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Get Dot Fhwa 17-348 2007-2024

FORM FHWA 17-348 12/2007 Date Stamp U.S. DEPARTMENT OF TRANSPORTATION FEDERAL HIGHWAY ADMINISTRATION Western Federal Lands Highway Division 610 E. 5th St. Vancouver Washington 98661 FP-03 109. 01 a Project Name Copy Stamp b Item Number Item Description c Date work performed Daily Record Of Miscellaneous Items f Calculations g Supporting sketch and details Summary of Quantities d Location e Measured quantity Total Quantity Unit of Measurement Attach additional sheets if necessary. h Name of person measuring work FHWA Use Only i Interim Measurement Final Measurement Verified By Construction Manager I certify the above measurements and calculations are correct and the total quantity is subject to direct payment for the item identified* Approved j Contractor Representative FHWA Representative Entered To Record Checked By Date. 01 a Project Name Copy Stamp b Item Number Item Description c Date work performed Daily Record Of Miscellaneous Items f Calculations g Supporting sketch and details Summary of Quantities d Location e Measured quantity Total Quantity Unit of Measurement Attach additional sheets if necessary. h Name of person measuring work FHWA Use Only i Interim Measurement Final Measurement Verified By Construction Manager I certify the above measurements and calculations are correct and the total quantity is subject to direct payment for the item identified* Approved j Contractor Representative FHWA Representative Entered To Record Checked By Date. .

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