2000_1026 .
NOV-07-2000 TUE 09:25 AN CITY OF COPPELL WATER 972 304 7091 P 02
it/v3/o0 CifY OP COPPELL 4 t".P2 ZO4 7091 NO. 104 Re1
Aar 411
WATER
--- • . 1 nished; St Etnployee; ,,e_judat
chid**,
. •
j Name: Crt oF C Atkiress ,
Phone itr—um1;;7 (wx):
Chock for: Accuracy scat. Meter Leak: _ Clo reure:
ck water pss
Initial meta relocation inspections Re-read
1 fidrsicill9itiOrth 2 &air 3. Maim agissg„ 4. (Aka
Esalrflow Inip A. Mall Line A. Pump A. Line Locate
Okfltvw Cort, Date D. Va2vc B. Water Towet 13. Line Locate
Re•Cini. Date _ C. Service title C. Samples C. Tap
D. ifydriusts D. EquIpment D Excavation
E. Sidity
S. Reason (Or White! A. Electrolysis B. New Construction C Poor Installation D. Other.
6. List ot' safety equipment at site if applicable:
A. Ertnicades D. Cones C. Tape D. Lights E. Other • • -
Request for Services:
7. If Mace/Service Leak: ClassiAp . Cty Customer
A. Water Loss (estimate): GPM Fire plug flushing _ Gallons
13. Was Winer Metered; YCS No-7ZZ:—
C. Was Customer Notified: Verbilly Deo:knocker
Vehicle/Equipttiatit Used
S. If Meter Change Out 9/15e "/ 73 Unit* Wes Hrs Equipment
or?
A. Old Meta atP Reading L iggc.I.
H. New Miter IF: Readinjt
C. Old Maw Sizerlype: e be e?iaitD New Meter S _LY 3X1
E. 'type f w perfof r___24124_02„tajase.,,s_L—____
,L,. 7.0.77r;v414
9, If mahnine or deep $ervicetepair, describe type of pipe or service hoe and condition:
lb. Mart.hours: Crew Members. C ‘b+. 7 - )
1 I. List .a Is used:
.1 _11 - . el)
12, If you, had 14 accident/UK:Went while perfbmting this request. Did you report it? Yes or no
13. Water Utilities meter inspection: pass or fail
14. How many trips to do bilk?