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STATE OF CALIFORNIA AKLY STATEMENT 40 <br /> DEPARTMENT OF TRANSPORTATION OF WORKING DAYS JOB STAMP File Index No. 27 <br /> FORm 10-t)J-4-817 . 4 17 <br /> HC-146REPORT NO <br /> [REV 4.79) 1Ory514 <br /> To U. H. :Iaterials <br /> Contractor <br /> The following statement shows the number of working days charged to your contract for the week ending March 28 , , 19-.L6-- <br /> Working <br /> B 6Working 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 /> (Note 2) <br /> 24 Mon. 't.' <br /> 25 Tue. of <br /> Wed. To <br /> 22 Thur. to <br /> 28 Fri. if <br /> Daysthis week--------------•-------------------------------------------------- --------------— - _-- - <br /> Days ,previously reported-------------- -- ------ .........- - - -- -— —- -- -- <br /> Total days to date------------------ ---------------------- --------- <br /> CCO Numbers Days Approved <br /> TIME EXTENSIONS (Note 3) <br /> CCQ Other <br /> Daysthis report.............................................-- ­­...... _------------------------------------— 0 0 <br /> Dayspreviously reported---------- -.................... ..--...-........ ----------------------- ----- --- --- -- »...» _ ... - -_ 0 rJ <br /> Totaldays to date.........................................-.-....---------.._..._... .._...-------------------._--------------------__ ______-____._________-__----------------_ 0 5 <br /> COMPUTATION OF EXTENDED DATE FOR COMPLETION Number Numbered Day Date <br /> of Days (Note S) <br /> 201 11 295 <br /> 40 1. Data Contract approved by Attorney General----_--------_____._-_-__._____-._____._•-•---------------------------- <br /> 2. Working days specified in contract_------------------._--........_.-------------•-_--.------.----- <br /> 3. COMPUTED DATE FOR COMPLETION (if all days specified are <br /> 2a1 1 29 66 <br /> 4. Total time extension days approved to date (CCO plus other)--------------------__._-_------ <br /> 5. Total nonworking days to date (Note 4}.- —__-_ -_ _____-.__.—_.-..--- 5 6 �$ $ <br /> aEr � <br /> 6. Sub Total (Line 4 plus Line 5)-------------_. 5 <br /> 7. EXTENDED DATE FOR COMPLETION (Line 3 plus Line d) -•------------ 297 4 21 8 <br /> 8. Revised working days for contract (Line 2 plus Line 4)------ •-- 45 <br /> 9. Total working days to daM___— _--_-- 34 <br /> 10. WORKING DAYS REMAINING (Line 8 minus Line 9? ----- -- _-_--•---- -------- <br /> Controlling Operation(s) Dackf ill <br /> REMARKS- (Note 6) (Continue on reverse) <br /> R. Le.''-an <br /> The Contractor will be allowed fifteen (15) days in which to protest in writing the correct- <br /> ness 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 /> as aats9 <br />