HomeMy WebLinkAbout529 W 9th St - Engineering
City of Port Angeles
Public Works Department
Water Distribution Repair Report
\/
IWork Order No J;A.O 3 <(
ICrew.
I/~
1/"""\ F> I I /' /J -I-c> "7
DATE REPORTED' J ^?
CONDITION ~~;G~~C~ D' ROUTINE ~IZEN COMPLAINT ~
LEAKAGE SURVEY D OTHER D
DATE OF REPAIR. /.A. - }-Ol TIME
~??
~ <( C-:t--
DEPTH OF MAIN 2. ( CLOSEST VALVE DEPTH.
DA.M. DP.M.
REP AIR LOCATION ADDRESS
w
q~1
,
TYPE OF MAIN
SIZE
COMPONENT REPAIRED.
MAIN JOINT D CIR. BREAK 0 SPLIT BELL D LONG BREAK 0
HOLE 0 CLAMP D OTHER
SERVICE TAP 0 CORP STOP 0 PIP~URB STOP 0 FITTING 0
METER SETTER D METER D
LINE VALVE FLANGE NUTSIBOL TS D STEM D BONNET D
HYDRANT
BRANCH D VALVE D BARREL D
OTHER.
\
COMPONENTS OF REPAIR. CLAMPD DRESSERD OTHER
SITE CONDITION GRAVEL D ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA D SOIL TYPE
CUTS ASPHALT CUT _IT CURB CUT _IT SIDEWALK_IT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING
EXTERNAL CORROSION
CHLORINE RESIDUAL SAMPLE I ~ q P.P.M.
WATER OFF FROM <; A-M. TO
TUBERCULATION-MINOR D SEVERE D
LOCALIZED D EXTENSIVE D
111M.
. tJ~ t!J uf-
;/J}bU!e- J.5}, I C~
DP 5~Y \../ t
.~j?/I+-- 7/r,P;f ~p~
FROM
M.TO
APP ARENT CAUSE OF LEAK.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date I ~.-- 1-0 7
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)
Sewer Foundation Framing Chimney Plumbing
Phone No
Permit No
Final Sewer Excav Other ~
INSPECTION NOTES
Inspected
Remarks
Date
Time By
M.-e/l)-e.~ 'jJy X5/8 LJ...J~~
~-evUt t-€ · 0~ /.:l..({ c -:I- q;;yU nf
t:))L.e.f-e~
TO
RESTORATION REQUIRED
~~
YES V NO
r
1--k1'l
J
<<
l~O
f ~(c-f
w
~ :J- ~ C(-lit
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
( y \ W 0 Repaired by City
/1 Q ~)' \ iU ~ [] Repaired by Permittee
{~ ,i~f [] No Damage Found
~
~'DPCC DOther
Work Order # /;l. 0 3 Y' "
~ COMPLETE A{'e..().. re.~)""-~.J 1"1CJ~ u.:\ ,Li
[J--tNCOMPLETE ~\cft JA\X "5-( t;- \.}(~
<; +V{ p
(Continue on reverse side if necessary) ,
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST.
Date 4 - ~ - 6 1--
Dw-2.()o1--zoe9
.r
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)
Sewer Foundation Framing Chimney Plumbing
r;- J.. ~ /)J q +A
-r I.t) ,ll..oy
/1111 ~ e
Phone No
Permit No
Final Sewer Excav Other () J?'d-e-v
INSPECTION NOTES:
Inspected Date
Remarks
Time By
f?.P~i("- 12 f'E ..,-er4!.d~
lvN< I Iv-(A/V r)V>? oj ~V\
C6vnt UN I dM ~ - '?If' , -E. p/JL
(0 .. +~
./
RESTORATION REQUIRED . . . . .. YES j,,/ NO
J
w q--\4\ ~ ">- . <g I
I \ ~. ~c4-
1 ~
~ ..
1 (J I JIlt seyV~~ t:r w Cff4
s-r~
SURFACE RESTORATION: /'
SURFACE TYPE 0 Unimproved 0 Gravel <<Asphalt
o Repaired by City
o Repaired by Permittee
o No Damage Found
o PCC 0 Other
Work Order # ~o~ ~, '7~
o COMPLETE . f)rW :2~
o INCOMPLETE
2
STREET SUPERINTENDENT IDA TE)
CIty of IJort Angeles
Public Works Departnlent C)w-200V-20e1
"Tater Distribution Repair Report
IWork Order No' ~. 6. Y q
ICrew.
7 (r;
J
DATE REPORTED'
L(_))___ O:L
CONDITION
EMERGENCY D ROUTINE D CITIZEN COMPLAINT ~
LEAKAGE SURVEY D OTHER D
tf - I )..- ()?- TIME / / ( J 0 bA.M. OP.M,
.
52cg -w 1-fA
Q...' ( (" ~ SIZE.
DATE OF REPAIR.
REPAIR LOCA TI0N ADDRESS
TYPE OF MAIN
DEPTH OF MAIN :J-'I7- ( CLOSEST VALVE DEPTH.
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL. 0 LONG BREAK 0
HOLE 0 CLAMP D OTHER
SERVICE TAP 0 CORP STOP 0 PIPE~ CURB STOP 0 FITTING 0
METER SElTER 0 METER 0
LINE VALVE. FLANGE NUTSIBOL TS D STEM 0 BONNET 0
HYDRANT BRANCH 0 VALVE 0 BARREL D
OTHER.
COMPONENTS OF REPAIR. CLAMPO DRESSERO OTHER Jly jJ--- f P;F~
SITE CONDITION GRAVEL 0 ASPHALT o/"SIDEWALK 0 CURB D
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHALT CUT 'I 'X"- FT CURB CUT _FT SIDEWALK_FT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING AI A- TUBERCULA TION-MINOR D SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE ,3 J P.P.M.
WATER OFF FROM II 3D P.M. TO 12. AId:
FROM M. TO
M.
8."1 If/-<, PE PIP--L
APPARENT CAUSE OF LEAK.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
D w - 2.()O 1-- ZOBCj
- ;..-
./"
REQUEST
Date [I - ~c;- - 0 1-
I
~
Time
Received by
(phone, person)
location of Work to be inspected '2 A ~ ~u q fA.
Name of person requesting inspection -r fA..) t 1 <... c:.. y
Address of person requesting inspection 11 i 1'1 -6- G Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other [1 Jc"~.f-ry
INSPECTION NOTES
Inspected
Remarks
Date Time
R..e VJOdl-
l-vN-<.' ~-eAjV
VJ j -J,J" {6Ynf UN I dM
By
7t f7.E .,~ 1'4/ d JC
'r)vv? ;: ~n
C8- I ry, , -k p/,F ~
RESTORATION REQUIRED
./"
YES t/ NO
....
wq~h
l <6' ~, ~ (J..-
'\ I
... ( 11q sevv, t-t..
or \,j CH4
\ w
" \.-l ')1--<6
!
j
\
SURFACE RESTORATION . /'
SURFACE TYPE 0 Unimproved 0 Gravel ~Asphalt
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
o PCC 0 Other
Work Order # ~ d ?l !l-~
cYCOMPlETE (j).rW 3_~:~1__/)
o INCOMPLETE ---.--....-
s- 2 -07-
(DATE)