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Attachment 10

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HSFLGL-17-Q-00301-0002_Amendment_2.pdf PDF
Att 17 Security Training List.pdf PDF
HSFLGL-17-Q-00301 - Relocate Trailer 752.pdf PDF
Att 18 GA172.pdf PDF
Att 11 Non-Disclosure Agreement.pdf PDF
Att 15 85P.pdf PDF
Att 12 FTC-SEM-17 Badge Ap.pdf PDF
Att 02 SF25-14.pdf PDF
Att 24 DHS-Form-700-3_1.pdf PDF
Att 14 OF306-11.pdf PDF
Att 23 Financial Questionnaire.pdf PDF
Att 09 WH 347.pdf PDF
Exhibit A - Proposal breakdown.xls XLS spreadsheet
Att 13 I-9.pdf PDF
Att 03 SF25A-14a.pdf PDF
Att 21 SF_24-98.pdf PDF
Att 20 SF1444-13a.pdf PDF
Att 04 SF28-03a.pdf PDF
Att 19 SF1413-13b.pdf PDF
Att 07 FMD_70.pdf PDF
Att 16 Security Handout.pdf PDF
Att 05 Format ILC.pdf PDF
Att 25 DOL POSTER.pdf PDF
Exhibit B - FTC-OSPR-17Z Name Based Criminal History Record Information Consent Inquiry.pdf PDF
Att 22 SFLLL.pdf PDF
Att 08 WH-347 Instruction.pdf PDF
Att 06 Format FIN INST ILC CONFIRM.pdf PDF
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Text version

FTC-FMD-42 (12/09) 1 of 2

CONTRACT NO. TITLE AND LOCATION DATE

REPORT NO.

CONTRACTOR (Prime or Subcontractor) NAME OF SUPERINTENDENT OR FOREMAN

WEATHER - A.M. TEMPERATURE - A.M.

WEATHER - P.M. TEMPERATURE - P.M.

EMPLOYER

SPEC.PARA.

AND / OR

DRAWING NO.

EQUIPMENT / MATERIAL RECEIVED TODAY

TO BE INCORPORATED IN JOB

(Description, Sizes, Quantity)

SUBMITTAL NO. OR

CERTIFICATION

DATE

APPROV

WERE THERE ANY LOST TIME ACCIDENTS THIS DATE?

REMARKS

RESULTS OF INSPECTION

TESTING

LOCATION AND / OR

ELEMENT OF WORK

TOTAL WORK HOURS FROM

START OF CONSTRUCTION

TOTAL WORK HOURS

ON JOB SITE THIS

DATE

CUMULATIVE TOTAL

OF HOURS FROM

PREVIOUS REPORT

HOURS

INSPECTION AND / OR TESTING

PERFORMED TODAY - - FOLLOW

WITH REPORT

DAILY REPORT TO INSPECTOR

LOCATION AND DESCRIPTION OF WORK

PERFORMED(Use additional sheets if required)

PRIME CONTRACTOR / SUBCONTRACTOR WORKFORCE

NUMBER TRADE

YES NO

Side 1

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