2001_1020 •
.- A..) e / L-7 e_. ..- .
• WArIR
tss /0/9o/ t ,i 'e Y G _ •
::ace: ().6i -e_ A4 9S 7
Phone `.c-.cer: (T r •
Chair car. .marry =:. meter Leak Check =ter pressure:
taidst -cues Mead= a iesze ioas Re-read -
E. Back tow (gn 2. gait 3. Main • 4 . -.
Bsedow Lisp. A. Main Line A. Pump • A. Liao Loewe
Beaw Cr:: Dace B. valves 8. Water Town B. Line Locate
Re = Da:e C. Service Line C. Samples C. Tip
D. Hydrants D. Equipcme x D E;o aradoa •
E. Safety
S. Reason for Wm= A. Electrolysis B. New Cameos C Poor lambda: D. Oiber
d . List of saderp egeipocsc a lee if applicable
A. Barricades iicades B. Canes C. Tape D. Lights E. Ober .
40 1
R.• - or : = .i. // - A v G A__/.i_,, : / " - c!'' 4..2 C e0-x-t
7. It MIe Serra Leafs Classify: - City: Customer
A. Wm Loss (smote): Gnt Firs plus gashing Toad Callous
8. Was Waterlienvat Yes No
C. Wu Cum= Notified verbally Doa k:lock r-
VehieterEquipmeat Used
3. (Y.::::-.7=3:".>:.: Ccu *Nees firs Equipment
•
A. C _".(e : :. - 13 /5) 136'R.-a,d.ing b7 or..3
3. New tier= = Z 04,2, to / q R
C. O(d M r 3 :;fie: D NeW meta S'¢= Tne , r `r lY y'° { /
E. Type orates performed or findings:
9. (: _s�:re :r ::e; ;c.-r : ::rp sir, describe type of pipe or se 'ce (size rad coadidoa:
a
, ') ' -!::: ) C, -,•.v N( : -::e: s. (,,-
t( C..:' :i:.- ifs / G -` � �
B c.. €2
t . :2.: L : v . : . . . . . . _ : :.:: ::tc '�':!' pe::e.:.ling this 7:qurs :. O:d y' :. :cam .c? ' f t : : : :o
13. W: C:aE;des :rcr: •:reecioa: or fail
14. tf9'y . :l-. f zips i'.0 wk:' / . .