Form 10-6131 DAILY LOG - Formal Contract

OMB No. 2900-0208
Estimated Burden: 12 minutes

DAILY LOG - FORMAL CONTRACT
The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in
accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. We
may not conduct or sponsor, and you are not required to respond to, a collection of information unless it
displays a valid OMB number. We anticipate that the time expended by all individuals who must complete
this form will average 12 minutes. This includes the time it will take to read instructions, gather the
necessary facts and fill out the form. If your firm does not already have a similar form, this is used to record
the data necessary to assure the contractor provides sufficient labor and materials to accomplish the
contract work. This form or a similar document is required to guarantee the performance of the work
necessary to complete the project.
STATION

PROJECT

NAME OF CONTRACTOR

WEATHER
DATE (mm /dd/yyyy)

TEMPERATURE

DAY

CONTRACT NO.
8 A.M.
PROJECT NO.

NOON
4 P.M.

BRANCH
OF WORK

SKILLED
WORKERS
AND HELPERS

UNSKILLED
WORKERS

LOCATION AND
DESCRIPTION OF WORK

TOTAL
EQUIPMENT

FORCE

PROGRESS

DELIVERY OF MATERIALS

SATISFACTORY
USATISFACTORY
REMARKS

SIGNATUREOF RESIDENT ENGINEER
VA FORM
OCT 2005

10-6131

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