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Construction
Final Punch list
Instructions for Use: This form should be completed by the LPA RC and provided to the contractor to identify the items that need to be addressed
prior to closing out the project. These items will be rechecked until all are resolved. This form may include deficiency in documentation regarding
certifications, payrolls, test results, etc. The LPA RC is responsible for adding a copy of the completed checklist to the project correspondence log in
SiteManager.
Local Public Agency (LPA):

LPA Responsible Charge:

State Project No.:

Project Name and Location:

State Control No.:

Date of Review:

This Form was Completed By:

Item
#

Items that need to be addressed prior to project acceptance

Completed
Yes

No

If No, Define Corrective Action

N/A

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

12-75, May 10

Version 1.00

Checklist No. 12-75

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Item
#

Items that need to be addressed prior to project acceptance

Completed
Yes

No

If No, Define Corrective Action

N/A

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

12-75, May 10

Version 1.00

Checklist No. 12-75