CONTRACTOR QUALITY CONTROL REPORT

(ATTACH ADDITIONAL SHEETS IF NECESSARY) / DATE / 02-24-2011
REPORT NO / CQCR 006
PHASE / CONTRACT NO / N69450-08-D-1781/0006 / CONTRACT TITLE / BRAC Construct East Gate Shaw AFB Sumter, SC
PREPARATORY / WAS PREPARATORY PHASE WORK PREFORMED TODAY? / YES / NO
IF YES, FILL OUT AND ATTACH SUPPLEMENTAL PREPARATORY PHASE CHECKLIST.
Schedule
Activity No. / Definable Feature of Work / Index #
A1050 / Clearing and Grading
INITIAL / WAS INITIAL PHASE WORK PREFORMED TODAY? / YES / NO
IF YES, FILL OUT AND ATTACH SUPPLEMENTAL INITIAL PHASE CHECKLIST.
Schedule
Activity No. / Definable Feature of Work / Index #
FOLLOW-UP / WORK COMPLIES WITH CONTRACT AS APPROVED DURING INITIAL PHASE? / YES / NO
WORK COMPLIES WITH SAFETY REQUIREMENTS? / YES / NO
Schedule
Activity No. / Description of Work, Testing Performed & By Whom, Definable Feature of Work, Specification
Section, Location and List of Personnel Present
A1790 / Added fabric to construction fencing
A1040 / Installed tree protection fencing
REWORK ITEMS IDENTIFIED TODAY (NOT CORRECTED BY CLOSE OF BUSINESS) / REWORK ITEMS CORRECTED TODAY (FROM REWORK ITEMS LIST)
Schedule
Activity No. / Description / Schedule
Activity No. / Description
None
REMARKS (Also Explain Any Follow-Up Phase Checklist Item From Above That Was Answered "NO"), Manuf. Rep On-Site, etc.
Schedule
Activity No. / Description
On behalf of the contractor, I certify that this report is complete and correct and
equipment and material used and work performed during this reporting period is in
compliance with the contract drawings and specifications to the best of my knowledgeDennis J. Rossi CQCM
except as noted in this report.AUTHORIZED QC MANAGER AT SITEDATE

GOVERNMENT QUALITY ASSURANCE REPORT

/ DATE
QUALITY ASSURANCE REPRESENTATIVE'S REMARKS AND/OR EXCEPTIONS TO THE REPORT
Schedule
Activity No. / Description
GOVERNMENT QUALITY ASSURANCE MANAGER / DATE

PREPARATORY PHASE CHECKLIST

(CONTINUED ON SECOND PAGE) / SPEC SECTION / DATE
31 11 00 / 02/24/2011
CONTRACT NO / DEFINABLE FEATURE OF WORK / SCHEDULE ACT NO. / INDEX #
N69450-08-D-1781/0006 / Clearing and Grading / A1050 / 10-021-Prep-001
PERSONNEL PRESENT / GOVERNMENT REP NOTIFIED / 15 Days IN ADVANCE: / YES / NO
NAME / POSITION / COMPANY/GOVERNMENT
Dennis J. Rossi / SUPT/CQCM / Slone Associates, Inc.
Vince Pelletteri / Safety officer / Slone Associates, inc.
Brad Newman / Supt / CAN Construction
SUBMITTALS / REVIEW SUBMITTALS AND/OR SUBMITTAL REGISTER. HAVE ALL SUBMITTALS BEEN APPROVED? / YES / NO
IF NO, WHAT ITEMS HAVE NOT BEEN SUBMITTED? / N/A
ARE ALL MATERIALS ON HAND? / YES / NO
IF NO, WHAT ITEMS ARE MISSING?
CHECK APPROVED SUBMITTALS AGAINST DELIVERED MATERIAL. (THIS SHOULD BE DONE AS MATERIAL ARRIVES.)
COMMENTS: / N/A
MATERIAL STORAGE / ARE MATERIALS STORED PROPERLY? / YES / NO
IF NO, WHAT ACTION IS TAKEN? / N/A
SPECIFICATIONS / REVIEW EACH PARAGRAPH OF SPECIFICATIONS. / 31 11 00 as highlighted in handout and 31-23 00 00.20 as highlighted
DISCUSS PROCEDURE FOR ACCOMPLISHING THE WORK. / Strip surface waste from timber operations, remove stumps, stockpile topsoils, remove unsuitable from site. Install tree
Protection fencing after grubbing operations. Stake out roadways and building pads. Comence grading and backfill operations
CLARIFY ANY DIFFERENCES.
PRELIMINARY WORK & PERMITS / ENSURE PRELIMINARY WORK IS CORRECT AND PERMITS ARE ON FILE.
IF NOT, WHAT ACTION IS TAKEN? / Trees removed by others

PREPARATORY PHASE CHECKLIST

(CONTINUED FROM FIRST PAGE) / SPEC SECTION / DATE
31-11-00 / 02/24/2011
CONTRACT NO / DEFINABLE FEATURE OF WORK / SCHEDULE ACT NO. / INDEX #
A1050 / 10-021-Prep-001
TESTING / IDENTIFY TEST TO BE PERFORMED, FREQUENCY, AND BY WHOM. / Density testing per soils report recomendations
WHEN REQUIRED? / At all excavation and fill areas in 4” or 6” lifts and per specifications
WHERE REQUIRED? / Entire site, building pads, roadways, utility trenches
REVIEW TESTING PLAN. / See 3.0 of 31-11-00 and 3.0 of 31-23-00 00.20
HAS TEST FACILITIES BEEN APPROVED? / Yes GS2
SAFETY / ACTIVITY HAZARD ANALYSIS APPROVED? / YES / NO
MEETING COMMENTS / NAVY/ROICC COMMENTS DURING MEETING.
OTHER ITEMS OR REMARKS / OTHER ITEMS OR REMARKS:

Dennis J. Rossi
QC MANAGER / DATE

4296/2 (9/98)SHEET 1 OF 4