HomeMy WebLinkAbout5351/2 E 2nd St - Engineering
City of Port Angeles
Public Works Department
Water Distribution Repair Report
IWork Order No: /4278) ,- D7...Lt
Icrew: 7'5 - C r<<J
DATE REPORTED: 5'" - ~- ocf
CONDITION: EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT ~
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR: 5 - (( - 0 t.{ TIME:
1-
REPAIR LOCATION: ADDRESS: ~~~'2-
3:"30 ....r_
OAM. ~.M.
F z.~
TYPE OF MAIN:
PvL
~ (.
SIZE: '-
; i ;
DEPTH OF MAIN: -z.:-Z CLOSEST VALVE DEPTH: 2
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 /Jf CURB STOP 0 FITTING 0
METER SETTER 0 METER 0
LINE VALVE: FLANGE NUTSIBOL TS 0 STEM 0 BONNET 0
HYDRANT: BRANCH 0 VAL VE 0 BARREL 0
OTHER:
~~e.
COMPONENTS OF REP AIR: CLAMPO DRESSERO OTIIER 3/4 CO<<M.., b , G'U:.t~(.t>+. <&- +e"",-o..l~ III\. S 1- .
I ,
SITE CONDITION: GRAVEL 0 ASPHALT 0 SIDEWAI--K. C! CURB, 0
TOP SOIL AREA 11' SOIL TYPE 1Jc....+ l J e. . ~
CUTS: ASPHALT CUT _FT. CURB CUT _FT. SIDEWALK FT.
DRIVEWAY CUT _FT.
MAIN CONDITION: INTERNAL LINING 0- K . 11JBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE <<~L( P.P.M.
WATER OFF: FROM /,'50PM. TO 20D PM.
FROM
M.TO
Iv/A
I
M.
APPARENT CAUSE OF LEAK..
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date -s- - (( ,.-D4
Time II: 5~ A i..V'\ Received by De t-'\. "\. ; S ~. (phone, person)
- - ; ~
Location of Work to be inspected ~"5 ~ 'Z t= Z-
Name of person requesting inspection 'VeV\V\.;'<> E..
Address of person requesting inspection CL:,y p Yo....rd
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Phone No. q (7 - 4. ffy1
permit~
Sewer Excav. Ot r tJ~~
INSPECTION NOTES:
Inspected: Rate ~ - ((,.... () 'f
Remarks: Ke.~~ t r S-e-rv.
I
Time $ " 3D (IV\,
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RESTORATION REQUIRED. . . . .. YES
NO ;<.
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel D Asphalt 0 PCC
o Other
[] Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)