46 



e. Kind of Bearing Pile 



f.v (#) Treatment of wooden piles: 



Method 



By whom 



g. (#) Composition of concrete: 



Mixture Reinforcement 



Seasoning time allowed 



h. Number of Bearing Piles 



i. Date of completion 



III. Exposure Data: 



a. Distance to nearest structures 



b. Do you keep a salinity record?.. Wijl you? 



c. Sewage or other local contamination 



d- Borer most numerous 



e. Position with reference to shore 



f. Tidal and current conditions 



IV. Repair Data: (Furnish layout plan). 



a. Repairs: Date Number Nature (#) 



b. Replacements : Date Number Kind 



(#)If wooden piles: Treatment 



By Whom 



Method . 



(#)If concrete: Composition: ; 



Proportions 



Reinforcements 



Seasoning Time ..... 



V. Inspection Data: (Furnish layout plan). 



a. Date 



b. By whom performed _ 



c. Nature of deterioration: 



Mechanical Damage 



Decay 



Borers 



VI. Have you photographs illustrating points of interest under any of 



the above headings ? _ 



Report made by 



Title 



Place 



Date 



(#)For items thus indicated, as detailed information as 

 possible is desired. For example, for creosoted piles it is of 

 great value to know the origin and analysis of the oil used in 

 treatment, whether the piles were water stored before treat- 

 ment, etc. Use extra sheets if necessary. 



