US DEPARTMENT OF TRANSPORTATION -- FEDERAL HIGHWAY ADMINISTRATION

***Construction Inspection Checklist***

**Section 604** Manholes, Inlets, and Catch Basins

  --------------------------------------- -------------------------------
  Project Name:                           Project No.:

  Date:                                   Weather:

  Contractor:                             Subcontractor:

  Inspector:                              Location/Station:

  Description of work being inspected:    
  --------------------------------------- -------------------------------

+-----------+----------------------------------------------------------+
| **Conf    | **CHECKS (characteristics)**                             |
| ormance** |                                                          |
+-----------+----------------------------------------------------------+
| *         |                                                          |
| *[Yes]{.u |                                                          |
| nderline} |                                                          |
| [No]{.u   |                                                          |
| nderline} |                                                          |
| [N        |                                                          |
| .A.]{.und |                                                          |
| erline}** |                                                          |
+-----------+----------------------------------------------------------+
|           | **General**                                              |
+-----------+----------------------------------------------------------+
|           | 1\. Was excavation and backfill completed according to   |
|           | Section 209? (604.03)                                    |
+-----------+----------------------------------------------------------+
|           | **Concrete Construction**                                |
+-----------+----------------------------------------------------------+
|           | 2\. Were concrete manholes, inlets, and catch basins     |
|           | completed according to Section 601?                      |
|           |                                                          |
|           | (604.04)                                                 |
+-----------+----------------------------------------------------------+
|           | 5\. Was the surface finished according to Subsection     |
|           | 552.16(a) or (b) as applicable?                          |
|           |                                                          |
|           | (604.04)                                                 |
+-----------+----------------------------------------------------------+
|           | 6\. Where a pipe enters through an existing concrete     |
|           | wall, was the concrete and steel reinforcement cut in a  |
|           | manner that did not loosen the reinforcement in the      |
|           | wall? (604.04)                                           |
+-----------+----------------------------------------------------------+
|           | 7\. Was the steel reinforcement cut flush with the       |
|           | opening wall face? (604.04)                              |
+-----------+----------------------------------------------------------+
|           | 8\. Were all joints and openings that were cut in the    |
|           | wall grouted? (604.04)                                   |
+-----------+----------------------------------------------------------+
|           | 9\. Were the channel flow lines in manholes, inlets, and |
|           | catch basins finished accurately to match the pipe flow  |
|           | line? (604.04)                                           |
+-----------+----------------------------------------------------------+
|           | 10\. Were precast concrete manhole sections assembled    |
|           | with flexible watertight gaskets or mastic joint fillers |
|           | in the tongue and groove joints? (604.04)                |
+-----------+----------------------------------------------------------+
|           | 11\. If gaskets were used, were the precast units        |
|           | handled carefully after the gasket had been attached to  |
|           | avoid damaging the gasket or contaminating the joint?    |
|           | (604.04)                                                 |
+-----------+----------------------------------------------------------+
|           | 12\. Was the proper alignment attained before the joints |
|           | were forced home? (604.04)                               |
+-----------+----------------------------------------------------------+
|           | 13\. Was partial support maintained during the insertion |
|           | of the tongue or spigot to minimize the unequal lateral  |
|           | pressure on the gasket and to maintain concentricity     |
|           | until the gasket was properly positioned? (604.04)       |
+-----------+----------------------------------------------------------+

+-----------+-----+----------------------------------------------------+
| **Conf    | **  |                                                    |
| ormance** | CHE |                                                    |
|           | CKS |                                                    |
|           | (   |                                                    |
|           | cha |                                                    |
|           | rac |                                                    |
|           | ter |                                                    |
|           | ist |                                                    |
|           | ics |                                                    |
|           | )** |                                                    |
+-----------+-----+----------------------------------------------------+
| *         |     |                                                    |
| *[Yes]{.u |     |                                                    |
| nderline} |     |                                                    |
| [No]{.u   |     |                                                    |
| nderline} |     |                                                    |
| [N        |     |                                                    |
| .A.]{.und |     |                                                    |
| erline}** |     |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 1   |                                                    |
|           | 4\. |                                                    |
|           | If  |                                                    |
|           | mas |                                                    |
|           | tic |                                                    |
|           | was |                                                    |
|           | us  |                                                    |
|           | ed, |                                                    |
|           | was |                                                    |
|           | the |                                                    |
|           | mas |                                                    |
|           | tic |                                                    |
|           | jo  |                                                    |
|           | int |                                                    |
|           | fil |                                                    |
|           | ler |                                                    |
|           | a   |                                                    |
|           | ppl |                                                    |
|           | ied |                                                    |
|           | acc |                                                    |
|           | ord |                                                    |
|           | ing |                                                    |
|           | to  |                                                    |
|           | the |                                                    |
|           | ma  |                                                    |
|           | nuf |                                                    |
|           | act |                                                    |
|           | ure |                                                    |
|           | r's |                                                    |
|           | r   |                                                    |
|           | eco |                                                    |
|           | mme |                                                    |
|           | nda |                                                    |
|           | tio |                                                    |
|           | ns? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 04) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 1   |                                                    |
|           | 5\. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | me  |                                                    |
|           | tal |                                                    |
|           | fra |                                                    |
|           | mes |                                                    |
|           | set |                                                    |
|           | in  |                                                    |
|           | a   |                                                    |
|           | f   |                                                    |
|           | ull |                                                    |
|           | jo  |                                                    |
|           | int |                                                    |
|           | mor |                                                    |
|           | tar |                                                    |
|           | b   |                                                    |
|           | ed? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 04) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 1   |                                                    |
|           | 6\. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | all |                                                    |
|           | joi |                                                    |
|           | nts |                                                    |
|           | and |                                                    |
|           | op  |                                                    |
|           | eni |                                                    |
|           | ngs |                                                    |
|           | m   |                                                    |
|           | ade |                                                    |
|           | w   |                                                    |
|           | ate |                                                    |
|           | rti |                                                    |
|           | ght |                                                    |
|           | by  |                                                    |
|           | us  |                                                    |
|           | ing |                                                    |
|           | gr  |                                                    |
|           | out |                                                    |
|           | or  |                                                    |
|           | a   |                                                    |
|           | pre |                                                    |
|           | for |                                                    |
|           | med |                                                    |
|           | jo  |                                                    |
|           | int |                                                    |
|           | s   |                                                    |
|           | eal |                                                    |
|           | er? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 04) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 1   |                                                    |
|           | 7\. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | mor |                                                    |
|           | tar |                                                    |
|           | joi |                                                    |
|           | nts |                                                    |
|           | fi  |                                                    |
|           | nis |                                                    |
|           | hed |                                                    |
|           | w   |                                                    |
|           | ith |                                                    |
|           | a   |                                                    |
|           | b   |                                                    |
|           | ead |                                                    |
|           | on  |                                                    |
|           | the |                                                    |
|           | o   |                                                    |
|           | uts |                                                    |
|           | ide |                                                    |
|           | and |                                                    |
|           | a   |                                                    |
|           | smo |                                                    |
|           | oth |                                                    |
|           | fin |                                                    |
|           | ish |                                                    |
|           | on  |                                                    |
|           | the |                                                    |
|           | i   |                                                    |
|           | nsi |                                                    |
|           | de? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 04) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 1   |                                                    |
|           | 8\. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | lad |                                                    |
|           | der |                                                    |
|           | ru  |                                                    |
|           | ngs |                                                    |
|           | spa |                                                    |
|           | ced |                                                    |
|           | uni |                                                    |
|           | for |                                                    |
|           | mly |                                                    |
|           | on  |                                                    |
|           | 1   |                                                    |
|           | 2-i |                                                    |
|           | nch |                                                    |
|           | c   |                                                    |
|           | ent |                                                    |
|           | ers |                                                    |
|           | and |                                                    |
|           | a   |                                                    |
|           | lig |                                                    |
|           | ned |                                                    |
|           | ve  |                                                    |
|           | rti |                                                    |
|           | cal |                                                    |
|           | ly? |                                                    |
|           |     |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 04) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 1   |                                                    |
|           | 9A. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | lad |                                                    |
|           | der |                                                    |
|           | ru  |                                                    |
|           | ngs |                                                    |
|           | g   |                                                    |
|           | rou |                                                    |
|           | ted |                                                    |
|           | i   |                                                    |
|           | nto |                                                    |
|           | p   |                                                    |
|           | rec |                                                    |
|           | ast |                                                    |
|           | co  |                                                    |
|           | ncr |                                                    |
|           | ete |                                                    |
|           | wal |                                                    |
|           | ls? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 04) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | **M |                                                    |
|           | aso |                                                    |
|           | nry |                                                    |
|           | Bl  |                                                    |
|           | ock |                                                    |
|           | Co  |                                                    |
|           | nst |                                                    |
|           | ruc |                                                    |
|           | tio |                                                    |
|           | n** |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 19  |                                                    |
|           | B1. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | the |                                                    |
|           | co  |                                                    |
|           | ncr |                                                    |
|           | ete |                                                    |
|           | fo  |                                                    |
|           | oti |                                                    |
|           | ngs |                                                    |
|           | co  |                                                    |
|           | nst |                                                    |
|           | ruc |                                                    |
|           | ted |                                                    |
|           | acc |                                                    |
|           | ord |                                                    |
|           | ing |                                                    |
|           | to  |                                                    |
|           | S   |                                                    |
|           | ect |                                                    |
|           | ion |                                                    |
|           | 6   |                                                    |
|           | 01? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 05) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 19  |                                                    |
|           | B2. |                                                    |
|           | Was |                                                    |
|           | the |                                                    |
|           | bl  |                                                    |
|           | ock |                                                    |
|           | m   |                                                    |
|           | aso |                                                    |
|           | nry |                                                    |
|           | co  |                                                    |
|           | nst |                                                    |
|           | ruc |                                                    |
|           | ted |                                                    |
|           | plu |                                                    |
|           | mb? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 05) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 19  |                                                    |
|           | B3. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | the |                                                    |
|           | ve  |                                                    |
|           | rti |                                                    |
|           | cal |                                                    |
|           | joi |                                                    |
|           | nts |                                                    |
|           | sta |                                                    |
|           | gge |                                                    |
|           | red |                                                    |
|           | and |                                                    |
|           | the |                                                    |
|           | bl  |                                                    |
|           | ock |                                                    |
|           | ce  |                                                    |
|           | lls |                                                    |
|           | set |                                                    |
|           | ver |                                                    |
|           | tic |                                                    |
|           | al? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 05) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 19  |                                                    |
|           | B4. |                                                    |
|           | Was |                                                    |
|           | the |                                                    |
|           | bl  |                                                    |
|           | ock |                                                    |
|           | da  |                                                    |
|           | mpe |                                                    |
|           | ned |                                                    |
|           | to  |                                                    |
|           | red |                                                    |
|           | uce |                                                    |
|           | ab  |                                                    |
|           | sor |                                                    |
|           | pti |                                                    |
|           | on? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 05) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 19  |                                                    |
|           | B5. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | the |                                                    |
|           | b   |                                                    |
|           | ear |                                                    |
|           | ing |                                                    |
|           | m   |                                                    |
|           | emb |                                                    |
|           | ers |                                                    |
|           | and |                                                    |
|           | ve  |                                                    |
|           | rti |                                                    |
|           | cal |                                                    |
|           | joi |                                                    |
|           | nts |                                                    |
|           | bu  |                                                    |
|           | tte |                                                    |
|           | red |                                                    |
|           | f   |                                                    |
|           | ull |                                                    |
|           | of  |                                                    |
|           | m   |                                                    |
|           | ort |                                                    |
|           | ar? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 05) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 19  |                                                    |
|           | B6. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | all |                                                    |
|           | si  |                                                    |
|           | des |                                                    |
|           | of  |                                                    |
|           | bl  |                                                    |
|           | ock |                                                    |
|           | bon |                                                    |
|           | ded |                                                    |
|           | w   |                                                    |
|           | ith |                                                    |
|           | m   |                                                    |
|           | ort |                                                    |
|           | ar? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 05) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 19  |                                                    |
|           | B7. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | all |                                                    |
|           | joi |                                                    |
|           | nts |                                                    |
|           | co  |                                                    |
|           | nst |                                                    |
|           | ruc |                                                    |
|           | ted |                                                    |
|           | str |                                                    |
|           | aig |                                                    |
|           | ht, |                                                    |
|           | lev |                                                    |
|           | el, |                                                    |
|           | plu |                                                    |
|           | mb, |                                                    |
|           | flu |                                                    |
|           | sh, |                                                    |
|           | and |                                                    |
|           | ¼   |                                                    |
|           | to  |                                                    |
|           | ½   |                                                    |
|           | i   |                                                    |
|           | nch |                                                    |
|           | thi |                                                    |
|           | ck? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 05) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 19  |                                                    |
|           | B8. |                                                    |
|           | Was |                                                    |
|           | the |                                                    |
|           | m   |                                                    |
|           | aso |                                                    |
|           | nry |                                                    |
|           | bl  |                                                    |
|           | ock |                                                    |
|           | str |                                                    |
|           | uct |                                                    |
|           | ure |                                                    |
|           | a   |                                                    |
|           | llo |                                                    |
|           | wed |                                                    |
|           | to  |                                                    |
|           | c   |                                                    |
|           | ure |                                                    |
|           | acc |                                                    |
|           | ord |                                                    |
|           | ing |                                                    |
|           | to  |                                                    |
|           | S   |                                                    |
|           | ubs |                                                    |
|           | ect |                                                    |
|           | ion |                                                    |
|           | 552 |                                                    |
|           | .15 |                                                    |
|           | for |                                                    |
|           | 7   |                                                    |
|           | da  |                                                    |
|           | ys? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 05) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | *   |                                                    |
|           | *Me |                                                    |
|           | tal |                                                    |
|           | Co  |                                                    |
|           | nst |                                                    |
|           | ruc |                                                    |
|           | tio |                                                    |
|           | n** |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 1   |                                                    |
|           | 9C. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | the |                                                    |
|           | me  |                                                    |
|           | tal |                                                    |
|           | d   |                                                    |
|           | rop |                                                    |
|           | inl |                                                    |
|           | ets |                                                    |
|           | f   |                                                    |
|           | abr |                                                    |
|           | ica |                                                    |
|           | ted |                                                    |
|           | f   |                                                    |
|           | rom |                                                    |
|           | the |                                                    |
|           | s   |                                                    |
|           | ame |                                                    |
|           | ma  |                                                    |
|           | ter |                                                    |
|           | ial |                                                    |
|           | as  |                                                    |
|           | the |                                                    |
|           | adj |                                                    |
|           | oin |                                                    |
|           | ing |                                                    |
|           | me  |                                                    |
|           | tal |                                                    |
|           | pip |                                                    |
|           | es? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 06) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | *   |                                                    |
|           | *Gr |                                                    |
|           | ade |                                                    |
|           | A   |                                                    |
|           | dju |                                                    |
|           | stm |                                                    |
|           | ent |                                                    |
|           | of  |                                                    |
|           | Ex  |                                                    |
|           | ist |                                                    |
|           | ing |                                                    |
|           | Str |                                                    |
|           | uct |                                                    |
|           | ure |                                                    |
|           | s** |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 2   |                                                    |
|           | 0\. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | me  |                                                    |
|           | tal |                                                    |
|           | fra |                                                    |
|           | mes |                                                    |
|           | and |                                                    |
|           | gra |                                                    |
|           | tes |                                                    |
|           | ad  |                                                    |
|           | jus |                                                    |
|           | ted |                                                    |
|           | to  |                                                    |
|           | gr  |                                                    |
|           | ade |                                                    |
|           | bef |                                                    |
|           | ore |                                                    |
|           | p   |                                                    |
|           | lac |                                                    |
|           | ing |                                                    |
|           | the |                                                    |
|           | s   |                                                    |
|           | urf |                                                    |
|           | ace |                                                    |
|           | c   |                                                    |
|           | our |                                                    |
|           | se? |                                                    |
|           |     |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 07) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 2   |                                                    |
|           | 1\. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | f   |                                                    |
|           | ram |                                                    |
|           | es, |                                                    |
|           | cov |                                                    |
|           | ers |                                                    |
|           | and |                                                    |
|           | gra |                                                    |
|           | tes |                                                    |
|           | r   |                                                    |
|           | emo |                                                    |
|           | ved |                                                    |
|           | and |                                                    |
|           | cl  |                                                    |
|           | ean |                                                    |
|           | ed? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 07) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 2   |                                                    |
|           | 2\. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | the |                                                    |
|           | wa  |                                                    |
|           | lls |                                                    |
|           | t   |                                                    |
|           | rim |                                                    |
|           | med |                                                    |
|           | d   |                                                    |
|           | own |                                                    |
|           | to  |                                                    |
|           | so  |                                                    |
|           | lid |                                                    |
|           | mat |                                                    |
|           | eri |                                                    |
|           | al? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 07) |                                                    |
+-----------+-----+----------------------------------------------------+
| **Conf    | **  |                                                    |
| ormance** | CHE |                                                    |
|           | CKS |                                                    |
|           | (   |                                                    |
|           | cha |                                                    |
|           | rac |                                                    |
|           | ter |                                                    |
|           | ist |                                                    |
|           | ics |                                                    |
|           | )** |                                                    |
+-----------+-----+----------------------------------------------------+
| **[       |     |                                                    |
| Yes]{.und |     |                                                    |
| erline}** |     |                                                    |
| **        |     |                                                    |
| [No]{.und |     |                                                    |
| erline}** |     |                                                    |
| **[N      |     |                                                    |
| .A.]{.und |     |                                                    |
| erline}** |     |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 2   |                                                    |
|           | 3\. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | the |                                                    |
|           | wa  |                                                    |
|           | lls |                                                    |
|           | r   |                                                    |
|           | eco |                                                    |
|           | nst |                                                    |
|           | ruc |                                                    |
|           | ted |                                                    |
|           | w   |                                                    |
|           | ith |                                                    |
|           | the |                                                    |
|           | s   |                                                    |
|           | ame |                                                    |
|           | ma  |                                                    |
|           | ter |                                                    |
|           | ial |                                                    |
|           | as  |                                                    |
|           | ex  |                                                    |
|           | ist |                                                    |
|           | ing |                                                    |
|           | and |                                                    |
|           | w   |                                                    |
|           | ere |                                                    |
|           | the |                                                    |
|           | c   |                                                    |
|           | lea |                                                    |
|           | ned |                                                    |
|           | fra |                                                    |
|           | mes |                                                    |
|           | re  |                                                    |
|           | set |                                                    |
|           | at  |                                                    |
|           | the |                                                    |
|           | re  |                                                    |
|           | qui |                                                    |
|           | red |                                                    |
|           | e   |                                                    |
|           | lev |                                                    |
|           | ati |                                                    |
|           | on? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 07) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 2   |                                                    |
|           | 4\. |                                                    |
|           | W   |                                                    |
|           | hen |                                                    |
|           | ca  |                                                    |
|           | tch |                                                    |
|           | bas |                                                    |
|           | ins |                                                    |
|           | and |                                                    |
|           | inl |                                                    |
|           | ets |                                                    |
|           | w   |                                                    |
|           | ere |                                                    |
|           | ad  |                                                    |
|           | jus |                                                    |
|           | ted |                                                    |
|           | to  |                                                    |
|           | gr  |                                                    |
|           | ade |                                                    |
|           | and |                                                    |
|           | ab  |                                                    |
|           | utt |                                                    |
|           | ing |                                                    |
|           | ex  |                                                    |
|           | ist |                                                    |
|           | ing |                                                    |
|           | co  |                                                    |
|           | ncr |                                                    |
|           | ete |                                                    |
|           | c   |                                                    |
|           | ons |                                                    |
|           | tru |                                                    |
|           | cti |                                                    |
|           | on, |                                                    |
|           | w   |                                                    |
|           | ere |                                                    |
|           | the |                                                    |
|           | ca  |                                                    |
|           | sti |                                                    |
|           | ngs |                                                    |
|           | sep |                                                    |
|           | ara |                                                    |
|           | ted |                                                    |
|           | f   |                                                    |
|           | rom |                                                    |
|           | the |                                                    |
|           | ad  |                                                    |
|           | jac |                                                    |
|           | ent |                                                    |
|           | co  |                                                    |
|           | ncr |                                                    |
|           | ete |                                                    |
|           | w   |                                                    |
|           | ith |                                                    |
|           | a   |                                                    |
|           | pre |                                                    |
|           | for |                                                    |
|           | med |                                                    |
|           | exp |                                                    |
|           | ans |                                                    |
|           | ion |                                                    |
|           | jo  |                                                    |
|           | int |                                                    |
|           | no  |                                                    |
|           | l   |                                                    |
|           | ess |                                                    |
|           | t   |                                                    |
|           | han |                                                    |
|           | ½   |                                                    |
|           | i   |                                                    |
|           | nch |                                                    |
|           | thi |                                                    |
|           | ck? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 07) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 2   |                                                    |
|           | 5\. |                                                    |
|           | Was |                                                    |
|           | e   |                                                    |
|           | ach |                                                    |
|           | str |                                                    |
|           | uct |                                                    |
|           | ure |                                                    |
|           | c   |                                                    |
|           | lea |                                                    |
|           | ned |                                                    |
|           | of  |                                                    |
|           | all |                                                    |
|           | ac  |                                                    |
|           | cum |                                                    |
|           | ula |                                                    |
|           | ted |                                                    |
|           | si  |                                                    |
|           | lt, |                                                    |
|           | d   |                                                    |
|           | ebr |                                                    |
|           | is, |                                                    |
|           | or  |                                                    |
|           | f   |                                                    |
|           | ore |                                                    |
|           | ign |                                                    |
|           | m   |                                                    |
|           | att |                                                    |
|           | er? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 07) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 2   |                                                    |
|           | 6\. |                                                    |
|           | If  |                                                    |
|           | an  |                                                    |
|           | ex  |                                                    |
|           | ist |                                                    |
|           | ing |                                                    |
|           | str |                                                    |
|           | uct |                                                    |
|           | ure |                                                    |
|           | was |                                                    |
|           | aba |                                                    |
|           | ndo |                                                    |
|           | ned |                                                    |
|           | w   |                                                    |
|           | ere |                                                    |
|           | all |                                                    |
|           | pi  |                                                    |
|           | pes |                                                    |
|           | en  |                                                    |
|           | ter |                                                    |
|           | ing |                                                    |
|           | the |                                                    |
|           | str |                                                    |
|           | uct |                                                    |
|           | ure |                                                    |
|           | sea |                                                    |
|           | led |                                                    |
|           | w   |                                                    |
|           | ith |                                                    |
|           | a   |                                                    |
|           | ti  |                                                    |
|           | ght |                                                    |
|           | f   |                                                    |
|           | itt |                                                    |
|           | ing |                                                    |
|           | p   |                                                    |
|           | lug |                                                    |
|           | of  |                                                    |
|           | co  |                                                    |
|           | ncr |                                                    |
|           | ete |                                                    |
|           | not |                                                    |
|           | l   |                                                    |
|           | ess |                                                    |
|           | t   |                                                    |
|           | han |                                                    |
|           | 6   |                                                    |
|           | inc |                                                    |
|           | hes |                                                    |
|           | th  |                                                    |
|           | ick |                                                    |
|           | or  |                                                    |
|           | wa  |                                                    |
|           | ter |                                                    |
|           | ti  |                                                    |
|           | ght |                                                    |
|           | m   |                                                    |
|           | aso |                                                    |
|           | nry |                                                    |
|           | not |                                                    |
|           | l   |                                                    |
|           | ess |                                                    |
|           | t   |                                                    |
|           | han |                                                    |
|           | 8   |                                                    |
|           | inc |                                                    |
|           | hes |                                                    |
|           | thi |                                                    |
|           | ck? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 07) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 2   |                                                    |
|           | 7\. |                                                    |
|           | Was |                                                    |
|           | the |                                                    |
|           | b   |                                                    |
|           | ase |                                                    |
|           | of  |                                                    |
|           | the |                                                    |
|           | co  |                                                    |
|           | ncr |                                                    |
|           | ete |                                                    |
|           | str |                                                    |
|           | uct |                                                    |
|           | ure |                                                    |
|           | fra |                                                    |
|           | ctu |                                                    |
|           | red |                                                    |
|           | to  |                                                    |
|           | p   |                                                    |
|           | rev |                                                    |
|           | ent |                                                    |
|           | e   |                                                    |
|           | ntr |                                                    |
|           | apm |                                                    |
|           | ent |                                                    |
|           | of  |                                                    |
|           | wat |                                                    |
|           | er? |                                                    |
|           |     |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 07) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 2   |                                                    |
|           | 8\. |                                                    |
|           | Was |                                                    |
|           | the |                                                    |
|           | top |                                                    |
|           | of  |                                                    |
|           | the |                                                    |
|           | str |                                                    |
|           | uct |                                                    |
|           | ure |                                                    |
|           | ob  |                                                    |
|           | lit |                                                    |
|           | era |                                                    |
|           | ted |                                                    |
|           | to  |                                                    |
|           | an  |                                                    |
|           | ele |                                                    |
|           | vat |                                                    |
|           | ion |                                                    |
|           | at  |                                                    |
|           | le  |                                                    |
|           | ast |                                                    |
|           | 3   |                                                    |
|           | f   |                                                    |
|           | eet |                                                    |
|           | be  |                                                    |
|           | low |                                                    |
|           | fi  |                                                    |
|           | nis |                                                    |
|           | hed |                                                    |
|           | gr  |                                                    |
|           | ade |                                                    |
|           | and |                                                    |
|           | b   |                                                    |
|           | ack |                                                    |
|           | fil |                                                    |
|           | led |                                                    |
|           | acc |                                                    |
|           | ord |                                                    |
|           | ing |                                                    |
|           | to  |                                                    |
|           | S   |                                                    |
|           | ect |                                                    |
|           | ion |                                                    |
|           | 2   |                                                    |
|           | 09? |                                                    |
|           | (6  |                                                    |
|           | 04. |                                                    |
|           | 07) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 2   |                                                    |
|           | 9\. |                                                    |
+-----------+-----+----------------------------------------------------+
| Percent   |     | $\frac{\text{Yes}}{\text{Yes + No}}(\text{100})$=  |
| Co        |     | $\frac{\text{                   }}{}(\text{100})$= |
| nformance |     | $\frac{\text{               }}{}\text{\%}$         |
|           |     | Conformance                                        |
| Cal       |     |                                                    |
| culations |     |                                                    |
+-----------+-----+----------------------------------------------------+

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