HomeMy WebLinkAbout710 Del Guzzi Dr - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT . . . . . .
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REQUEST
Date Z. - 4 - 0 >
Time
Received by t:>e..1..Yt.i~ E (phone, person)
~..,.
Location of Work to be inspected '710 Oe ( 6u2.-Z-1
Name of person requesting inspection De "tt-l. . s E
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Address of person requesting inspection I - "r- c>
Type of Inspection (circle appropriate one)
Dr
Sewer Foundation Framing
G~-rfJ Yc'-FJ. Phone No
(
Permit No ~
Chimney Plumbing Final Sewer Excav Ot€iJ~
INSPECTION NOTES
Inspected DateZ -4 ~ 0 '3
Remarks 2 ,or I~I V\ r e (JCJ...I r
I
Time
By l;)ek.i.-\.. ~ <j
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RESTORATION REQUIRED
YES 'J<..
NO
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L-Iu) ber-;1 Q&
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other ~L.'+1 6drl
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order # S60
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty of l)ort Angeles
Public 'V orks Departnlent
Water Distribution Repair Report
IWork Order No'
500
.
ICrew. 7(~7ftOJ 7 t7
DATE REPORTED 2 ~ :3 - 03
CONDITION EMERGENCY D ROUTINE D CITIZEN COMPLAINT p(
LEAKAGE SURVEY D OTHER D
TYPE OF MAIN
z - 'f -0 S TIME 3
ADDRESS 710 De I 6'uz z ,
jJ V C 5tH &/%IZE. Z- i,
DA.M. ~P.M.
DATE OF REPAIR.
REPAIR LOCATION
'"
DEPTH OF MAIN
3
CLOSEST VALVE DEPTII.
3(
c.ovf)( l~~
I
SERVICE TAP 0 CORP STOP D PIPE D CURB STOP 0 FITTING 0
METER SETTER 0 METER 0
LINE VALVE. FLANGE NUTSIBOLTS 0 STEM D BONNET 0
HYDRANT BRANCH 0 VALVED BARREL 0
OTHER.
COMPONENTS OF REPAIR. CLAMPO DRESSERp( OTHER $::.L 40 2" f' J C
SITE CONDITION GRA VEL 0 ASPHALT D SIDEWALK 0 CURB 0
TOP SOIL AREA ~ SOn. TYPE
CUTS ASPHALT CUT _FT CURB CUT _FT SIDEWALK_FT
DRIVEWAY CUT _FT
MAIN CONDITION INTERNAL LINING ([;00& TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE " 29 P.P.M.
WATER OFF FROM
( fJ M. TO
2f M.
FROM M. TO M.
APPARENT CAUSE OF LEAK. 6cr'c:>U.J '5-e-ff (e