HomeMy WebLinkAbout897 Pearce Rd - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date .3 -- '5 i - D 5
Time ..3 ~o n0 Received by Z>evt~tS
(phone, person)
Location of Work to be inspected ?l9 7 Pee--.. ~ <- e
Name of person requesting inspection Vev.............. oS i:::-_
Address of person requesting inspection ~f~ Yo.-r&!
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
1212
Phone No
Sewer Exca:er~;h€ ~~
INSPECTION NOTES
Inspected Date S - -:> I - 0>
Remarks
Time 0 G 0 ~C0 By De..'\V\.. s ~
RESTORATION REQUIRED
t:V
l,~ - Y
~i.-~\'
~ r C rfy (?<,SeM6cf
YES
NO ;<-
" I.
4 c\ k-~ff e''"' + VI? t?
1.-0/ t" P E--t vh~
\
2.0 c _C .
iJ cd ~ .{ IVlc... I V'-
------".._-~.-
SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt
OPCC
o Other
27/5'
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
gj COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
LIty 01 l.Jort Angeles
Public 'V orks Departnlent ItT~-# .J."7 I~-
\\1 ater Distribution Repair Report
'Work Order No'
ICrew
DATE REPORTED- .5 "3 (- 0 3
CONDITION EJv1ERGENCY ~ ROUTINE D CITIZEN COlvlPLAINT t!(
LEAKAGE SURVEY D OTHER D
DATE OF REPAIR 3 - ~ ( - 0 '5
TIME 3-30 - 700 DA.M. )QP.M.
REP AIR LOCATION ADDRESS 89 7
rec,-rc e r<eR
TYPE OF MAIN C OK-L V" e f.e C yf SIZE 2D ,.,
DEPTH OF MAIN fJ/A CLOSEST VALVE DEPTH. ~
COtvIPONENT REPAIRED.
MAIN JOINT 0 cm. BREAK 0 SPLIT BELL- 0 LONG BREAK 0
HOLE D CLANW 0 OTHER
SERVICE TAP 0 CORP STOP 0 PIPE}ll(' CURB STOP 0 FITTING 0
Jv1ETER SETTER D METER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
COtvIPONENTS OF REPAIR. CLAMPO DRESSERO OTHER P-/~ -f u b, ~,/ co /AA-f /-)'1./0.'t_ I1A.. + r 5hA,
:5 -r L
SITE CONDITION GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA 1:J.. SOIL TYPE AJe;...-f, vie..
CUTS ASPHALT CUT _IT CURB CUT _IT SIDEWALK_IT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING !J IA TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION' LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE ~P.P.M.
WATER OFF FROM Lf fi) M.TO to 'lDIM.
FROM M. TO M.
APPARENT CAUSE OF LEAK. ~e..d I(-~
LIty 01 l.Jort Angeles
Public 'V orks Departnlent +\ ~ ~ '"2..=t-1 S-
'" ater Distribution Repair Report
'Work Order No
CONDITION
~7JS-
I
3-31-6'3
EJv1ERGENCY 0 ROUTINE 0 CITIZEN COtvIPLAINT ~
LEAKAGE SURVEY 0 OTHER 0
, Crew
7/((
,
DATE REPORTED
TYPE OF MAIN
if - ')... 7- c/l TIME.
ADDRESS .t 91
~ D'e C - C SIZE.
DA.M. DP.M.
jJ--eCAVC~ IR.d,
DATE OF REPAIR.
REP AIR LOCA nON
DEPTH OF MAIN
CLOSEST VALVE DEPTII.
COtvIPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL~ LONG BREAK 0 . ,-
HOLE 0 CLANW 0 OTHER ~ ,f) -e wI' r 5-e rv; c -e J-h n-1 .
SERVICE TAP 0 CORP STOP 0 PIPdCURB STOP 0 FITTING 0 '1f1 ctt'Yl +0 ~r
METER SETTER 0 METER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
COtvIPONENTS OF REP AIR. CLAMPO DRESSERO OTHER
SITE CONDIT10N GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
cms ASPHALT cm _FT CURB CUT _FT SIDEWALK_FT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING TIJBERCULA T10N-MINOR 0 SEVERE 0
EXTERNAL CORROS10N LOCALIZED 0 EXTENSIVE 0
Cffi.,ORINE RESIDUAL SAMPLE ' :2./ P.P.M.
WATEROFF FROM 9/ 3b~. TO 2. p~.
L LJ () u)-e 0 l/ +- 0 p-
.5 e i/-€ f-,-e IT rcJYY1 (;--cJ) F COC{J-5.tC.
~e:;t/:;:Ci f-qn f /'/-""c,4f?,. 1'- A'd',
M.TO M.
olel IJh t-J-I-e i-j-hl)U \OP/?-e;-
~ /u ~-e--/-t'r- e-ould +a.k~
~~n Y'-€ '
FROM
APPARENT CAUSE OF LEAK.
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