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MISSOURI DEPARTMENT OF TRANSPORTATION CONCRETE POUR CARD Work and inspection shall be completed and initialed by the responsiuble party, prior to placing CONCRETE POUR LOCATION AND ID # Item # Work or Inspection Reference Completed By: Date Compl 1 Reinforcing SubcontractorReinforcement Spec 706 2 Carpenter Foreman 3 Subcontractor 4 Other 5 Process Control 6 Verification Assurance Ready to Place Concrete Supervisor Date Formwork Specification 703 Reinforcement and formwork, Specs 706, 501, 703 Pour card complete, end of shift before the next day's scheduled pour (or 12 hours)

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Sheet1MISSOURI DEPARTMENT OF TRANSPORTATION

CONCRETE POUR CARDWork and inspection shall be completed and initialed by the responsiuble party, prior to placing concrete in a column cap.

CONCRETE POUR LOCATION AND ID #Item #Work or InspectionReferenceCompleted By:Date Completed1Reinforcing SubcontractorReinforcement Spec 7062Carpenter ForemanFormwork Specification 7033Subcontractor4Other5Process ControlReinforcement and formwork, Specs 706, 501, 7036Verification AssurancePour card complete, end of shift before the next day's scheduled pour (or 12 hours)Ready to Place Concrete

SupervisorDate


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