HomeMy WebLinkAbout311 E 11th St - Engineering
. . . .
CITY OF PORT ANGELES f-J T~~ tV? 7119
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT . . . . . . . .
. . . .
REQUEST
Date 7.- '23--03
Time
Received by
(phone, person)
Location of Work to be inspected .3 '9 E i ( --ci-
Name of person requesting inspection i) :=~(~-f,,~,,-
Address of person requesting inspection c.:o --p.. ~d
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
Phone No
Permit ~
Sewer Excav Othe CCk.:r.:o ~
Time 2 30 PrY\
Cch +-t..
By z: ~~~ic>~
o~ +:u {( C i ("'"cJe
RESTORATION REQUIRED
YES
NOX."
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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 #
LX COMPLETE
o INCOMPLETE
~ther~/Sai (
'1/19
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty 01 IJort Angeles
Public 'Vorks Departnlent
vVater Distribution Repair Report
tln~ i1J'F 7/1 if
IWork Order No. /Crew J:l....S t: Ji?"-':i,"-r) 12..0.\ A I
DA TE REPORTED 7 - 22 - 0 '5
CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAlNT )L
LEAKAGE SURVEY 0 OTIIER 0
DATEOFREPAlR. 7-2:; 03 TIME I 30
REPAIR LOCATION ADDRESS 317 e.. ( lib
DA.M. i1P.M.
TYPE OF MAIN
Co-1=- . SIZE 2 i'
f "
3 r CLOSEST VALVE DEPTH. 2 t;;,
DEPTH OF MAIN
COMPONENT REPAIRED.
MAIN JOINT D CIR. BREAK X SPLIT BELL. 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTIIER
SERVICE TAP 0 CORP STOP D PIPE D ...cURB STOP 0 FITTING 0
METER SETTER 0 METER 0
t,
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
COMPONENTS OF REPAIR. CLAMP)(. DRESSERO OTHER
SITE CONDITION GRA VEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA)d. SOIL TYPE ~+rve....
CUTS ASPHALT CUT _IT CURB CUT _IT SIDEWALK_FT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING TUBERCULA TION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE ~P.P.M.
WATER OFF FROM tV IA- M. TO - M.
f
FROM
M. TO __
M.
APPARENT CAUSE OF LEAK. brov~ '5e:ff It:.