2001_0423 WATER
Tzisket Emgiayar laid ssoP
N = . r. N=T ..be.: Addte:z:
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[aicst zeta cetocsc�oc�� •
t. Back; ?cry we, 2 $igiY 3. i. SNIE
8aceevr Gtsp- A. Nails Gist A. Pump .'Lies Cowie
Dace B. valves B. Water Taw: B. Line Leese
Ore C. Say:cc Line C Samples C Tip
D. Hydrants D- Equipaoeat D Brand=
E
Safety
s P" for egam a New Cammatabt C Pox teedidesD. od
6. List at a&i y **mett sibs if appBakiee
A. 8accfesdes a Coon G Tape D. Lights E Other •
R:C:,es; fcir S c r v i c = 7 3 7 ) i I .11 .n/ P (Let'
7. It g{ Se;r',= L Ceti y: - City: Caste=
i ' uc Casts (sh=e): GPM Fre plug dog; Tool Gafaas
9. Was Wsaer4 Yes No
C. Was Casaxx Notified: Verbally Doadmecf= -
Vtl i iettquiptrcu Used
3..: !. . : :: ;1=3: _ (: r T tiCIa Flcs EEquipe=
•
TO 9.0 1$ Reading 1 312- (c, Ct c 0
3. N c"► Me= $ j j-7 ? 1 Riding
C 01Q Met= in::••pe: S f I5 t c t J 0 New M:cerSiz T . 5/ J .t +LS-j - t
F. Type ai n& ceased or findings:
9. t: .a__ :c c : ail, describe :y ea e(piezed :acdi::ce:
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11 . w i:::(:ahces.rx.:!rr;eeci at Fail