` DAILY FIELD INSPECTION / PROGRESS REPORT FORM

Project Name: In-house Epoxy Injection

Contractor / Service Provider: Turnpike / NLTEC
Date: September 24, 2020

WEATHER: FAIR (F) LIGHT RAIN (L) RAINY (R) STORMY (S)

F F F F F F F L L
00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23

Location: ( ) NLEX ( ) SCTEX

( ) Roadway ( ) Bridge & Interchange
Section:
( ) Roadway Furniture ( ) Asset Management System
ITEM LOCATION /
ACTIVITY REMARKS /STATUS
NO. STATION
1.0 P69-70 SB Installation of aluminum tube, and application Completed.
of mastic filler at girders 3, 4, and 5.

1.0 P69-70 SB Epoxy injection of girders 1, and 2. Completed.

EQUIPMENT USED (Use equipment body number):

1 - Boomtruck
1 - Genset
1 - Rotary drill
1 - Hand blower
1 - Injection pump
MANPOWER (Indicate specific trade):
8 - Turnpike
1 - Driver

MATERIALS (If applicable):

Item Unit Quantity
Tamrez 220TG sets 4
Surgical gloves pcs. 14
Lacquer thinner can 1
Construction gloves pair 1

PROBLEMS ENCOUNTERED ACTION TAKEN

PREPARED BY: REVIEWED BY: NOTED BY:

Joshua S. Sia Edmundo B. Ibaan Jennifer Jane T. Go

ENGINEER SECTION HEAD DEPARTMETN HEAD
` DAILY FIELD INSPECTION / PROGRESS REPORT FORM
Project Name: In-house Epoxy Injection
Contractor / Service Provider: Turnpike / NLTEC
Date: September 24, 2020

INSERT RELEVANT PHOTOS:

ITEM NO.: LOCATION: ACITIVITY:
1.0 P69-70 Surface preparation

ITEM NO.: LOCATION: ACITIVITY:

2.0 P69-70 Epoxy injection