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STATE OF CALIFORNIA WALY STATEMENT <br /> DEPARTMENT OF TRANSPORTATION106 STAMP File Index Na. 27 <br /> FORM 4� WORKING DAMS 10_sJ-4-R17 . 4 <br /> 10A514 REPORT NO �- <br /> HC-146 C-t <br /> (REV a-7e) <br /> To O. H. Materials Contractor <br /> The following statement shows the number of working days charged to your contrast for the week ending February 21 , 19 $6 <br /> s Working Days <br /> Nan-Working No Work <br /> Date Day Weather,Weather Conditions or •Working Days Dane on <br /> Other Conditions (Note 1) Day Caused by Controlling <br /> Weather Operation <br /> (Note 2) <br /> Mon. i (JAY <br /> is Tue. qrade <br /> Wed. tr <br /> 20 Thur. tr <br /> 91 Fri, rt <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 /> Days this report-------------------------------------------- -- —- ---------- —. <br /> Days previously reported._._ ----------—_.._._-----------.__.._-._---------_-----...__._ <br /> Total days to data.. .._ ---- ---------- ---- - - <br /> Number Numbered Day Data <br /> COMPUTATION OF EXTENDED DATE FOR COMPLET10N of Days (Note 5) <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 are workable) _______.-----.-____________ <br /> 4. Tafel time extension days approved to date (CCO plus other)__________ <br /> ----•------------- ------- <br /> �R <br /> 5. Total non-working days to date (Note 4) ___...__----_--------..-_—____ a s ; <br /> b. Sub Total (Line 4 plus Line 5).-- ------------------- -- ------ -- ---------------------- <br /> 7. EXTENDED DATE FOR COMPLETION (Line 3 plus Line b)— -•-- »- --- -- z� <br /> B. Revised working days for contract (Line 2 plus Line 4) ---- - — <br /> 9. Total working days 10 <br /> 10. WORKING DAYS REMAINING (Line B minus Liner----- <br /> Controlling Operation(s) <br /> REMARKS: (Note 6) (Continue on reverse) <br /> r r� � L i-�L <br /> R. R. eSan <br /> The Contractor will be allowed fifteen (15) days in which to protest in writing the correct- Resident Engineer <br /> nese of the statement, otherwise the statement shall be deemed to have been accepted by <br /> the Contractor as correct. NOTE: All footnotes are on reverse side. <br /> 84 B9199 <br />