Form CEM-4701 "Drainage System Summary" - California

What Is Form CEM-4701?

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

Form Details:

  • Released on May 1, 2001;
  • The latest edition provided by the California 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 CEM-4701 by clicking the link below or browse more documents and templates provided by the California Department of Transportation.

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Download Form CEM-4701 "Drainage System Summary" - California

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STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
JOB STAMP
DRAINAGE SYSTEM SUMMARY
CEM-4701 (REV 5/2001) CT# 7541-3521-2
(SEE REVERSE FOR PAGE 2)
DRAINAGE SYSTEM NUMBER
PLAN. STA.
"AS BUILT" STA.
PROGRESS RECORD
STAKED:
BY:
ITEM NUMBER
DATE
ENGR.
REMARKS
ESTIMATE OF WORK COMPLETED
ITEM NUMBER
REF.
REF.
REF.
REF.
REF.
REF.
REF.
REF.
PLAN Q
#
#
#
#
#
#
#
ADJUST Q
ACTUAL Q
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
JOB STAMP
DRAINAGE SYSTEM SUMMARY
CEM-4701 (REV 5/2001) CT# 7541-3521-2
(SEE REVERSE FOR PAGE 2)
DRAINAGE SYSTEM NUMBER
PLAN. STA.
"AS BUILT" STA.
PROGRESS RECORD
STAKED:
BY:
ITEM NUMBER
DATE
ENGR.
REMARKS
ESTIMATE OF WORK COMPLETED
ITEM NUMBER
REF.
REF.
REF.
REF.
REF.
REF.
REF.
REF.
PLAN Q
#
#
#
#
#
#
#
ADJUST Q
ACTUAL Q
DRAINAGE SYSTEM SUMMARY
CEM-4701 (REV 5/2001) CT# 7541-3521-2
(SEE REVERSE FOR PAGE 1)
CUT
PAY
PIPE
GROUND
GRADE
ROD
DEPTH
STATION
ELEV.
ELEV.
FILL
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TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
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