HomeMy WebLinkAbout124 S Albert St - Engineering
CITY OF PORT ANGELES
DEPARTMENT"O.f PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
I I ",
Date I / - - 0 5
f
..
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)
I ~ '{ S ;J /b-f!Y+
-;--011 Cu?:,
17 fit 1. U
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Phone No
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other LV c~l-f;,--
INSPECTION NOTES
Inspected Date
Remarks
~((
By
5f?I-Ui C....e
RESTORATION REQUIRED
.--e_
VES ~ NO
F...) "LJL fi/1j
2110 . nVu'
iD I 1~L/ SI:
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SURFACE RESTORATION /"
SURFACE TYPE 0 Unimproved 0 Gravel BAsPh~lt
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Other
2/?~2
W.o/k Order # ~ ;/ . ,~\ l
a COMPLETE iA.llE::D-. ~\ ~ J-J \ \- ,~
O INCOMPLETE ~(J\ ~\ ~ x' cc'- f-],-O )
,'K
'V
OPCC
!
()
LIty 01 lJort Angeles
Public YV orks Departnlent I-I-tl::.- #- ..1, 33 - (
'" ater Distribution Repair H.eport
IWork Order No
:Jb '3 ~
I Crew
7/r;
,
o J' ""
DATE REPORTED :)- )(-G- ;;
CONDITION ENlERGENCY 0 ROUTINE 0 ClTIZEN COMPLAINTV'
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR. 1!-/--{)) Tllv1E
'7 fA.M. DP.M.
,f 11-/b~t f-
REPAlR LOCATION ADDRESS
/J--y
TYPE OF MAIN a l (i/U C SIZE
DEPTH OF MAIN 2) 2-1 CLOSEST VALVE DEPTII.
I
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL, 0 LONG BREAK 0
HOLE 0 CLAMW 0 OTHER
SERV1CE TAP 0 CORP STOP 0 PIPE ~URB STOP 0 FITTING 0
METER SETTER 0 METER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
COMPONENTS OF REPAIR. CLAMWO DRESSERO OTHER
SITE CONDITION GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOn.. AREA 0 SOn.. TYPE
CUTS ASPHALT CUT _IT CURB cm _IT SIDEWALK_IT
DRIVEWAY CUT _IT
MAIN CONDITION INfERNAL LINING TUBERCULA TION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORlNE RESIDUAL SAMWLE I [I q P,P.M.
WATER OFF FROM 'j fJ-M. TO 'S' ;r M.
, '?-1(
But /ld 511 <'- /'if'
FROM
M.TO
M.
APPARENT CAUSE OF LEAK