Form 700-050-54 "Daily Report of Truck-Measured Material Site Source Record" - Florida

What Is Form 700-050-54?

This is a legal form that was released by the Florida Department of Transportation - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2017;
  • The latest edition provided by the Florida Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 700-050-54 by clicking the link below or browse more documents and templates provided by the Florida Department of Transportation.

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Download Form 700-050-54 "Daily Report of Truck-Measured Material Site Source Record" - Florida

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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
700-
050-54
DAILY REPORT OF TRUCK-MEASURED MATERIAL
CONSTRUCTION
02/17
SITE SOURCE RECORD
Contractor Code: Designate Trucking Contractor/Sub Name
A
FIN. PROJ ID.:
B
PAY ITEM NO.
C
DATE:
D
NOTE: Click the next consecutive number for every truck as each load is received and note the time
TRUCK
TOTAL
Contr.
of dump under load number (example 3:30 pm). If loads are not used for a truck, keep the remaining
TRUCK
CAPACITY
VOLUME
Code
NO.
load counts (boxes) empty.
A-D
LOADS
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
0.00
TOTAL VOLUME FOR DAY
Comments:
COPY TO CONTRACTOR UPON REQUEST
INSPECTOR’S SIGNATURE
ATTENTION – ONLY ORIGINAL FORM/DOCUMENTATION ACCEPTED
of
Sheet
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
700-
050-54
DAILY REPORT OF TRUCK-MEASURED MATERIAL
CONSTRUCTION
02/17
SITE SOURCE RECORD
Contractor Code: Designate Trucking Contractor/Sub Name
A
FIN. PROJ ID.:
B
PAY ITEM NO.
C
DATE:
D
NOTE: Click the next consecutive number for every truck as each load is received and note the time
TRUCK
TOTAL
Contr.
of dump under load number (example 3:30 pm). If loads are not used for a truck, keep the remaining
TRUCK
CAPACITY
VOLUME
Code
NO.
load counts (boxes) empty.
A-D
LOADS
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
1
2
3
4
5
6
7
8
9
10
0.00
0.00
TOTAL VOLUME FOR DAY
Comments:
COPY TO CONTRACTOR UPON REQUEST
INSPECTOR’S SIGNATURE
ATTENTION – ONLY ORIGINAL FORM/DOCUMENTATION ACCEPTED
of
Sheet