Eng_Form_4026.pdf

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Lake County Raw Water Pump Station Mitigation
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W912P418B0022
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ENG FORM 4026

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ROUTING OF SHOP DRAWINGS, EQUIPMENT DATA, MATERIAL SAMPLES,

OR MANUFACTURER’S CERTIFICATES OF COMPLIANCE FOR APPROVAL

For use of this form, see ER 415-1-10; the proponent agency is CECW-CE.

INSTRUCTIONS: Use this form to route ENG Form 4025 with the attached items. This form is not to become a part of the Contractor’s record.

1. TO FROM DATE (YYYYMMDD)

CONTRACT NUMBER CONTRACTOR

TRANSMITTAL NUMBER PROJECT TITLE AND LOCATION

COMMENTS (Attach additional sheets if necessary)

NUMBER OF ENCLOSURES TYPED NAME AND TITLE SIGNATURE

2. TO FROM DATE (YYYYMMDD)

COMMENTS (Attach additional sheets if necessary)

NUMBER OF ENCLOSURES TYPED NAME AND TITLE SIGNATURE

3. TO FROM DATE (YYYYMMDD)

COMMENTS (Attach additional sheets if necessary)

NUMBER OF ENCLOSURES TYPED NAME AND TITLE SIGNATURE

4. TO FROM DATE (YYYYMMDD)

THE FOLLOWING ACTION CODES ARE GIVEN TO ITEMS LISTED ON ENG FORM 4025.

ACTION CODES

A – Approved as submitted.

B – Approved, except as noted on drawings. Resubmission not required.

C – Approved, except as noted on drawings. Refer to attached sheet.

Resubmission required.

D – Will be returned by separate correspondence.

E – Disapproved (see attached or annonations).

F – Receipt acknowledged.

G – Other action required (specify).

K – Government concurs with intermediate design.

R – Design submittal acceptable for release for construction.

X – Receipt acknowledged, does not comply with contract requirements, as noted.

ACTION CODES TO BE INSERTED IN COLUMN G, SECTION I, ENG FORM 4025 (attach additional sheets, when required)

ITEM NO. (Taken from ENG Form 4025)

CODE GIVEN

REMARKS

NUMBER OF ENCLOSURES TYPED NAME AND TITLE SIGNATURE

ENG FORM 4026, MAR 2012 PREVIOUS EDITIONS ARE OBSOLETE.

ROUTING OF SHOP DRAWINGS, EQUIPMENT DATA, MATERIAL SAMPLES,

OR MANUFACTURER’S CERTIFICATES OF COMPLIANCE FOR APPROVAL

For use of this form, see ER 415-1-10; the proponent agency is CECW-CE.

INSTRUCTIONS: Use this form to route ENG Form 4025 with the attached items. This form is not to become a part of the Contractor’s record.

1.

2.

3.

4.

THE FOLLOWING ACTION CODES ARE GIVEN TO ITEMS LISTED ON ENG FORM 4025.

ACTION CODES

A – Approved as submitted.

B – Approved, except as noted on drawings. Resubmission not required.

C – Approved, except as noted on drawings. Refer to attached sheet.

Resubmission required.

D – Will be returned by separate correspondence.

E – Disapproved (see attached or annonations).

F – Receipt acknowledged.

G – Other action required (specify).

K – Government concurs with intermediate design.

R – Design submittal acceptable for release for construction.

X – Receipt acknowledged, does not comply with contract requirements, as noted.

ACTION CODES TO BE INSERTED IN COLUMN G, SECTION I, ENG FORM 4025 (attach additional sheets, when required) ITEM NO. (Taken from ENG Form 4025)

CODE GIVEN

ENG FORM 4026, MAR 2012

PREVIOUS EDITIONS ARE OBSOLETE.

1.0 darwin.chen@usace.army.mil 2012-04-05 Forms Design Team Darwin Chen

ROUTING OF SHOP DRAWINGS, EQUIPMENT DATA, MATERIAL SAMPLES,

2012-04-12

No1_To:
No1_From:
No1_DateTime:
No1_ConNum:
No1_Contractor:
No1_Transmittal:
No1_Proj:
No1_Comments:
No1_NumOf:
No1_TypedName:
No1_Signature:
No2_To:
No2_From:
No2_DateTime:
No2_Comments:
No2_NumOf:
No2_TypedName:
No2_Signature:
No3_To:
No3_From:
No3_DateTime:
No3_Comments:
No3_NumOf:
No3_TypedName:
No3_Signature:
No4_To:
No4_From:
No4_DateTime:
ITEM NO. (Taken from ENG Form 4025):
CODE GIVEN:
No4_Remarks:
No4_NumOf:
No4_TypedName:
No4_Signature:

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