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STATE OF CALIFORNIA WSLY STATEMENT <br /> DEPARTMENT OF TRANSPORTATION OF WORKING DAYS Fite Index No. 27 <br /> 10—SJ-4—R17 . 4 11 <br /> MC-116 FORM 1OA514 REPORT NO <br /> (REV 9.79) _ <br /> To 0. H. Materials Controcior <br /> The following statement shows the number of working days charged to your contract for the week ending FPhruary 14 19-2-E- <br /> • <br /> Working Days <br /> Non-Working Na 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 /> (Note 2) <br /> Mon, Wet .=ade <br /> Tue. <br /> Wed. <br /> Thur. <br /> 14 Fri. Wet =ad <br /> Days this weak- -_- -- - - - ......------ --- ------------------------- <br /> Days previously reported--- - ----- - .. .._...-•----------_,,.-------- -- - ----- - - <br /> Total days to date................_ ---------------------------_--__.----—-------- <br /> CCO Numbers Days Approved <br /> TIME EXTENSIONS (Note 3) CCO Other <br /> Days this report - _ _...------------'-----------------------------_ ----- —-- --. -_ <br /> Days previously reported------------- --- —------------------------------•---- <br /> Totaldays to data.. -...--- ---- ........-__----------------------•-------------------------------------------_---,. <br /> Number Numbered Day Date <br /> COMPUTATION OF EXTENDED DATE FOR COMPLETION of Days (Note 5) <br /> 201 11 <br /> 1. Data Contract approved by Attorney General------------------_-_----------.------__-•--------______ <br /> 40 <br /> 2. Working days specified in coMroct___-__-- ------_..._ __----- ____..----------------------- -- <br /> 241 <br /> 3. COMPUTED DATE FOR COMPLETION (if all days specified are workable)----------._----_ - _-_-- <br /> A. Total time extension days approved to date(CCO plus other)-_ ----—______--._—�_.__-__-_-_____ <br /> 5. Total non-working days to data (Nota <br /> 6. Sub Total (Line 4 plus Lina S)------------------------ -------- <br /> 772 <br /> 7. EXTENDED DATE FOR COMPLETION (Line 3 plus Lina <br /> ak y . <br /> B. Rev-nod working days for contract (Line 2 plus Line 4) ----— -- '` <br /> 9. Total working days to date— ------ <br /> 10. WORKING DAYS REMAINING (Line 8 minus Lina 4)—____--__ <br /> Controlling Operation(s <br /> REMARKS: (Note 6) (Continue on reverse) <br /> 1 1'e <br /> L <br /> The Contractor will be allowed fifteen (15) days in which to protest in writing the correct- Resident Engineer <br /> nen of the statement; otherwise the statement shall be deemed to have bean accepted by <br /> the Contractor as correct. NOTE: All footnotes are an reverse side. <br /> 84 89199 <br />