HomeMy WebLinkAbout405 E 7th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
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REQUEST
Date I () - Z L - 0 L
Time
Received by
(phone, person)
t.(OLJ E 7+S
Location of Work to be inspected _
Name of person requesting inspection 1) ~J5'(V\.5 ~ o v\.
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit N~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other~~-f e ~
INSPECTION NOTES
Inspected Date 10- L Z- D L Time
Remarks Re.;JeJ...,or i1A...':<"t'n.. br-e.a...k WI +l
I
By
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I
RESTORATION REQUIRED
YES
NO
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-~ ~ 3' Deep Q
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 22 '-It.{
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty of Port Angeles
Public Works Departnlent 0~ -'2--sof - ]"2.'f'f
Water Distribution Repair Report
IWork Order No: 22;. '1'-(
ICrew 71~, 7(",7(7, 718
, , /
DATE REPORTED I 0 ~Z-Z -07
CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT j{
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR. 10-2 Z -0'2- TIME
REPAIR LOCATION ADDRESS tfo~ E 71l.-
DA.M. OP.M.
TYPE OF MAIN
c~ ~r
2 r/
SIZE
t' . r,
CLOSEST VALVE DEPTH. Z g
DEPTH OF MAIN
3(
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL. D LONG BREAK 0
HOLE)( CLAMP 0 OTHER
SERVICE TAP 0 CORP STOP 0 PIPE 0 CURB STOP D FITTING 0
METER SETTER 0 METER 0
LINE VALVE. FLANGE NUTSIBOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VALVE 0 BARREL 0
OTHER.
COMPONENTS OF REPAIR. CLAMP)( DRESSERO OTHER
SITE CONDITION GRA VEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA.bi:{ SOIL TYPE Ct 6...y....
CUTS ASPHALT CUT _FT CURB CUT _FT SIDEWALK_FT
DRIVEWAY CUT _FT
MAIN CONDITION INTERNAL LINING /VA TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE .07 P.P.M.
WATEROFF FROM 2 15PM. TO 2 goPM.
FROM
M.TO
M.
APPARENT CAUSE OF LEAK. N ~ A