DIVISION 800 INCIDENTAL CONSTRUCTION. 804 MAINTENANCE AND RESTORATION OF HAUL ROAD Record of Restoration and Maintenance of Haul Roads (Set) 804-1

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1 DIVISION 800 INCIDENTAL CONSTRUCTION 801 MOBILIZATION Payment of Mobilization (DBE) CONTRACTOR CONSTRUCTION STAKING Recapitulation of Construction Staking Checking of Contractor Construction Staking 802-1a Payment of Right-of-Way Survey Monuments FIELD OFFICE AND LABORATORY Recapitulation of Field Office and Laboratory MAINTENANCE AND RESTORATION OF HAUL ROAD Record of Restoration and Maintenance of Haul Roads (Set) WORK ZONE TRAFFIC CONTROL AND SAFETY Recapitulation of const. sign (*), Const. Barricade (**) and const warning lights Work Zone Sign Special (**) Recapitulation of drums,arrows,and tubular markers Recapitulation of Pavement Marking Paint (*) (**) Flagger (Set) Recapitulation of Temporary Traffic Signals Recapitulation of Pavement Marking Temporary Raised Pavement Marker (**) Recapitulation of Traffic Control (Lump Sum) Traffic Control (Initial Setup) DURABLE PAVEMENT MARKING Recapitulation of Durable Pavement Marking (*) (**) Recapitulation of Pavement Marking (Plowable Pavement Marker) (**) Recapitulation of Durable Pavement Marking (*) (**)(***) PAINTED PAVEMENT MARKING Recapitulation of Pavement Marking Paint (*) (**) Recapitulation of Pavement Marking Paint Symbols REMOVAL OF EXISTING PAVEMENT MARKINGS Removal of Existing Pavement Markings Removal of Plowable Raised Markers CONCRETE SAFETY BARRIER Recapitulation of Concrete Safety Barrier (*) (**) INERTIAL BARRIER SYSTEM Recapitulation of Inertial Barrier System Recapitulation of Modules (*) 810-2

2 811 IMPACT ATTENUATOR Impact Attenuator (*) PERMANENT SIGNING Recapitulation of Signs Recapitulation of Wood Post (**) Recapitulation of Steel Posts (*) Recapitulation of Sign Posts (* U Steel) Recapitulation of (*) Recapitulation of (*) Diameter Concrete Footings Sign (Removal and Reset) RUMBLE (Milled) and RUMBLE STRIPS (Milled) (Centerline) Recapitulation of Rumble Strips (*) (**) ELECTRIC LIGHTING SYSTEMS AND TRAFFIC SIGNALS Record of Electric Lighting System Record of Electric Conduit (**) Record of Electrical Service Boxes Traffic Signal Installation Traffic Signal Interconnect CATCH BASINS, INLETS, OUTLETS, MANHOLES, JUNCTION BOXES Recapitulation of (*) (**) ADJUSTMENT OF INLETS, MANHOLES AND OTHER STRUCTURES Recapitulation of Adjusted Drainage Structures Structural Steel Tested Material Received Used and On Hand 816-2a PIPE CULVERTS, EROSION PIPE, STORM SEWERS SANITARY Installation of Pipe and Other Material Record of Pipe Received and Used Recapitulation of Fly Ash Slurry Grout ENCASEMENT PIPE Encasement Pipe (Linear Foot) BORED, JACKED OR TUNNELED Pipe Measurement (linear Foot) FLUME INLETS AND SLOPE DRAINS Recapitulation of Flume Inlets (*) and Slope Drains FLAPGATES Recapitulation of Flapgates 821-1

3 822 UNDERDRAINS Recapitulation of (*) Pipe Underdrains (Type**) Recapitulation of Aggregate for Blanket Underdrains Recapitulation of (*) Pipe Underdrains (Type**) PREFABRICATED INTERCEPTION DEVICE AND SLOTTED DRAIN Prefabricated Interception Device (*) Slotted Drain CONCRETE SIDEWALK, STEPS AND RAMPS Recapitulation of Sidewalk Recapitulation of Sidewalk Ramps Recapitulation of Grade 3.0 Concrete (Misc) and Reinforcing Steel for Steps CURB AND GUTTER Recapitulation (*) SHOT-CRETE CONCRETE Recapitulation of Shot-Crete GUARDRAIL AND GUIDEPOSTS Recapitulation of Guard Fend (*) and Guard fence post Recapitulation of Guideposts(*) FENCING Recapitulation of Fence(*) Removal of Fence and Reset Recapitulation of Post (*)(**) Recapitulation of Gates (*) and Floodgates RIPRAP Recapitulation of Riprap SLOPE PROTECTION Recapitulation of Bedding for Slope Protection Recapitulation of Slope Protection Recapitulation of Geotextile DITCH LINING Recapitulation of Ditch Lining Measurement of Ditch Lining GABIONS Recapitulation of Cubic Yards of Stone for (*) 832-1

4 833 PAVEMENT PATCHING Recapitulation of Aggregate for HMA (*) course (**) Patching Recapitulation of Portland Cement Concrete Pavement (*) Patching (**) Recapitulation of Extra Work Saw Cut UNDERSEALING Fly Ash (Undersealing) Injection Holes RESEALING JOINTS AND SEALING CRACKS IN EXISTING PCCP Sealing PCCP Joints (Longitudinal) Material Received, Used and On Hand 835-1a 836 SURFACING FOR SIDE ROADS AND ENTRANCES Recapitulation of (*) PAVEMENT WIDENING, SHOULDERING AND PAVEMENT EDGE Recapitulation of (*) Sta Recapitulation of (*) Tons Water for Earthwork Compaction (Set) GRINDING REHAB CONCRETE PAVEMENT Grinding Concrete Surface RUBBLIZING PORTLAND CEMENT CONCRETE PAVEMENT Crushed Stone for Backfill Removal of Asphalt Material TEMPORARY SURFACING Temporary Surfacing Material (Aggregate)(Set Price) LIGHT TYPE SURFACING Light Type Surface (Use this template) DRILLING AND GROUTING Recapitulation of Drilling and Grouting (*) FLOWABLE FILL Recapitulation of Flowable Fill SLURRY GROUT Slurry Grout (Use this template) CLEANING EXISTING STRUCTURES AND UNDERDRAINS Cleaning Existing Structures Cleaning Existing Underdrains 845-2

5 846 TRANSPORTING SALVAGEABLE MATERIALS Recapitulation of Transporting Salvageable Material (*) MAILBOX ADJUSTMENTS Recapitulation of Mailbox Installation 847-1

6 Payment of Mobilization (DBE) Quantity amount of accum enter percent % into DBE request Date Lsum LSUM CMS Contractor Date Remarks Insp Mobilization will be paid with the CMS and no enter need in a book. Mobilization (DBE) will be enter as showed above. The contractor has to submit a written request (s) requesting partial payment on the behalf of the DBE. The amount requested shall be limited to the amount of mobilization necessary to begin work.

7 Recapitulation of construction staking Work Comp.= Started 5% 25% 50% 70% 100% Date Pay Pay Pay Pay Pay Pay enter Date 25% 40% 60% 80% 95% 100% CMS Remarks Insp The Engineer may adjust the payment schedule if the contractor fails to accomplish the expected work. When 5 % of the contract is completed the expected work completed shall be as follows: set reference tie to endangered PLSS corners, verify all right-of-way survey monuments and set all reference points to center line points. When 25 % of the contract is completed the expected work completed should be the following: provide all construction survey. When 50 % of the contract completed the expected work that should be completed as follows: provide standard bound field notebooks with legible field notes. When 70 % of the contract is completed the expected work to be completed is the follows: Verify or reset the project centerline and references, establish and verify project benchmarks and provide the Engineer as built plans. When completed project received a certification from contractor that states all the requirements have been met. The contractor shall use two survey party. The first survey party will stake and the other survey shall check the first survey party.

8 Checking of Contractor Construction Staking Date Date First Second Item checked Checked Found Insp. Checked Found Remarks Insp a This plate is set up to check the first survey party stakes with another survey party using separate books.

9 Payment of Right-of-Way Survey Monuments Quantity Date Point Pay Accum Enter Date No. Sta. Location Distance Side Quantity Quantity CMS Remarks Insp When the monument has been set it should be enter on this plate. This material will be accept on the bases of visual inspection and compliance with dimensional set forth in the contract.

10 Recapitulation of Field Office and Laboratory Quantity 2 Pay Pay Pay enter CMS 40% 70% 100% Accum into Date Number Add.4 Add.3 Add.3 CMS Remarks Insp On intermediate estimates, forty percent of the lump sum price of the laboratory is allowed on the first estimate after it is furnished for state use. Seventy percent of the lump sum is paid three months later. One-hundred percent is when the lab is released to the contractor. Write a test report on the Field Office and Laboratory when paid for on the first estimate based on Section 803.

11 Record of Restoration and Maintenance of Haul Road First Final Restore Inspection Inspection to Existing Date Location of Haul Road Condition Insp. Date Condition Condition insp All the haul roads will be listed at the beginning of the project excluding state highways. The list will be listed above as to the condition at the start of the project and check as the project progress. This bid item will be pay for at the completion of the project.

12 Recapitulation of const. sign(*),const Barricade(**) and const warning lights. Const. Sign (*) Const. Barricades (**) Const. warning (light Type B) enter into Date Location each accum each accum each accum CMS Insp (*) denotes the sign size: (0 to 9.25 sq ft), (9.26 to sq ft.), and (16.26 sq ft and over) (**) denotes (Type I or II), (Type III-4 to 8 lin ft), or (Type III-9 to 14 lin ft.)

13 Work Zone Sign Special (**) Plan Quantity Line Number Date Location Work Zone Sign Special (**) Each Accum Enter CMS Estimate # Insp ** Size

14 Recapitulation of drums, arrows, and tubular markers Reflectorized Sequencing Tubular enter Drum Arrow Markers into Date Location each accum each accum each accum CMS Insp * Use for Portable Changeable Signs, Channelizer (Fixed), Channelizer (Portable)

15 Recapitulation of Pavement Marking (Paint) (*) (**) accum enter into Date Sta. to Sta length length CMS Insp (*) Denotes White or Yellow (**) denotes width (***) denotes length.

16 Flagger (Set) Line Number Date # of Flaggers Time Began Time Completed Hours Accum Hours Location Remarks Est. # Entered to CMS Insp (Pay to nearest hour)

17 Recapitulation of Temporary Traffic Signals Bid Item Quantity 1st Last enter Payment Payment into Date Location 75% 100% CMS Insp First payment made when lights are put in use Last payment made when lights are removed from project.

18 Recapitulation of Pavement Marking (Plowable Raised Pavement Marker) (**) Enter into Date Sta to Sta. Each Accum CMS Insp (**) denotes the color

19 Recapitulation of traffic Control (Lump Sump) Bid Item Quantity Contract Quantity when When When 10% contract 80 % contract Completed completed completed All Work Pay either Pay either Pay enter 50% 5% 100% 10% 100% into Date Location T C contract T C Contract T C CMS Insp T C is the abbreviation for Traffic Control. Always pay whichever is lesser of the traffic control or contract. When computing the percentage of the original contract amount completed, do not include monies earning for mobilization, material stored, traffic control (when bid as lump sum) and contractor construction staking.

20 Traffic Control (Initial Setup) Plan Quantity - Lump Sum Line Number Date Started Date Completed Date Entered in CMS Insp

21 Recapitulation of Durable Pavement Marking (*) (**) (***) Accum Enter into Date Sta to Sta. length length CMS Insp 10/01/ RDD 10/02/ RDD 10/15/03 estimate no LLM (*) denotes the type of pavement marking : Cold Plastic, Patterned Cold Plastic, Epoxy, High Durability Tape, Thermoplastic, Thermoplastic-Preformed, Thermoplastic-spray, Multi-Component, or Polymer-Modified Cementations (**) denotes the color (***) denotes the width of pavement marking.

22 Recapitulation of Pavement Marking (Plowable Raised Pavement Marker)(**) Enter into Date Sta to Sta. Each Accum CMS Insp (**) denotes the color.

23 Recapitulation of Durable Pavement Marking (*) (white) (****) Symbol (****) Enter into Date Sta each accum CMS Insp 10/01/ RDD 10/02/ RDD 10/15/03 estimate no. 7 4 LLM (*) denotes the type of pavement marking : Cold Plastic, Patterned Cold Plastic, Epoxy, High Durability Tape, Thermoplastic, Thermoplastic-Preformed, Thermoplastic-spray, Multi-Component, or Polymer-Modified Cementations (****) denotes the type of Symbo

24 Recapitulation of Pavement Marking (*) (**)(Paint) Accum Enter into Date Sta to Sta. length length CMS Insp * Color ** Width

25 Recapitulation of Pavement Marking (Paint) Symbols Symbol Symbol Symbol Lt Arrow Rt Arrow "ONLY" enter into Date Sta. Each Accum Each Accum Each Accum CMS Insp

26 Removal of Existing Pavement Marking Quantity Accum Date Sta to Sta. Side Type Location Length Length Remarks Insp 808-1

27 Removal of Existing Pavement Marking (Plowable Raised Marker) Quantity Accum Date Sta to Sta. Side Type Location Each Each Remarks Insp 808-1

28 Recapitulation of Concrete Safety Barrier (*) (**) Quantity enter Accum into Date Sta to Sta. Side Location length Length Remarks CMS Insp (*) denotes Type and (**) denotes (Permanent), (Temporary), (Temporary-Installation Only) or (Temporary-Relocate) The Inspector will make remarks on the bottom of this sheet to explain why more of less was needed.

29 Recapitulation of Inertial Barrier System Date Sta Side Location Each accum CMS Insp. enter into Inertial barrier system shall be measured per each completed in place.

30 Recapitulation of Modules (*) enter Used Accum into Date Sta Side Location (*) (*) Remarks CMS Insp (*) denotes (F-200), (F-400), (F-700), (F-1400), or (F-2100)

31 Impact Attenuator (*) Plan Quantity Line Number Impact Attenuator Date Location Each (*) Accum Remarks Insp * Type

32 Recapitulation of Signs (*) Daily accum Date Sta Location Side Sq Ft Sq Ft Remarks Insp (*)Flat Sheet, Reinforcing Panel of Overlay

33 Recapitulation of (4x6) wood Posts (**). Daily accum Date Sta Location Side lin ft lin ft. Remarks Insp 12/2/ K-32 Lt 5 5 RDD 12/4/ K-32 Rt 3 8 RDD 12/5/02 estimate no. 3 RCB (**) denotes designate for flat signs or for structural panels signs.

34 Recapitulation of Steel Beam Posts. * Daily accum Date Sta Location Side lin ft lin ft. Remarks Insp * Size and weight of post.

35 Recapitulation of Sign Posts (* U Steel) Daily accum Date Sta Location Side lin ft lin ft. Remarks Insp * 2 or 3 Lbs. per Foot.

36 Recapitulation of (*) accum Date Sta Location Side Each each Remarks Insp (*) denotes(**) Steel beam posts, (**) steel beam stub Post with breakaway Base Plate, (***) Breakaway Base Plates. (**) denotes size and weight and (***) denotes size Can be used for all line items paid and recorded by "Each".

37 Recapitulation of (*) Diameter Concrete Footings (**) Accum Linear Linear Date Sta Location Side Feet Feet Remarks Insp (*) denotes size and (**) denotes designate for Wood Post or Steel Post

38 Sign (Remove and Reset) Plan Quantity - Lump Sum Line Number Accum Signs Removed Signs Reset % % Date Location Quantity Accum Quantity Accum Complete Complete Remarks Insp

39 Recapitulation of Rumble Strips (*) (**) Date end Start Accum Enter Date Sta Start Side Location Sta Sta CMS Remarks Insp * Asphalt or Concrete ** Edge or Centerline

40 Record of Electric Lighting System Quantity Quantity Quantity Quantity Accum Accum Accum Accum Length Length Lumin- Lumin- Light Light Found- Found- Date Conduit Conduit aire aire St'ds St'ds ations ations Remarks Insp Electric lighting - Record for Partial Payment of Lump Sum Items This plate is a worksheet used for keeping a record of the work to determine the percent of contract price completed for progress of payment purposes. Items completed are multiplied by unit cost supplied by the contractor The sum of the unit cost calculations are divided into the lump sum bid to obtain percent complete.

41 Record of Electric Conduit ** Quantity Quantity Quantity Size * Size * Size * Accum Accum Accum Location Meas Meas Meas Meas Meas Meas Date Sta. Side Length Length Length Length Length Length Remarks Insp * Denotes the size of the conduit. This item is paid as lump sum or linear feet or meters. This plate is a record of the linear feet of meters of the electrical conduit used and will be used as accepted material. ** Metallic or Non Metallic

42 Record of Electrical Service Boxes Quantity Accum Location Number Number enter in Date Sta. Side of Boxes of Boxes CMS Remarks Insp This plate is a record of the electric service boxes placed on the project. The junction boxes can be kept track on the same way.

43 Traffic Signal Installation Plan Quantity - Lump Sum Line Number Date Location Foundation Traffic Signal Poles Traffic Signal Pedestals Traffic Signal Head Wire Ln Ft % Complete Accum % Complete Estimate # Insp

44 Traffic Signal Interconnect Plan Quantity - Lump Sum Line Number Date % Complete Accum % Complete Estimate # Insp This template t can be used for Emergency Vehicle System.

45 Recapitulation of (*) (**) (*) (**) Date Sta Location Side each accum Remarks Insp (*) denotes Catch Basin, Inlet, Outlet, Manhole, Junction Box. (**) denotes type of drainage structures

46 Recapitulation of adjusted drainage structures adjusted structure* Date Sta location Side each accum Remarks Insp * denotes the type of adjusted structures such as Manhole, Catch basins, or Curb inlets

47 Structural Steel Plan Quantity Line Number Date Location Quantity Used Accum Quantity Insp This template t can be used for Cast Steel and Cast Iron.

48 Tested Material Received, Used and On Hand Material: Structural Steel Date Checked Test Report Data Field Data Distribution of Materials CMS ID Ident. Quantity Ident. Quantity Insp. Received Date Used On Hand Insp a This template t can be used for Cast Steel and Cast Iron.

49 Installation of Pipe and other material accum quantity enter Date Number length actual Accum end end paid in into Accum. Installed Sections section Length Length section section CMS CMS Headwall Headwall Insp May be used for all types of pipe paid for by linear foot. This plate is the inspector record of the actual material used at this location.

50 Record of Pipe (*-**-***) Received and used Marked Test Number Accum Accum ID on Report of Length of Total Total Total Date pipe Number Section section Received Received Used Used on hand Remarks Insp * denotes size of Pipe. ** BC denotes HMA - coated No entry denotes without HMA - Coating. *** Denotes types: CMP, CSP, CAP, CMMAC CSMAC etc. A field record of tested material is necessary to eliminate the possibility of using untested material or cause unnecessary delays due to performing checks of the office records. This plate supplies the field inspector with a complete record of the amount of material received, tested, and when it was used. The erosion pipe can be mark when it has been inventoried.

51 Recapitualtion of Fly Ash Slurry Grout( *) Cu Yd Accum enter Used Cu Yd into Date Sta Side Location Daily Used Remarks CMS Insp (*) denotes Low Strength of High Strength

52 Pipe Measurement (Linear Foot) Plan Quantity Date Location Sta. length accum Insp 828-1

53 Pipe Measurement (Linear Foot) Plan Quantity Date Location Sta. length accum Insp 828-1

54 Recapitulation of Flume Inlets (*) and slope drains (**) Plan Quantity Inlet Flumes (*) Slope Drains (**) into Date sta to sta side Location each accum each accum CMS Insp (*) denotes AE (air entrained) or no entry means with out air (**) denotes AE (air entrained), no entry means without air, or asphaltic concrete. The asphaltic concrete shall be BM-2 or BM-3

55 Recapitulation of Flapgates (*) Plan Quantity Accum Enter Daily Daily into Date Sta. Side Location Placed Total CMS Insp (*) Denotes the size.

56 Recapitulation of (*) Pipe Underdrains (Type **) Plan Quantity Accum enter Daily Daily Ref Ref into Date Sta Side Location (*) (**) (*) (**) Bk Pg Remarks CMS Insp (*) denotes the size, Diameter (**) denotes type [B], [F], [H], or [L] for underdrain Pipe and [A], [E], [G], [K] or Special for underdrain Outlet Pipe

57 Recapitulation of Aggregate for Blanket Underdrains Plan Quantity Accum Daily Daily Date Sta Side Location Ton(*) Tons (*) Remarks Insp (*) denotes Tons or Cu Yd.

58 Recapitulation of (*) Pipe Underdrains (Type **) at Station Station Plan Quantity of (*) Pipe Underdrain (type**) Lt US 36 Plan Quantity of (*) Pipe Underdrain Outlet Pipe Plan quantity of (Ton or Cu Yd ) of Aggregate for Blanket Underdrain Test Test Test Under drain Pipe Report Outlet Pipe Report Aggregate Report Date length Total No. length Total No. Ton (***) Total No. Insp (*) denotes the size, Diameter (**) denotes type [B], [F], [H], or [L] for underdrain Pipe and [A], [E], [G], [K] or Special for underdrain Outlet Pipe (***) denotes that the aggregate will be paid for as tons or cu yds.

59 Prefabricated Interception Device (*) Plan Quantity Line Number Date Location Each Quantity Accum Quantity Insp * Type

60 Slotted Drain (**) Plan Quantity Line Number Date Location Ln Ft Quantity Accum Ln Ft Quantity Insp ** Diameter of CMP

61 Recapitulation of Sidewalks Date Sta to Sta Side Location Width Length Sq. Yd. Sq. Yd Quantity Insp Total Plan Explain why there is a increase or decrease at the bottom of the quantity.

62 Recapitulation of Sidewalk Ramps Plan quantity enter into Date Sta. to Sta Side width Length Sq. Yd Remarks CMS Insp The sidewalk ramp will be calculated to the nearest 0.1 sq. yd.

63 Recapitulation of Grade 3.0 Concrete (Misc) and Reinforcing Steel for steps Quantity Quantity Accum Accum Daily Total Daily Total Date Sta Side Location Cu Yd Cu Yd Lbs Lbs Remarks Insp This plate show how to keep track of cubic yard of concrete and pounds of reinforcing steel used on steps.

64 Recapitulation of (*) Quantity Accum daily Total Date Sta to Sta Side Location length length Insp (*) denotes [Curb, Edge (**)(***)], [ Curb, Heater(***)], [Curb and Gutter, Combined (***)], [Gutter(***), [Curb, Protection (**)(***)],[Curbs, Asphaltic Concrete, [Gutters, Asphaltic Concrete] or [Curb and Gutters, Asphltic Concrete]. (**) denotes size, height or special (***) denotes AE for air entrained No entry denotes without air.

65 Recapitulation of Shot-Crete Plan quantity Units Date Sta. to Sta Length width in Place Remarks Insp * Unit designated in contract documents

66 Recapitulation of Guard Fence (*) and Guard fence post Guard Fence Guard fence post enter daily accum into Date sta to sta side Location Length Length each accum CMS Insp (*) Denotes the type of guard fence Steel Plate, Cable, Removal of Steel Plate, Removal of Cable, Removal of Timber, Reconstruction of Steel Plate, Reconstruction of Cable, Removal and Reconstruction of Steel Plate and Removal and Reconstruction of Cable, and End Terminals.

67 Recapitulation of Guideposts (*) Guard Fence Guard fence post daily accum Date sta to sta side Location Length Length each accum Insp (*) Denotes Setting of, Removal of, Resetting of, Removal and Resetting of

68 Recapitulation of Fence (*) Fence (*) Date Location Sta. to Sta length accum Insp (*) Denotes (Woven Wire (**) (Chain Link), or (Barbed Wire) (**) Denotes Type A or B means either Type A or Type B is permissible, Type A means only Type A is permissible, Type B means type B is permissible.

69 Recapitulation of Fence (*) Fence (*) Date Location Sta. to Sta length accum Insp (*) denotes (Removal and resetting wire) (Removal and Resetting ChainLink) (Removal of existing) or (Single Wire Cable)

70 Recapitulation of post (*) (**) Plan Quantity Corner post end post pull post Date Location each accum each accum each accum Insp (*) denotes Corner, End or Pull post (**) denotes type of fence woven wire or chain link. Note: You need to keep track of all the line post for test report.

71 Recapitulation of Gates (*) and Floodgates Plan Quantity Gate Floodgates Date Location each accum each accum Insp (*) denotes the size of the gates

72 Recapitulation of Riprap (*) Plan Quantity Accum Date Sta Side Location SqYd SqYd Remarks Insp 829-1

73 Recapitulation of Bedding for Slope Protection Plan Quantity Daily Accum Date Sta Side Location CuYd CuYd Remarks Insp (*) denotes ton or cubic yard Use 150 mm filter Course (Type I)

74 Recapitulation of Slope Protection Plan Quantity Daily Accum Date Sta Side location CuYd CuYd Remarks Insp (*) denotes ton or cubic yard

75 Recapitulation of Pavement Interlayer Geotextile Plan quantity Sq Yd Accum % Date Sta. to Sta Length width Used Sq Yd Comp Remarks Insp The Engineer will measure the geotextile placed and accepted by the square yard (measure to the nearest 0.1 sq yd, pay to the nearest sq yd.)

76 Recapitulation of Ditch Lining Plan Quantity Accum Ref Ref. Date Sta to Sta Side * * Book Page Remarks Insp * Quantity in units of tons or square yards for concrete or aggregate ditch lining. This plate is used to enter into CMS

77 Measurement of Ditch Lining Plan Quantity Date Sta to Sta. side location length width 1 width 2 Yd Remarks Insp. Sq The plate show the measurement of the ditch lining or backslope ditch lining at different location. Circle area equal x d 2

78 Recapitulation of Cubic Yards of Stone for (*) Plan Quantity ** Accum Used ** Date Sta to Sta Side Location Daily Used Remarks Insp ** Units could be square or cubic yards (*) denotes Gabions or Revet Mattresses.

79 Recapitulation of Aggregate for HMA (*) course (**) Patching Plan Quantity Used accum Date Sta to Sta Side Location Tons Tons Remarks Insp (*) denotes whether it is Base of Surface and (**) denotes the type and grade.

80 Recapitulation of Portland Cement Concrete Pavement (*) Patching (**) Plan Quantity Date Sta to Sta Side Location length width Sq Yd Remarks Insp This template can also be used for PCCP Edge Joint Patching, PCCP Joint Patching (Full Depth) and PCCP Joint and Crack Patching.

81 Recapitulation of Extra Work Saw Cut Plan Quantity Accum Date Sta. to Sta Side Location Length Length Remarks Insp 833-3

82 Reinforced Concrete Box (*) (Pre Cast) Plan Quantity Line Number Date Location Station to Station Tons Used Accum Tons Used Insp

83 Injection holes Plan Quantity Line Number Date Location Station to Station Quantity Accum Quantity Remarks Insp

84 Sealing PCCP Joints (Longitudinal) Plan Quantity Line Number Date Location Station to Station Ln Ft Cleaned Ln Ft Sealed Accum Ln Ft Sealed Remarks Insp This template t can be used for Sealing PCCP Joints (Tranverse), Sealing PCCP Cracks (>1/8" <2"), Sealing Spalled PCCP Joints & Cracks (>2" 3"), Sealing Spalled PCCP Joints & Cracks, Type A of B (>2" 3"), Sealing Asphalt Cracks (>1/8" 1/2"), Sealing Asphalt Cracks (>1/2" <2"), and Sealing Longitudinal Asphalt Shoulder Joint.

85 Material Received, Used, On Hand Material: Hot Joint Sealing Compound Test Report Data Field Data Date CMS ID Ident. Quantity Ident. Quantity Insp. Received Date Used On Hand Insp A This template t can be used for the Rapid Set Concrete Patching Material and the Polypropylene l fibers.

86 Recapitulation of * Plan Quantity Aggregate Daily Accum Date Sta. to Sta. Side Location Unit Unit Remarks Insp This plate is used to keep track of surfacing material. * Temporary Surfacing, Surfacing for Side Roads and Entrances.

87 Recapitulation of (*) Plam Quantity Daily Accum Date Sta to Sta Side Location Station Station Remarks Insp (*) denotes Bid Items: Shoulders Earth (HMA Widening), Shoulder Rock (HMA Widening), Pavement Edge Wedge (Earth), or Pavement Edge Wedge (RAP)

88 Recapitulation of (*) Plan Quantity Daily Accum Date Sta to Sta Side Location Ton Ton Remarks Insp (*) denotes Bid Items: Aggregate for Shoulders (AS-1) or Pavement Edge Wedge (Rock)

89 Water for Earthwork Compaction(Set) Plan Quantity Line Number Date Tank Number Pay MGAL per Load Number of Loads Pay MGAL Accum Pay MGAL Location Station to Station Remarks Insp This template t should be used in conjunction with template t 'Water Hauling Equipment Data."

90 Grinding Concrete Surface Plan Quantity Line Number Location Length Width Accum Date Side Station to Station Ln Ft Ln Ft Sq Ft Sq Yds Sq Yds Remarks Insp

91 Crushed Stone for Backfill Plan Quantity Line Number Patch Size Date Location Length Width Depth Station Ln Ft Ln Ft Inches Cu Ft Cu Yds Accum Cu Yds Remarks Insp Conversion Factor feet per inch Conversion Factor - 27 cubic feet per cubic yard Note - Cu. Ft. = Length (Ft) x Width (Ft) x Depth (inches) x ft / inch

92 Removal of Asphalt Material Plan Quantity Line Number Location Length Width Accum Date Side Station to Station Ln Ft Ln Ft Sq Ft Sq Yds Sq Yds Remarks Insp This template t can be used for 'Rubblized Concrete.'

93 Temporary Surfacing Material (Aggregate) (Set Price) Line Number Date Station to Station Side Location Daily Unit Bit Material Accum Unit Daily Unit Aggregate Accum Unit Date Enter CMS Remarks Insp

94 Recapitulation of Drilling and Grouting (*) Plan Quantity Accum Date Sta. Side Location Each Each Remarks Insp (*) denotes repair or new.

95 Recapitulation of Flowable Fill Plan Quantity Accum Date Sta. Side location CuYd CuYd Remarks Insp Use this material to backfill open excavation where soil or aggregate is not called for of is impractical to used This material will be accepted on the basis of approved mix design. This template can be used for slurry grout also.

96 Cleaning Existing Structures Plan Quantity - Lump Sum Line Number Accum Location Structures % % Date to be Cleaned Structures Cleaned Complete Complete Est Date Est # Entered to CMS Insp

97 Cleaning Existing Underdrains Plan Quantity Line Number Cleaned Video Inspected Date Location Ln Ft Accum Ln Ft Ln Ft Accum Ln Ft Remarks Insp

98 Recapitulation of Transporting Salvageable Material (*) Quantity of material to be hauled Accum Date Sta. Side Location to Location Sta Side * * Remarks Insp This plate is used to pay for hauling salvageable material off the project at a location designated on the plans. The salvageable material will be measured at the stockpiled location to be used later. * Units are in contract documents.

99 Recapitulation of Mailbox Installation Plan Quantity Accum Mail box Mail box Date Sta. Side Location Unit Unit Remarks Insp Acceptable mailbox supports shall be commercially available units intended for this purpose and will be accepted on the basis of visual inspection