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Construction Program Management and Inspection Guide

Appendix G (continued)

DOT Logo FINAL ACCEPTANCE REPORT
DIVISIONREPORT NO.DATE OF FINAL INSPECTION REPORT
 
PROJECT NO.
DATE CONTRACT STARTEDDATE WORK COMPLETEDACCEPTANCE BY CONTRACT AGENCY.TIME ELAPSED

%

LOCATION
 
SCOPE OF PROJECT
 
NOTE:
FHWA-47 ___ SUBMITTED ___ NOT REQUIRED
Materials certification ___ SUBMITTED ___ NOT REQUIRED
There is compliance with section 1.23 of the Regulations pertaining to encroachments of the right-of-way.
REMARKS:
___ SHA procedures and controls were sufficient to assure that this project completed in reasonable close conformance with the approved plans and specifications including authorized changes and extra work.
ACCEPTANCE OF PROJECT IS RECOMMENDED ACCEPTED BY FEDERAL HIGHWAY ADMINISTRATION
Signature
 
Signature
Title
 
DateTitleDate

Form FHWA 1446B (Rev. 3-90)

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This page last modified on 07/20/07
 

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