HomeMy WebLinkAbout112 Viewcrest Ave - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
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REQUEST f) "
Date 1- 1- tA.ui)
I
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
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Phone No
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other i -f" ' '" t I'//"
INSPECTION NOTES
Inspected
Remarks
Date
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YES V NO
RESTORATION REQUIRED
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
[] Repaired by City
[] Repaired by Permittee
[] No Damage Found
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o Asphalt (J..peC' 0 Other -/;~ P 5'~\ I L
Work Order # j 7 G ? ~ C' (" (
~ COMPLETE2~/) "j ;7 ~Lv ~ .
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STREET SUPERINTENDENT (DATE)
City of Port Angeles
Public Works Department
Water Distribution Repair Report
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'Work Order No: 1'1 t; ~
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Reported: ~/ _~~"J Ai)!' I
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Repaired: i/ -l/ -M iJ I
Repair Location:
Component Repaired:
Main:
Service:
Line Valve:
Hydrant:
Other:
'Crew:
7/((
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Condition.
Source.
Emergency Routine
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Citizen Complaint
Leakage Survey _ Other
Address.
Loc. Description.
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Main Line In#:
Joint Cir Break
Long. Break _ Hole
Split Bell _
Clamp _
Pipe /
Stem
Barrel
Other
Tap _ Corp Stop_
Flange Nuts, Bolts
Branch Valve
Curb Stop _
Bonnet
Repair Type: Clamp _
Site Condition: Surface
Curb
D~e:
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Dresser Other ;C -I::- /// P -<( t- (c ' j)f7,lj tIff) I cJ'1
Gravel Roadway Asphalt Street Sidewalk t/
Top Soil Area ~ Soil Type _ -
Main Condition:
Cuts: Street Cut: Ft.
Sidewalk Cut: Ft.
Apparent Cause of Leak:
5/19/98
Curb Cut: Ft.
Diameter' Inches 9 I J4 C_
Material.
Depth of Cover' Ft. y ,
Internal Lining:
,-
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Joint Type:
External Prot:
Tuberculation: N/ A
External Corrosion. N/ A
Special Conditions: Bedding:
Other Structures
Minor
Localized
Severe
Extensive
Samples Taken: Pipe Section _
Coupon _ /b ~ ;V-Z.
Water Off: From L/ J!i./ () ( To ~)f-M
From L/_:KJ,,(.il To -LL4:...M
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Page 1
PW-902.09