Loading...
316 Dogwood _. /V oul i K . ..... . .. . . WATER - . Issued: 0 _ : mshet le e � . - Ns= _I.. I i 4 _ — ,.., Addrax 0 . 4 _ �� ... t .i.), �sGQ /,---i._ — Phalle `•r..ree (rte / CAM): Check for a �:ancy w meter Leak Cheese eater pressure: Emile! :Ater :eioeseice isspecsoas Re -read E. Back taw (u 3. ____ 3. XiiRISSIIM 4. 93bst Bacdow rasp. A. Maim: Line A. Pump • A. Liss Loose Bow CI= Due B. Valves B. Water Tow c B. Line Locate Re-Cert. Dace C. Service Line C. Samples C Tip D. Hydrants D. Equipment D Excavation E. Safety S. Reason hoc &ace A. Electrolysis B. New Camaoctios C Poor Ineall iosD. Ober 6. List of sated► slaigsomt sails if applicable: A. Barricades B. Canes C. Tape D. Lights E Ocher . Recurs for Servic 2 .r /M / / 0 / /- / /. / .• L I % ©� . . rte... A ir' ' , -/ ,f f.- _ 7. It M Service Cat Classify: - City: Casa:eta A. Wirer Lass ( ere): GP .( Fire plug &shin; Total Calms B. Was weer Menet Yes No C. Wu Cestosrac Snuffed: Verbally Docektedte - Veh cletquipazeat Used 3. C:!•::::7 f.".7:a nge C'._ C: it *Mks His Equipment • _..o €_ :Nie : : := 9/61 Reading tf 3. `ear Mrs : 2 to N � _ f 6 R C. Old Meter 3¢s :;per: . S e Si B �4 0 N cv Meter S•¢ ::•ype .- '( f' /Z 4'/`i E. Type awed a or findings: 9. (c =.1_.:i.r.e 1f !e- ;&.f.e : air, describe type of pipe or serrc: tine zed condition: ;') 7.:::.- ..:1 S CT/. M: -ce:s. G' I — Ti" t l C:,: ` .ve s !.;.r. Vie! rir / 4. L :. :1' L.: L::. : :....: :.:VLC . :!: $ : �1:S :. Q:d' ;I:':. :cam .C" `! :S .. :c 13. '� 1::: (sabres Tin-.:: :r �i' eetion: ( or fail