HomeMy WebLinkAbout615 Whidby Ave - Engineering
CIty ot Port Angeles
Public Works Department \)t..U - ,,00+ - 2/1 S-
", ater Distribution Repair Report
IWork Order No: 2.11~
ICrew 715- - 71(. - 7/7- 71?
DATE REPORTED S-IO -02-
CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT 0
LEAKAGE SURVEY 0 OTIIER 0
DATE OF REPAIR. 5 - /4 - oL TIME. Cj ~A.M. DP.M.
REP AIR LOCA TI0N ADDRESS 01 S tJti-lj bev
L1 I (
TYPE OF MAIN rI L SIZE. <;?'
DEPTH OF MAIN !J -A CLOSEST VALVE DEPTH. f.I A
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL. 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTIIER
SERVICE TAP 0 CORP STOP 0 PIPE 0 CURB STOP 0 FITTING 0
METER SETTER 0 METER 0
LINE VALVE. FLANGE NUTS/BOLTS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER. Bp.~ s/Je oJ( vvte1er Ci.vtd S-r- -fo"(/~d~d.s ~JS1L
COMPONENTS OF REPAIR. CLAMPO DRESSERO OTHER
SITE CONDITION GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOn.. AREA 0 SOn.. TYPE
CUTS ASPHALT CUT _FT CURB CUT _FT SIDEWALK_FT
DRIVEWAY CUT _FT
MAIN CONDITION INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE . 91 P.P.M.
WATEROFF FROM 0 A M. TO ?f50AM.
FROM M. TO M.
APPARENT CAUSE OF LEAK. JJ Ii
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT . . . . . .
.t> t.v - ';l...oo'1 - "2..11 .s-
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REQUEST
Date -5" -ILl - 0 Z-
Time
Received by
(phone, person)
Location of Work to be inspected t I~- tJtl.-id b.ey
D .'- I ' ~f
Name of person requesting inspection l: 1'::~j(v\.Pl'c",-
Address of person requesting inspection Corn '(4.;J' Phone No
I
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~'-+ c: r
INSPECTION NOTES
Inspected 9fite Time By
Remarks K~t),z(-r w.:;.fe,-- Yt2rvcc.e hek(~d wC<..f-~( tIA_e..:-ter
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RESTORATION REQUIRED
YES ><
NO
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC
Work Order # 2." S-
O COMPLETE
o INCOMPLETE
o Other ~,j) 501 {
I
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DA TE)