****THIS IS A NEW APPENDIX. – PLEASE READ CAREFULLY.****

END OF JOB REPORT

FABRICATOR’S NAME AND LOCATION__________________________________________

____________________________________________________________________________

CONTRACTOR NAME:_________________________________________________________

PROJECT NUMBER:___________________________________________________________

COUNTY:____________________________________________________________________

Pipe Diameter                        Pipe Type                Gauge        Corrugation            Total

(Inches)                                   (Gal/Alum)               (#)                                                (Footage / Item

                                                                                                                                      Shipped)

_______________                  ____________         ________    _____________       (ft)__________

__________________________________

Fabricator / Contractor Signature