2000_1019 . C� � ��
WAITS
`lace: I� (a � 1 -e Add/vs= o.
Panne `r..eer 004 (W
Check for. accuracy : Meter Leak
Check water peasant
iaitai =week:cad= iespece ZS Re •
E. eaek ter (mg,, 2• Emit 3.3taiar• i. SMIC
B c fow Casp• A. Main Line A. Pump A. Liss Loewe
Bkc:'.ov Cart Date B. Valves B. Water Toviv B. Line Loewe
R: -C. —._ Dace C. Setv:ce Line C. Samples C. Tip
D. Hydrants D. Equipment D Excavation •
E. Safety
S. Reason for face A. EleenroIysis B. New Camaotxios C hoe Is of ado s D. Other
6. Listo[ssfecy &pipaeatsale it apptiabit
A. Barricades B. Canes C Tape D. Lights E. Odra
Request or Semi= ? 11 t� / `�` � . Ill
7. [f `[ems Service LaSc Classify: - City: Cur=
A. wirer Loss (u ate): GPM Fire plug fleshing Too[ Gabes
B. WU WM MOM& Yes No
C. Wu Casco= Notified: Verbally Doodmodcx
V-ticka uipmeat Used
3. f ` ::._. _
== �3 ='�` -" Ctdr *Ales Efts Egt:igmeat
A. C _ .fit : :e. - ZS - 1 Z 11-.S"R.-adiag ti-C 70
3. New Me. = irmra J Riding
C. Old Met r 3i:T; pe: D New !deter Sizerne ''�d A / ,d 4
E. Type ewers peorrned or findings:
9. if 7.1 u'_e ;r-':: N air, describe type of pipe at. se rc: lice red ceedidca
1 ....... _. C::
l t L:;: '•:a :-as �';r
/1) j 71 - 7
12. s : t:: _ . :mac tc �. :: �e :.'c.. this :puss :. O :d c' Yes ..:c
l3. Wats: Lcttires Tr:: SKCtOR: or fail
ls. F.o•y .:1.:(zps o:s as'e'