HomeMy WebLinkAbout10/11 Alley East of Francis - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 7 - 1 ~ ()2.-
j)w - ~)t'll - 2/58
,
~
Time
Received by
(phone, person)
Location of Work to be inspected 101ft /Ilk,! Ea.st of [""""-<-1<' hek".J f507 E II~
. I"" ~
Name of person requesting inspection i./. F' 651 .J", --
Address of person requesting inspection C'c-rp y,,-.J Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other tJ~ fer
INSPECTION NOTES:
CUev.
Time
~;Vl eJ,'+
By
c"d<.
,e
Inspected: Date
. ~(,
Remarks: e ",r .c..
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80' Z' 6dJf
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RESTORATION REQUiRED...... YES )<' NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
0-Asphalt 0 PCC 0 Other
Work Order # 2/58
o COMPLETE
o INCOMPLETE
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City of Port Angeles pvr"2jV I - .) \ )-6
Public Works Department
Water Distribution Repair Report
IWork Order No:Z /",8
/crew: 7/5,71(."/7(7
DATE REPORTED: '7 - / - 07..-
CONDITION: EMERGENCY D ROUTINE D CITIZEN COMPLAINT )!l.,
LEAKAGE SURVEY D OlliER D
7 - ( - 0'2- TIME:
REPAIR LOCATION: ADDRESS: /0/(( II/Ie 'I
( (
6",-- (V SIZE: Z II
DEPTH OF MAIN: 31 CLOSEST VALVE DEPTIi:
L-
beti..J
DA.M. )lliP.M.
-ff,..
Iftn F- II -
DATE OF REPAIR:
TYPE OF MAIN:
3(
COMPONENT REPAIRED:
MAIN: JOINT D ClR. BREAK D SPLIT BELL. D LONG BREAK D
HOLE ~ CLAMP D OlliER
SERVlCE: TAP D CORP. STOP D PIPE D CURB STOP D FITTING D
METER SETTER D METER D
LINE VALVE: FLANGE NUTS/BOL TS D STEM D BONNET D
HYDRANT: BRANCH D VALVED BARREL D
OlliER:
COMPONENTS OF REPAIR: CLAMPJx!' DRESSERD OlliER
SITE CONDITION: GRAVEL D ASPHALT A SIDEWALK D CURB D
TOP SOIL AREA D SOIL TYPE tU"'+tVI...
CUTS: ASPHALT CUT _FT. CURB CUT _FT. SIDEWALK _FT.
DRJVEWAYCUT _FT.
MAIN CONDITION: INTERNAL LINING ;J /A TUBERCULATION-MINOR D SEVERE D
EXTERNAL CORROSION 'LOCALIZED D EXTENSIVE D
CHLORJNE RESIDUAL SAMPLE . ;0 P.P.M.
WATER OFF: FROM I: Ib PM. TO I: '1~PM.
FROM
M.TO
tV/A
(
M.
APPARENT CAUSE OF LEAK: