2000_1102 •
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WATER �
rss�e� /0730 : aisbe / - 2 -(161 EnspLoYet Geld
A O6
Pttor.: `r..cr.. (EN J (VIM:
Check far..a.c cy Meter Leak Check water pressure • -
raing =eta reload= imee=aomas Re mead
i. $acfr tcw (am, 2. Bank 3. `minis.• ••• 4. Qlst
Bacdow (asp. A. Main Line A. Put" • A. Liss Loewe
B:cf..ow Ctn. Due B. Valves B. Water TowwW B. Lice Locate
R:-Cc = Due C. Service Line C. Samples C. Tip
D. Hydrants D. Equipment D Excavation
E. Safety
S. Rama for fultec A. Electrolysis B. New Caeotneaioet C Poor Taso'sdee D.
6 . List of safety egoipaeot sirs if applicsbis:
A. Basrie H. Canes C. Tape D. Lights E. Other
Request :or Servic=
7. If Me Service Lac Classify: - City: Castomer
A. W usr Loss ( ): GPM The plug f6 'mg , Tool Gallons
B. Wu Wat rlfaeoeet Yes No
C. Wu CCsmmc Notified: Verbally Dooelmodar -
V:lti oEquipmeat Used
3. [ Unit ;NCles Ho Equipment
A. 0 :: .N(e : :: - 5' 067 ` Reading /l) 2')
3. New Mete:* E q Rading -®---
C. Old Meter r SneT;pe: .S s 4.7 s 'D rew Meter S i z r . T . y e ' 9 4 • 1 ,
E. Type of watt performed or • . • gs:
9. C _3 =.`tee zc : Nair, describe type of pipe or serum: ti^.e std coaditioe:
;) ....... _. , (r /"
' :1:..:1 :1
A et/ ti
pc: forming this :slues:. Oed ;i' '. :c- .c' Yes ..:c
13. W1 : :: Ueda:'el rr.:: speccion: # or fail
Is, How.a :yTPS A lee