Pipe joint deflections meet or are less than manufacturer recommendations. Bonding straps and lugs connected (ductile iron pipe ONLY). Deflector tape provided above all pipe noted in contract documents 2’ Insulation is provided at top of and initial cover levels per specification requirements. For all piping above below finish grade or as shown in contract documents. 6” 1’ 6’ Initial cover and backfill materials and methods meet specification requirements. Open pipe ends capped at completion of work day. Negative Responses Date Found Date Found By Location Reason for Negative Response Resolved Resolved Resolution YES / NO YES / NO YES / NO YES / NO YES / NO C) MANHOLE INSTALLATION CHECKS % Questions (See details below) Date Description of Work Performed Complete Initials 1) 2) 3) 4) 5) YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO CHECKLIST GROUP COMPLETE INITIALS: DATE:
Pipe joint deflections meet or are less than manufacturer recommendations. Bonding straps and lugs connected (ductile iron pipe ONLY). Deflector tape provided 2’ above all pipe noted in contract documents Insulation is provided at top of 6” and 1’ initial cover levels per specification requirements. For all piping above 6’ below finish grade or as shown in contract documents. Initial cover and backfill materials and methods meet specification requirements. Open pipe ends capped at completion of work day. Negative Responses Date Found Found By Location Reason for Negative Response Resolved Date Resolved Resolution YES / NO YES / NO YES / NO YES / NO YES / NO C) MANHOLE INSTALLATION CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 4) 5) YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO CHECKLIST GROUP COMPLETE INITIALS: DATE:
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