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STATE OF CALIFORNIA AKLY STATEMENT <br /> DEPARTMENT OF TRANSPORTATION OF WORKING DAYS <br /> 1 ', I File index N <br /> o.�27 <br /> F'OR / O -� f <br /> HC-I 6 ' REPORT NO <br /> - <br /> (REV 9-79) <br /> To L� , ! I � -Contractor <br /> The following statement shows the number of working days charged to your contract for the week ending <br /> % Working Days <br /> Non-Working No Work <br /> Date Day Weather,Weather Conditions or Working Days Done on <br /> Other Conditions (Note 1) Day Caused by Controlling <br /> Weather Operation <br /> /-1 (Note 2) <br /> Ci <br /> • Mon. <br /> Tue. r <br /> i Wed. 14cL <br /> /i Thur. <br /> Fri. <br /> Daysthis week-------------•----------------------------------- ------------ - -------------------------------- - - <br /> Days previously reported------------------ ------------ -------------- ' ----- - - ---------- <br /> Total days to date-- ------ ------- ---------------- ---- . <br /> CCO Numbers Days Approved <br /> TIME EXTENSIONS (Note 3) CCO Other <br /> Daysthis report-------- --------------- --- - - - - -- . -------------------------------------------------------- <br /> Days previously reported------------------------------------------------------------------------------ <br /> ------------- - - ------------ <br /> Total days to date_....---... --- --- --------------------. -----__------ -- <br /> Number Numbered Day <br /> COMPUTATION OF EXTENDED DATE FOR COMPLETION of Days (Note 5) Date <br /> 1. Date Contract approved by Attorney General--------------------------------- <br /> 2. Working days specified in contract._.-_______-_-_____—-------------_ `> <br /> 3. COMPUTED DATE FOR COMPLETION (if all days specified ore workable)---.___..........___-.____-____.-_-__ <br /> 4. Total time extension days approved to date (CCO plus other)-___..... ... ......... .._ ___--._....__._._..__-. <br /> 5. Total non-working days to date (Note 4).---------------------------------- - -------- ---------------------------- <br /> i <br /> 6. Sub Total (Line 4 plus Line 5).._------- ------ --------------------.-------------- ......._ -------- <br /> 7. EXTENDED DATE FOR CQMPLETION (Line 3 plus Line 6)-- -----_----------------••------------------ <br /> 8. Revised working days for contract (Lina 2 plus Line 4),--..,. <br /> 9. Total working days to date------------ <br /> 16. WORKING DAYS REMAINING (Line 8 minus Line 9)-----------------_------------ <br /> t •, <br /> Controlling Operation(&) s. f e <br /> , <br /> REMARKS: (Note 6) (Continue on reverse) <br /> f <br /> The Contractor will be allowed fifteen (15) days in which to protest in writing the correct- <br /> now 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 on reverse side. <br /> osr <br /> •era-la r s.�rr.n Y•a r�s n <br />