HomeMy WebLinkAbout711 E 2nd St - Engineering
City of Port Angel~s
Public Works Departnlent
Water Distribution Repair Report
Dc..u - '2- 00 "1 - I 8 3 8
DATE REPORTED:
1.~ '3 <rJ
Ll --- ( (- ~,(
. I Crew:
IWork Order No:
71 (/
CONDITION: EMERGENCY D ROUTINE D CITIZEN COMPLAINT D
LEAKAGE SURVEY ft. OTHER D
DATE OF REPAIR: LI- ?--- q - (:) I TIME: DA.M. DP.M.
~
f: ^ tJ;'
TYPE OF MAIN:
7/1
.~ ,( f]/ C SIZE:
REPAIR LOCATION: ADDRESS:
DEPTH OF MAIN:
CLOSEST VALVE DEPTH:
COMPONENT REPAIRED:
MAIN: JOINT 0 CIR. BREAK D SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTHER
SERVICE: TAP 0 CORP. STOP 0 PIPE l( CURB STOP 0 . FITTING 0
METER SETTER 0 METER 0
LINE VALVE: FLANGE NUTSIBOLTS 0 STEM 0 BONNET 0
HYDRANT: BRANCH 0 VALVE 0 BARREL 0
OTHER:
COMPONENTS OF REPAIR: CLAMPD DRESSERD OTHER
f'f:- f/;~
SITE CONDITION: GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA ~ SOIL TYPE
CUTS: ASPHALT CUT _FT. CURB CUT _FT. SIDEWALK _FT.
DRIVEWAY CUT _FT.
MAIN CONDmON: INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE I ~ 1 P.P.M.
WATER OFF: FROM
Y/fJ
M.TO
q It M.
! ) 6 U S-e
/hr(
(5 (; f-a.Jl-€
FROM
M.TO M.
;: j)o Il <f
kNoW
APPARENT CAUSE OF LEAK:
(J c...u - ::? O() "1 - / <9 "3 8
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
/
REQUEST: .
DateJ:1- 'All - 0 l
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):
7 I ( . :t: r;}11 j
--r l.N ;\ C c,-y
t-:J t1\ <&-- (]
Phone No.
Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other C<)/t t-ev
INSPECTION NOTES:
Inspected: Date
Remarks:
Time By
. A-e p 0. (r - '!J:A .H fC () i ( ..('
~ \-u r D)J c'~ln
A.J -e.. tC'i,.r
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RESTORATION REQUiRED...... YES-LL- NO
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sf-
'Y
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel DAsphalt D PCC
D Repaired by City
[] Repaired by Permittee
CI No Damage Found
Work Order #
DOtherW 50; L
)<2>~
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS (e"~i/c'~
. . . . . . . . . . . INSPECTION REPORT. . . . . . . ~. .,~ . .
REQUEST:
Date ~ - ) ~ - 0 -7-.
() w - zoo 1- - 2/91_____
~/
~J
Time
Received by
711 [-}. 1/)1
f0<J II coy
I 1 +i/I.. (;- g Phone No.
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other Lv a/Hr
INSPECTION NOTES:
Inspected: Date
Remarks:
Time By
(3~*~~ /i-;f').(;: el/t ~ ~t:~
+0 COrD OIJ ~1Y1
I
c.I'eJ ~-.e
J jVl' ,
!;1
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f r ). it4t I
/
Y
,\..,
-..,a ~
0
RESTORATION REQUIRED . . . . .. YES
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Repaired by City
Cl Repaired by Permittee
o No Damage Found
Work Order #
~MPLETE
D INCOMPLETE
D Other
~lCf9
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
City of Port Angeles
Pu blic '" orks Departnlent
Water Distribution Repair Report
bw- 2.001- zJ9lf
IWork Order No:
DATE REPORTED:
.;t L1!LJ
~ -I '--02-
ICrew: 71 r
CONDITION: EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT /
LEAKAGE SURVEY 0 OTHER 0
() - Il( -02- TIME',
DATE OF REP AIR: ~
71 /
~ ( ( P tJ <:.- SIZE:
DEPTH OF MAIN: ;lYL (CLOSEST VALVE DEPTH:
/ D ,. ~A.M. OP,M.
E-:Ahd
REPAIR LOCATION: ADDRESS:
TYPE OF MAIN:
COMPONENT REPAIRED:
MAIN: JOINT 0 CIR. BREAK 0 SPLIT BELL, D LONG BREAK 0
HOLE D CLAMP 0 OTHER ./
SERVICE: TAP 0 CORP. STOP 0 PIPE~URB STOP D . FITTING 0
METER SETTER 0 METER D
LINE VALVE: FLANGE NUTSIBOLTS 0 STEM 0 BONNET 0
HYDRANT: BRANCH 0 VALVE 0 BARREL 0
OTHER:
COMPONENTS OF REPAIR:
CLAMPD DRESSERD OTHER 7 t of '3/ y
?f /0P-R--&-
(omp
t/1J1'd ~
SITE CONDITION: GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA D 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 SAMPLEl !.1...!i-P.P.M.
WATER OFF: FROM I b /J.- M. TO II A- M.
I n6u512- 60+
I h VI'
FROM
M.TO
M.
APPARENT CAUSE OF LEAK:
f!;;J,--i +I-&..
5/c/ PEir~
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