HomeMy WebLinkAbout6/7 Alley H Street - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: 7i
Date :/--...--,1...a 6 -, 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):
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Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other (AJod--e--r-
~ Time By
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INSPECTION NOTES:
Inspected: Date
Remarks:
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RESTORATION REQUIRED. . . . .. YES NO L/
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
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o Asphalt 0 PCC
WorYOrder #
LlYCOMPlETE
o INCOMPLETE
o Other
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City of Port Angeles
Public Works Department
Water Distribution Repair Report
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IWork Order No:
DATE REPORTED:
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CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT 0 h ~hf j}-erl,
LEAKAGE SURVEY 0 OTHER D
DATE OF REPAIR: ;:;L - ').- 0 if TIME:
REPAlRLOCATION: ADDRESS: t- 7
TYPE OF MAIN: 6 r, ffe SIZE:
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DEPTH OF MAIN: / Y.2. CLOSEST VALVE DEPTH:
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DAM. DP.M.
'6- /1 5-1-
COMPONENT REPAIRED:
MAIN: JOINT 0 CIR. BREAK 0 SPLIT BELL 0 LONG BREAK 0
HOLE ~ CLAMP 0 OTHER
SERVICE: TAP D CORP. STOP D PIPE D CURB STOP D FITTING D
METER SETTER 0 METER D
LINE VALVE: FLANGE NUTS/BOL TS 0 STEM 0 BONNET D
HYDRANT: BRANCH D VALVED BARREL 0
OTHER:
COMPONENTSOFREPAIR CLAMPO DRESSER)( OTHER ') I ,;) f p~j: P/fJ-iL-
SITE CONDITION: GRAVEL D ASPHALT D SIDEWALK D CURB 0
TOP SOIL AREA ;~r SOIL TYPE
CUTS: ASPHALT CUT _FT CURB CUT _FT. SIDEWALK_FT
DRIVEWAY CUT _FT,
APPARENT CAUSE OF LEAK:
MAIN CONDITION: INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE D
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE I "JI P.P.M,
WATER OFF FROM / (, lD 4 M TO ') f' M.
FROM M. TO M.
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