HomeMy WebLinkAbout1218 C St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . INSPECTION REPORT. . . . . . . .
REQUEST
Date '3 -] C{ - G I
Time
Received by
(phone, person)
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Location of Work to be inspected / .1- ( 0 --) ( L '7 I (
Name of person requesting inspection --;--{ U ,~, t:'{) 7<
Address of person requesting inspection /1 {Ii t- (J,/ Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other (A-J C'-jr~
INSPECTION NOTES
Inspected
Remarks
Date
Time
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By
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RESTORATION REQUIRED
//
YES t/ NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
;'C\.),//'( (tv;'
~It 0 PCC _ Q Other
Work Order # 2/5 b
o COMPLETE
[]:l.-tNCOM PLETE
I -1=
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(Continue on reverse side if necessary)
(DATE)
CIty of l)ort Angeles lAJ P OOO"G{ 50
Pu blic '" orks Departnlent
'" ater Distribution Repair Report
IWork Order No ,~I )lp ,
DATE REPORTED' 3-- I q - () '3
CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT ~/
LEAKAGE SURVEY 0 OTHER 0
1"'1 lGl /')
DATE OF REPAIR. -5 - - (),? TIME
I Crew'
11(/
(
REP AIR LOCATION ADDRESS
TYPE OF MAIN ;11 ( c -r
-
'7 A ti'l
J~($ 5;
,
OA.M. OP.M.
e s- +,
SIZE.
DEPTH OF MAIN
CLOSEST VALVE DEPTH.
COMPONENT REPAIRED.
MAIN JOINT.O ..,....eIR. BREAK 0 SPLIT BELL. 0 LONG BREAK 0
HOLE ....... CLAMP 0 OTHER
SERVICE TAP 0 CORP STOP 0 PIPE ~URB STOP 0 FITTING 0
METER SETTER 0 METER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT
BRANCH 0 VALVED BARREL 0
.; /u I-In.) (e il !J-e (.A..J
1~(9 M(' D V /JacA 5(~ 'f
() F- crn--P-f-t' y-
OTHER.
COMPONENTS OF REPAIR. CLAMPO DRESSERO OTHER
SITE CONDITION GRA VEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA 0 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 0 EXTENSIVE 0
'7 1.
CHLORINE RESIDUAL SAMPLE ,;; 1 P.P.M,
WATER OFF FROM
M.TO
M.
FROM M. TO
M.
/3 Y' (/H-e
IJ/U~? fc/h-e.
APPARENT CAUSE OF LEAK.. b ~
j)/
,
LOC~TION
GEN LOC
REQ DEPT
REQUESTOR
USER ID
Water
98362
LOC ID
*REPRINT*
PAGE
REQUEST DATE
PRINT DATE
PRINT TIME
SCHEDULE
START
COMPLETION
1
3/18/03
3/20/03
11 54 00
DATES
3/18/03
3/18/03
City of Port Angeles
WORK REQUEST
WF0002156 / 001 PROJECT
DWMC Water Maintenance Crew
1218 S C ST
REQ/JOB
CREW
PW-Drinking Water PRIORITY
Doyle McGinley ORIGIN
DMCGINLE AUTH DMCGINLE WORK TYPE
leak at water meter, City side of meter
96906
REF NBR
Emergency
Telephone
Routlne
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
REQUEST COMMENTS
The repairs must be completed by 9am, if repairs
con not be made by 9am then we must use a jumper
hose from next door
------------------------------------------------------------------------------
------------------------------------------------------------------------------
Water leak at water
Category code
Task coae
Facility ID
Assigned D~partment
Start tlme
meter, City
Water Dist
Repair
PW-Drinking
side of meter, Hair Smith,
System DWDS
REPA
Water
Stop time
INSTRUCTIONS
wacer serVlce is OFF, repaires must be completed
by 9am If the repairs are not completed by 9am
then we will use a jumper from next door
Fixed leak on the back-side of meter setter
====~~\t=J?~~~=======================================================
START DATE ____/____/____ COMPLETION DATE ____/____/
UNIT OF PRODUCTION
Each
QUANTITY
===============================================================================
LABOR
EMPLOYEE HRS
EQUIPMENT
NUMBER HRS
MATERIAL
ITEM
QTY
COST
?tJ4N
L-
I to; ~ '-'
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