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STATE OF CALIFORNIA WIY STATEMENT <br /> DEPARTMENT OF TRANSPORTATION 4F WORKING [SAYS ��C#41' �-` t r + _Tile Index No. 27 <br /> �I. <nn <br /> FORM 10-SJ-.4-Rl7 4 <br /> HC-146 n� 514 REPORT NO <br /> — <br /> (REV(REV 9.79) <br /> To 0. He Materials Contractor <br /> The following statement shows the number of working days charged to your contract for the week ending January 10_f y 19 § <br /> • Working Days <br /> Non-Working No Work <br /> Dote 'pay Weather,Weather Conditions or Working Days Done on <br /> Other Conditions (Note T) Day Caused by Controlling <br /> Weather Operation <br /> (Note 2) <br /> Jan. 6 Mon. o <br /> Tue. It <br /> Wed. f t <br /> Thur. It <br /> 10 Fri. n l <br /> Daysthis week----------------------------•---------------•-------------------------------••--------- ——- --- -— 0 <br /> Days previously 20 <br /> Total <br /> 20 <br /> Totaldays to date.------------------------------------------------------------------- --— - — - -------------- <br /> TIME EXTENSIONS CCO Numbers Days Approved <br /> (Note 3) CCO Other <br /> Daysthis report-----------------------------------------------------------------------... -- —- -- — <br /> Days previously reported -----.. -- -- - --- ...............------------------------------------------ 0 0 <br /> Total days to date - -....,...--._---­-----------_..- ------------------------------ -----Number Numbered Day-- - <br /> COMPUTATION Of EXTENDED DATE FOR COMPLETION of Days (Nate 5) Data <br /> 1.. Date Contract approved by Attorney General=_,—_--- 2 01 11- — <br /> 40 ¢"" <br /> 2. Working days specified in —-------- �. .:. .. •�. .:.. ..a«�e <br /> 86 <br /> 3. COMPUTED DATE FOR COMPLETION (if all days specified are workable)----—_—-----—___—_._—_ 241 1-29— <br /> 4. Total time extension days approved to date (CCO plus z 3I <br /> 9 y <br /> S. Total non-working days to data (Note 4}.___ <br /> d. Sub Total (Line 4 plus Line 5)------------------------------ # <br /> - <br /> 7. EXTENDED DATE FOR COMPLETION (Line 3 plus Line 6)— -------------- "x' <br /> 24 2-Z© <br /> B. Revised working days for contract (Line 2 plus Line 4) —_ --__________--___ <br /> 4.5 <br /> 9. Total working days to date-_-------------- ------- 2z � <br /> 10. WORKING DAYS REMAINING (Line 8 minus Line <br /> Controlling Operation(:) Awaiting test results. <br /> REMARKS: (Not*d) (Continue on reverse) <br /> * FiTe days time extension requested due to unanticipated waiting time <br /> for test results - additional tests required by San Joaquin County. <br /> Time extension approYed by f/�r��`?c` `'` Date <br /> R. We Gillispie , Chief <br /> C onst. Br. A <br /> r r _ <br /> R . h. Le san <br /> The Contractor will be allowed fifteen (15) days in which to protest in writing the correct- ✓ eer r <br /> ness of the statement, otherwise the statement shall be deemed to have been accepted by Resident Engin <br /> the Contractor as correct. NOTE- All footnotes are an reverse side. <br /> 84 89199 <br />