Inspectors Report

							C-34
                                                DAILY REPORT OF FORCE ACCOUNT WORK
          Project No.:                                          Co./Rt./Sec.:                                                Date:
           Contractor:                                                                     Subcontractor:
 Work Description:
  Reason for F. A.:


         [A] Owned Equipment - On Project (Bid Work)                                [C] Owned Equipment - Brought to Project (Non-Bid Work)
         [B] Rented Equipment - On Project (Bid Work)                               [D] Rented Equipment - Brought to Project (Non-Bid Work)


                           LABOR                                                                                     EQUIPMENT
                                                                                                                                                       Lifting,
                                               Reg.             A, B, C, Hours    Hrs.   Year                          H.P., Size or   Gas, Diesel,
Name                                   Class          OT Hrs.                                    Type        Model                                    Hauling or   Mounting   Equip. No.
                                               Hrs.                D     Oper'd   Idle   Mfg.                             GVW            Electric
                                                                                                                                                       Bucket
                                                                                                                                                      Capacity




                         MATERIAL
  Qty.         Unit      Description


                                                                        Contractor Signature                                                            Title



                                                                            ODOT Signature                                                              Title


                                                                                                        Original to "ODOT FILE", Copy to "CONTRACTOR"