J-0200000-5B Quality Inspection and Surveillance Report.xls
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| J-0200000-05 B | ||||||
| CONTRACTOR QUALITY INSPECTION AND SURVEILLANCE MONTHLY REPORT | ||||||
| Contract # | Contract Title: | |||||
| Annex/sub-annex: | Month/Year: | |||||
| Spec Item | Title | # of Items Performed | # Actually Inspected | QC Results | Safety Issues | |
| # Passed | # Failed | Y/N | ||||
| 3.1 | Sampling, Field Testing & Laboratory Services | |||||
| 3.1.1 | Sampling | |||||
| 3.1.2 | Field Testing | |||||
| 3.1.3 | Laboratory Services | |||||
| 3.1.4 | Deviation Reports | |||||
| 3.1.5 | Monthly Sampling Schedule | |||||
| 3.2 | Storm Water Sampling | |||||
| 3.3 | Wastewater Monitoring | |||||
| 3.4 | Drinking Water Monitoring | |||||
| 4 | Non-Recurring Work | |||||
| Comments: | ||||||
| Corrected Actions Taken: | ||||||
| QC Signature: | Date: |
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