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2000_0810 (2)
-_ fcif'Z,dcc/0 /'"1 7"c4 WATER issued: i • 01. utintecb ato E& oy �_ Grid asap: / va=e: • _ _ , . / - . Address: 5Zv fdL Phone `tanner: (FCC() VEL O): Check for. Accuracy :=c Meter Leak: Check water pressure: initial =ter ielaation iosee oas ig..read . I. Bach law [mo. 2• Sank 3. Maiatemtee: 4. gibit Back:Tow t. A. Main Line A. Pump . A. Line Locate Bow Ceri. Date B. Valves B. Water Tower B. Line Locate Ete -Ce = Date C. Ser eic: Line C. Samples C. Tap D. Hydrants D. Equipateat D Excavadon E. Safety 5. Reason for fame A. Electrolysis B. New Construction C Poor Tmtdiadon D. Other 6. List of safety egaipmeat at site if appiiesbjc . A. Barricades B. Cones C. Tape D. Lights E. Y , R equest f r fil. t.d5� /?20-t0�. 7- (L !' 0_,e.,( 7 7. If MetenServic: Leak Classify: - City: Customer / A. W ster Lost (ate): GPM Fire plug ' g Total Galloas B. Was WaterAtere& Yes No C. Was Cum= Notified: Verbally Doorknocker - V:hictetEquipmettt Used 3. Cf ` t :er C:lage C'.: i:nit 4 Miles Firs Equipment ` ,3 A. Old Me:.. = Reading 26 2/2 3. New Mee: = j G 6/2. ,4, R:ading --e C. Old Meter 3s: T :pc: D New Meter Sizc?ype , .0 54' /--70fe E. Type of arcxk per. or findings: 77i' .+(e- :s L e,.au D,G .- 7 - 77,t,2 -c- J Mc,. it cw y e,' aii),, ..5 ,©Duv i. ,e 9. If _3 =tire or lee? ;cute repair, descrbe type of pipe or service line arc! coodidoa: 11 Ls: `.' :.::is r'se: ,- /^-j 6- -7 C it 11. l: - . .'.1.: la 3::...... _ .: :d_ tc 'xh::e re :fc nit g his :eques:. Did y.L' . :c:: :t0 Y:s .1: :c 13. W1: :: Lc Tires greet rseetion: or fail l 4. Holt .:sty caps 53 '_o ask' ,- /'