HomeMy WebLinkAbout1708 E Front St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
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REQUEST ,
Date 1- b- 0 J-
Time Received by (phone, person)
Location of Work to be inspected %C cf~I~:Tj]' I~--<, 2. f-u rd)1-+-
Name of person requesting inspection -J1A.) I \ (6 J'
Address of person requesting inspection ,., {1l -t;- L Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~
INSPECTION NOTES
Inspected Date
Remarks
Time By
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RESTORATION REQUIRED
. YES
/
NOV
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SURFACE RESTORATION
SURFACE TYPE
o Ummproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
o Asphalt .0 PCC 0 Other
Work Order # ~ I q-o
~MPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty of Port Angeles \)v..r- "Z..oCJ1-- 2.f9o
Public 'Vorks Departnlent
", ater Distribution Repair Report
IWork Order No.
DA TE REPORTED
R.Lfl6 I
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lCrew:
7/L(
CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT /
LEAKAGE SURVEY 0 OTIlER 0
REPAIR LOCATION
ADDRESS
~M. DP.M.
IR~ jfv Y~M+
DATE OF REPAIR.
TYPE OF MAIN
SIZE.
DEPTH OF MAIN
CLOSEST VALVE DEPTH.
COMPONENT REPAIRED:
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL- 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTIlER
SERVICE TAP 0 CORP STOP 0 PIPE ~CURB STOP 0 FITTING 0
METER SETTER 0 METER 0
LINE VALVE. FLANGE NUTS/BOLTS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VALVED BARREL 0
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COMPONENTS OF REPAIR. CLAMPD DRESSERO OTIlER R -e..b U I I d
OTHER.
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SITE CONDITION GRA VEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA 0 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 ,.J.... '<6 P.P.M.
WATER OFF FROM Lf I-t-M. TO /6 Pr M.
FROM
M.TO M.
SLu~,~.+ F-,-th}1i t- U IJ f 61\
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Mt-l-eJ
APPARENT CAUSE OF LEAK.
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