HomeMy WebLinkAbout2316 S Chase St - Engineering
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City of Port Angeles
Public Works Department
Water Distribution Repair Report
IWork Order No:
/7 ~t{
Reported. LLtJ1J JLD
Repaired. 11-1.11J D-D
Repair Location.
Component Repaired.
Main.
Service:
Line Valve:
Hydrant:
Other:
Condition.
Source
Emergency
Citizen Complaint
Leakage Survey _
Icrew.
7/(/
I
Routine
V
Other
Address
23) /:,
C 11la ~z
Loc. Description.
Main Line IDN:
Joint Cir Break
Long. Break _ Hole
Tap _ Corp Stop_
Flange Nuts, Bolts
Branch Valve
Split Bell _
Clamp _
Pipe /
Stem
Barrel
Other
Curb Stop _
Bonnet
Repair Type: Clamp V'.
Dresser
Other
Site Condition: Surface
Curb
Damage:
Gravel Roadway _ Asphalt Street _ Sidewalk
Top Soil Area _ Soil Type _
IV 6JJ-L.
Cuts: Street Cut: Ft.
Main Condition.
Apparent Cause of Leak:
5/19/98
Curb Cut: Ft.
Sidewalk Cut: Ft.
2" c -J-
Diameter' Inches
Material.
Depth of Cover- Ft.
Internal Lining:
Tuberculation: NtA
External Corrosion. Nt A
Special Conditions: Bedding:
Other Structures:
l'
,. .
Joint Type:
External Prot:
Minor
LocalIZed
Severe
Extensive
Samples Taken: Pipe Section _
Water Off: From..Ki _1_
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PW-902.09
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CITY OF .PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . .
J?-f2-
//
REQUEST
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Date ~ h - J..('>C">
Time
Received by
(phone, person)
Q3) t .~h(~S~ 5+ I
fi ^- 'I \ \ c o-.:x
,1 --I fh <fr J3 Phone No
Permit No
Plumbing Final Sewer Excav Other (~ ,c-\ =t-e;y-
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney
INSPECTION NOTES
Inspected Date Time By
Remarks ,,48.14/1 d () Vf r <I. ("~ J f":1 5 t? V U I C --i?
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RESTORATION REQUIRED Ai1- YES NO
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SURFACE RESTORATION /'
SURFACE TYPE 0 Unimproved 0 Gravel []1(sphalt 0 pec 0 Other
[] Repaired by City Work Order # J 7 s-:::L
[] Repaired by Permittee ~ COMPLETE 3-1' -t1/ /II #~ I\J_____-
CI No Damage Found 0 INCOMPLETE =-tV-
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STREET SUPERINTENDENT
(DATE)
uc..v -2c)C;>1- It"2.cr
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . . . .
REQUEST
Date } 1- 11--- 00
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)
?-.-3J L
ItA) i ,
({-(--it
ChttS<
~ t-rr- Phone No
Permit No
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--
~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date
Remarks
Time
t:{-e.~~y
PI p-i( I ( I +=l
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1 By Z
(.,1 LI ~~ r:l rcr -,/,
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RESTORA TION RE(~UIRED ~^I YES NO t/
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
[]"COMPLETE
o INCOMPLETE
o Other
/1 ~ r
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)