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STATE OF CALIFORNIA AKLY STATEMENT <br /> DEPARTMENT OF TRANSPORTATION <br /> OF WORKING DAYS File Index No. 27_ � ' <br /> FORM <br /> ttc•t�s l�� i <br /> (REV 9.79) , REPORT NO <br /> / 4 <br /> To `-1 f Y ; 7 � Contractor <br /> j� <br /> The following statement shows the number of working days charged to your contract for the week ending -zc ly e r <br /> • Working Days <br /> Non-Working No Work <br /> Data Day Weather,Weather Conditions or Working Days Done on <br /> Other Conditions (Note 1) Day Caused by Controlling <br /> Weather Operation <br /> (Note 2) <br /> J' - Mon. < <br /> Tue. �' { <br /> Wed. `r <br /> Thur_ <br /> j C Fri. tl <br /> Days this week-_...,_. -------------------- - - --- ---------- <br /> Days previously reported.......................... ..._...... ..... .-------- ------------------------------._., - - - <br /> Totaldays to date.......... .......................................................- - - - - ----------- <br /> TIME EXTENSIONS CCO Numbers Days Approved <br /> (Note 3) CCO Other <br /> Daysthis report.----------------------------------- .........--------_---. ._..._. ---—_- —- — <br /> Days previously reported---- - - - ..... .._....-... ---------------------••--_____---------- ---------------------- <br /> Totaldays to date.... ... ............. ------- ------------ -.,.._.----.,------------------------------------- ------------------------ <br /> COMPUTATION OF EXTENDED DATE FOR COMPLETION Number Numbered Day Date <br /> of Days (Note 5) <br /> 1. Date Contract approved by Attorney General------------------------------ - _-_---------------_-------------------_--------------- � <br /> i <br /> 2. Working days specified in contract-------------------------- <br /> 3. COMPUTED DATE FOR COMPLETION (if all days specified are workable)------------ ____________. .._- <br /> 4. Total time extension days approved to date (CCO plus other)-_------------------------------------------------------ <br /> { <br /> 5. Total non-working days to date (Note 4)-•-- -- _--------------___-_--.--------------__---_- <br /> 6. Sub Total (Line 4 plus Line 5). ------------------ <br /> 7. EXTENDED MATE FOR COMPLETION (Line 3 plus Una 6)__-_-. _,—_----------------------.- -- <br /> 8, Revised working days for contract (Line 2 plus Line 4)_--__..____.-.____—------------------------------______.___._ <br /> 9. Total working days to date----------------------- <br /> 10. WORKING DAYS REMAINING (Line B minus Line 9)-------------------- <br /> Controlling Operation(%) r r <br /> REMARKS: (Note 6) (Continue an reverse) <br /> The Contractor will be allowed fifteen (15) days in which to protest in writing the correct- - --� <br /> nes% of the statement-, otherwise the statement shall be deemed to have been accepted by Resident Engineer <br /> the Contractor as correct. NOTE: All footnotes are an reverse side. <br /> ose <br />