HomeMy WebLinkAbout1323 McDonald St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
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REQUEST
Date It - 7 - 0 L
Time
Received by
(phone, person)
Location of Work to be inspected 13 Z 3 J1/(L- DDVLC<.. (d
Name of person requesting inspection 1:> "q-k~
Address of person requesting inspection 6-r o......rd
Type of Inspection (circle appropriate one)
Phone No
Permit No t:S
Sewer Excav Oth0 +<.-r-)
Sewer Foundation Framing
Chimney Plumbing Final
INSPECTION NOTES
Inspected Date 1(- 7 - () 2-
Remarks Re.JJla..ce 20( 1'-1/ L
I
Time
C\.uA eI of-
By .1) E.S i ~}-h___
I,;r f!- c. i-iJ-t",~ +-D M-e -{ e r .
RESTORATION REQUIRED
YES
NO ><
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TA
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved EI Gravel 0 Asphalt
OPCC
[2;l Other ~J1S C I (
{J
22-52
~Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
Pif COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DA TE)
CIty of Port Angeles
Public 'Vorks Departnlent
'Vater Distribution Repair Report
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IWork Order No: Z ~5-Z
ICrew 7tcf{ (rs~ 7/(,./7171 7rS; 7tCj I
DATE REPORTED (( - 7 - D'L
CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT ~
LEAKAGE SURVEY 0 OTHER 0
TYPE OF MAIN
If - 7-0'2- TIME ( 30
ADDRESS 13 Z- "3 Me 00 Yl-o<- (od
f!,; C Sck.~sIZE. 2((
DA.M. )Cl,P.M.
5+. Oc:~c<-,"-- l/;e0 '7;=c,-\(er Wk
DATE OF REPAIR.
REPAIR LOCATION
DEPTH OF MAIN 33 D ({
CLOSEST VALVE DEPTH.
tJ.A
COMPONENT REPAIRED.
MAIN JOINT D CIR BREAK D SPLIT BELL- D LONG BREAK M.. ?
HOLE 0 CLAMP D OTHER orokev.. ~v btlCk~L
/
SERVlCE TAP}l! CORP STOP D PIPE D CURB STOP D FITTING D
METER SETTER 0 METER 0
LINE VALVE. FLANGE NUTSIBOLTS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VALVE 0 BARREL D
OTHER.
COMPONENTS OF REPAIR. CLAMPD DRESSER/( OTHER ~// l~~ 6t\LlA l €-
SITE CONDITION GRAVEL)!l: ASPHALT D SIDEWALK D CURB 0
TOP SOIL AREA:&. SOIL 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 D EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE P.P.M.
WATER OFF FROM 1-;3D P M. TO L "'5 PM,
( 50, Res
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