Attachment 4 - 668-26-103S - ENG FORM 4288-R.pdf

ENG FORM 4288-R, JAN 1997 EDITION OF MAR 95 IS OBSOLETE. PAGE OF PAGES (Proponent: CEMP-CE) PE v1.00

SUBMITTAL REGISTER

(ER 415 1-10 )

CONTRACT NO.

SPECIFICATION SECTIONTITLE AND LOCATION CONTRACTOR

A C T I V I T Y

N O a.

TRANS-

MITTAL

NO.

b.

D A T A f.

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A N U A L S o.

R E C O R n.

A M P L E m.

C E R T I F I C A T E S l.

R E P O R T k.

T A T E M E N T S j.

S C H E D U L E S i.

I N S T R U C T I O h.

R A W I N G g.

G O V A E P R P N R M O E V N E T D q

I N F O M A T O I N O L N Y p.

DESCRIPTION OF

ITEM SUBMITTED

c.

SPECIFICATION

PARAGRAPH

NUMBER

d.

T

O

TYPE OF SUBMITTAL CLASSI-

FICATION

R E V I E W

R r.

CONTRACTOR

SCHEDULE DATES

CONTRACTOR

ACTION

SUBMIT

s.

MATER-

IAL

NEEDED

BY

u.

DATE

w.

TO

GOVERN-

MENT

x.

O v.

APPROVAL

t.

GOVERNMENT

REMARKS

aa.

O y.

z.

ENG FORM 4288-R, JAN 1997

EDITION OF MAR 95 IS OBSOLETE. PAGE OF PAGES

(Proponent: CEMP-CE) PE v1.00

SUBMITTAL REGISTER

(ER 415 1-10 )

A C T I V I T Y

N O a.

TRANS-

MITTAL

NO.

b.

A T A f.

O M

M A N U A L S o.

R E C O R D S n.

S A M P L E S m.

C E R T I F I C A T E S l.

R E P O R T S k.

S T A T E M E N T S j.

S C H E D U L E S i.

I N S T R U C T I O N S h.

D R A W I N G S g.

G O V A E P R P N R M O E V N E T D q I N F O M A T O I N O L N Y p.

DESCRIPTION OF

ITEM SUBMITTED

SPECIFICATION

PARAGRAPH

NUMBER

d.

T E M

N O c.

TYPE OF SUBMITTAL

CLASSI-

FICATION

R E V I E W E R r.

CONTRACTOR

SCHEDULE DATES

CONTRACTOR

s.

MATER-

IAL

u.

w.

TO

GOVERN-

MENT

x.

O v.

APPROVAL

t.

GOVERNMENT

REMARKS

aa.

O y.

z.

1.0 09-27-2010 Forms Design

SUBMITTAL REGISTER

Darwin Chen

ENG FORM 4288-R

415-503-6946 10-06-2010