Form No. C-109
Rev. 5/02
NEW MEXICO DEPARTMENT OF TRANSPORTATION
WEEKLY STATEMENT OF WORK DAYS
Project Number ___________________________
For the Period
___________________________ Thru _________________________
DATE
LEGEND
SUNDAY
__________ = __________
MONDAY
__________ = __________
TUESDAY
__________ = __________
WEDNESDAY __________ = __________
THURSDAY
__________ = __________
FRIDAY
__________ = __________
SATURDAY
__________ = __________
Working Days Used This Period
__________________________________________
Working Days Previously Counted __________________________________________
Total Working Days to Date
__________________________________________
Number Working Days Allowed
______________ Days Remaining _____________
_________________________________________
PROJECT MANAGER
LEGEND:
Working Day
Non-Working Day
Rain
Snow
High Wind
Frozen Ground
Wet Ground
Cold
Holiday
Saturday
Sunday
REMARKS:
= WD
=
=
=
=
=
=
=
=
=
R
Sn.
HW
Gr.
Wg.
C
H
SA
SU
Form No. C-109
Rev. 5/02