant (BR-316) =
Min. Design Range Desired Max. No. of Tickets = Quantity Received =

Slump First Ticket No. = Quantity Used =

Air Last Ticket No. = Q'ty. Wasted/Rejected =

* See Specification Tables 501-3, 501-4, and 501-5 for values for specific type of placement.

Remarks: