Coating Inspection Cover Sheet

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Testing Equipment

(attach tape samples if applicable)

Surface Prep Required

psi

Coating Application Required

Stripe Coating
psi

Below Grade Coating

Above Grade Coating

Row
Date
Time
TA
Ts
TD
RH
DFT
PROFILE
REDUCER Type
REDUCER Amount
Insp Initial
Comments
 
Clear Signature
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Clear Signature
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Clear Signature
MM slash DD slash YYYY