HomeMy WebLinkAbout1015 Craig Ave - Engineering
City of Port Angeles
Public Works Department
Water Distribution Repair Report
IWork Order No 1~0l /
Reported ItJ / 3 1 78
Repaired. /lLJ 3/21.
Condition
~Qurce
Repair Location.
Address
Loc Description.
Component Repaired.
Main.
Joint
Long Break_
Service:
Line Valve.
Hydrant.
Other'
Tap_
Flange Nuts, Bolts
Branch
Icrew tJoylel T~,/'y 1 f)~;1I'1e"S
Emergency X
Citizen Complaint
Leakage Survey _
Routine
X
Other
/tJ IS C,../3 i c~ A G/'C..
,
Main Line ID#
pr Break
Hole
Split Bell _
Clamp _
, .
Other
Corp Stop_
Valve
Pipe ~
Stem
Barrel
Curb Stop _
Bonnet
Repair Type. Clamp _
Site Condition. Surface
Curb
Damage
Cuts: Street Cut. Ft.
Dresser
Other Vel<! 5-e,-v. c ~ ;11c;uv Ie #1 t' /-r,e.
Gravel Roadway / Asphalt Street Sidewalk
Top Soil Area ~ Soil Type _ -
Main Condition.
Curb Cut. Ft
Sidewalk Cut. Ft
Diameter' Inches
Material
Depth of Cover' Ft
Internal Lining:
Tuberculation. N / A
External Corrosion. NI A
Special Conditions Bedding
Other Structures
Joint Type
External Prot
Minor
Localized
Severe
Extensive
Samples Taken. Pipe Section _
Coupon _
Water Off From /tJ 1 :3 1 9Y' To ---LLA M
From /01 --3L/2.k. To 1/!37/4 M
Apparent Cause of Leak. OlcJ d A I t/lvl<- "C.. OS@....v,,'(' '"e.
5/19198
Page 1
PW-902.09
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
~
REQUEST
Date /"tJ-3~. 7~
Time 9-.30 J4rl Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
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INSPECTION NOTES
Inspected
Remarks
Date
Time
By
g/oit"'ri Set"(/lc--e Ir~1C / ~ebl/~~e Se/'(/e'c: /..V,'#, 1"y/'F
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J,t{'PE
RESTORATION REQUIRED
^" (\.
YES
NO ~
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC
Wprk Order #
rj COMPLETE
o INCOMPLETE
o Other
I
I ( I
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DA TE)