HomeMy WebLinkAbout135 E Ahlvers Rd - Engineering
CIty of Port Angeles
Public Works Department
Water DIstribution Repair Report
'Work Order No l~dV ~ Coo
I Crew 7 (5" y- c-., e..J
J
DATE REPORTED If -/~ ,-04
CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN CO!vfPLAINT ~
LEAKA.GE SURVEY 0 01BER 0
DATE OF REPAIR. II ~(C:, --oc.f
TINlE II ~ '5<J ~.M. DP.M.
A?t.(ve.,-s R.eI...
REPAlRLOCATION ADDRESS f 3~
TYPE OF MAIN C - :r SIZE. L
DEPTH OF MAIN .5 { ( CLOSEST VALVE DEPTII.
. r
4-
COMPONENT REF AIRED.
MAIN JOINT 0 CIR. BREAK X. SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTIlER
SERVICE. TAP 0 CORP STOP 0 PIPE 0 CURB STOP 0 FITTING 0
METER SETTER 0 Jv1ETER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 S1EM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
COIvlPONENTS OF REF AIR. CLAMP)( DRESSERO 01BER
SITE CONDITION GRA VEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHAL T CUT _FT CURB CUT _IT SIDEWALK_IT
DRlVEWAY CUT IT
MAiN CONDITION INTERNAL LINING ~ TIlBERCULA TION-MlNOR 0 SEVERE 0
EXTERNAL CORROSIO LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE ~p P M. F;~iJ L,VL
WATER OFF FROM
-""
M.TO
M.
FROM
M. TO
M.
~PA.RENT CAUSE ()F LE..;K.
6roJ~ ~e...
.--
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST.
Date II ,-/ h rOc(
Time
II .3oJ1iv' Received by OcIA.C1.IS C ~ (phone, person)
Location of Work to be inspected 1.3 ~ A Itl v'ey5
Name of person requesting inspection 0euvt.'-'5 E.
Address of person requesting inspection Cc r t'J lfa..rc:R.
Type of Inspection (circle appropriate one) I
Sewer Foundation Framing Chimney Plumbing Final
~~.
17 cJ-B Phone No 1-( 7-- 'I?t/ 9
Permit No
Sewer Excav Othe~~
INSPECTION NOTES:
Inspected Date II -/0 - oc.(
Remarks. ?( e /Jl!t. (or- e d 2- "
,- <yJ a ! r b,.. <Ad. .
Time 3: 30 fJk By De~~;L ~.
C-L ~t'K LA..hfL ~ ..t;'ul, L(~t'(e..
RESTORATION REQUIRED . . . . .. YES 1><- NO
~t ~~ \ I j Vi
'v ,
) -+ ' ':i (
III /-
I ~ 161
'- ( I , ~ \ I',
~ ' \
oh i 2" L.X
~ 448'
3{ r O.er
A~lver~ I<A .
X
\(~
~~
\~
SURFACE RESTORATION: 2'x ~r
SURFACE TYPE 0 Unimproved 0 Gravel pa Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
CITY OF PORT ANGELES
DEPARTMENT "OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST
Date II ~-;h ~OC(
Time
II .3oJ4W' Received by OctA.C1.IS L < (phone, person)
Location of Work to be inspected 1.3 ~ A itl ve;r5
Name of person requesting inspection O.etAvt. I 5 E:.
Address of person requesting inspection ~r t'J ~r~
Type of Inspection (circle appropriate one) I
J<~.
I 7 ct- 3 Phone No eft 7 - L/?t.f 9
Sewer Foundation Framing
Permit No
Chimney Plumbing Final Sewer Excav Othe.e~
INSPECTION NOTES
Inspected Date I ( -/0 ~ oc{
Remarks ;{ e IJ~ (or e d 2- "
r <-yJ a ( r- b~~,;-t..d.
Time 3 - 30 fJk By DeYlVlI y ~.
L_L lvLo...1 K u..}{fL &:<. +uU C(~("(E:
~l K~ \
.... \J
)+ ":)i
I ~ I -
~ \
~ l (\::., r.'\i
.....
~ oh \
i ~
~ '-I4&~ 2" c.r
3{' (}e~
A~ll/er?j I<A .
~.
~~
\~
RESTORATION REQUIRED
YES 1><- NO
z'y.. ld'
,W Asphalt 0 PCC 0 Other
Work Order # I ~82-f3 - ~ 8 '1 ~-n s If 1
Rf COMPLETE ,~~'<S.>-' I \ yef-.\
o INCOMPLETE t~ - J..~)-Q
'-
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
STREET SUPERINTENDENT (DATE)