HomeMy WebLinkAbout516 E 2nd St - Engineering
City of Port Angeles
Public Works Department
Water Distribution Repair Report
1
B=rew: 7t!) ., C/-L0
1
lWork Order No: 13R1-8 - 0 f<j
DATE REPORTED:
CONDITION: EMERGENCY)( ROUTINE 0 CITIZEN COMPLAINT 0
LEAKAGE SURVEY 0 OTHER 0
'-I -3 -0 t{
DATEOFREPAlR: 4-3 -Df- - L/-S-:..crtnME: 1:20
REPAlRLOCATIOR ADDRESS: ~/& EC. z.pP
RVe: .
3( 2- ~ f
DEPTH OF MAIN: CLOSEST VALVE DEPTH: v
OA.M. ~.M.
I'
SIZE: 2.
TYPE OF MAIN:
COMPONENT REPAIRED:
MAIN: JOINT 0 ClR. BREAK 0 SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTHER
SERVICE: TAP){. CORP. STOP.).1. PIPE pi. CURB STOP 0 FITTING ~
METER SETTER 0 METER $. .
LINE VALVE: FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT: BRANCH 0 VALVE 0 BARREL 0
OTHER:
COMPONENTS OF REPAIR: CLAMPD DRESSERD OTHER '(;,(1 Loep. 3/.{ t?E..) O'ILh. 5+<>f) ~
SITE CONDITION: GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA)i( SOIL TYPE cla..~ - f\)a,..'h lie..
CUTS: ASPHALT CUT_FT. CURB CUT _FT. S EWALK _FT. ~
DRIVEW A Y CUT _FT.
MAIN CONDITION: INTERNAL LINING {; bod TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE ",l.f.o p.P.M.
WATER OFF: FROM fI'OOfM.TO Cj':tofM.
FROM M. TO M.
APPARENT CAUSE OF LEAK: $er l~e- L"/I"l..L.
aT G:> r'f -
se1i{el. u.~ b.roke off
~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT . . . . . .
. . . .
.....
REQUEST:
Date ~ <I'~D'I Time 7:20 fJk Received by J),....",'s E ~ersonl
Location of Work to be inspected 5/ (.., E . L~
Name of person requesting inspection ])e V\.. ~ ~ '5 ,;:::-.
Address of person requesting inspectionr ~O Yo...r~ Phone No. +(1 - <i~~9
,
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other e.?\..... -t .~..;-)
INSPECTION NOTES:
Inspected: Date 1- -- 5 - otf Time q ~ ff.A.- By J)eV\.'^-.;.::; E..
Remarks: R.e.plA-Le T..~p/~ s~dle./ c-ov-.p i .:S'erv~,-e... (ilr'-e CLlA.A tM-D1-e.r
sk.ut o~, C~L OuT 0~+e.("' ~t~,.
RESTORATION REQUIRED . . . . .. YES
NO ><
! ~
E L toLe:::\ ~Sl.
d --l..
--\ \.
'S 2" I'Ve.. .3t f)ee.~ ;-' 217 ~
., "- 7j".
v.. u ~
Sff, € ~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC &l.. Other ~ s.c t t
Work Order # '382..'8 -0/5'
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS :;LD B
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date 7 - 31 ~ (5 L
p UJ - 2..c.roT - ?-t-~
Time
Received by
(phone, person)
location of Work to be inspected ~I (, E- :2.. h J
Name of person requesting inspection~ W I' I (0)<
Address of person requesting inspection 1711{ t- !} Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other 10A.-h~
INSPECTION NOTES:
Inspected: Date
Remarks:
~+
Time
K~o.fr ~cJ 'Vf-
, - 'Y1
c' (~, r V? r, A J C}/l.f 6{ I
I .
By
/' E <;-eYUI2.....p
1--./ >v --e
-
RESTORA TION REQUIRED . . . . .. YES NO L./'
1 1J1' r
E :)vt) st- i., ~,
~
\.
t-- (1'?- ~ '~
~Qj
7/~ If ''y r
~
}0-
f{...t pt'-'
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
l'a"COMPlETE
o INCOMPLETE
MOther
2)"06
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
City of Port Angeles 0 CV -"l...clO 1- '2. IS"
Public '" orks Departnlent
'" ater Distribution Repair Report
'Work Order No: '2. 1 'K .b
ICrew:
"jIY-
CONDITION:
7 ,,- j b -0 2-
EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT J
LEAKAGE SURVEY 0 OTHER 0
7~31- ~.2- TIME:
ADDRESS: lilt
9.. ' ~ PI/ c- SIZE:
DATE REPORTED:
DATE OF REPAIR.:
REPAIR. LOCATION:
.E-
DA.M. DP.M.
;)... h /
TYPE OF MAIN:
DEPTH OF MAIN:
CLOSEST VALVE DEPTH:
COMPONENT REPAIRED:
MAIN: JOINT 0 CIR. BREAK 0 SPLIT BELL. 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTHER
SERVICE: TAP 0 CORP. STOP 0 PIPE ~URB STOP 0 FITTING 0
METER SETTER 0 METER 0
LINE VALVE: FLANGE NlITSIBOL TS 0 STEM 0 BONNET 0
HYDRANT: BRANCH 0 VAL VE 0 BARREL 0
OTHER:
COMPONENTS OF REPAIR: CLAMPO DRESSERO OTHER
SITE CONDITION: GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOn.. AREA t:J/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
CHLORINE RESIDUAL SAMPLE ;2 1 P.P.M.
WATER OFF: FROM
q,lf-
M.TO
1/1 M.
. .' ~ OUT }),y(
l II D V >...e
FROM
M.TO
M.
APPARENT CAUSE OF LEAK:
{;Let- 0(2 ~ D())
CD h 6 k1loU)'5