Cici's Addition-LR 991206CLS SERVICE & SUPPLY, INC.
The Underground Utility
Specialist Since 1979
F0nnefly Conslmcti0n Laser & SuI~ly, Inc.
Sheet 1
Date December 6, 1999
JOBNAME C.C. Pizza Warehouse CONTRACTOR Blue Ridge Construction Co.
ADDRESS
CITY Coppell, Texas INSPECTOR Larry Davis
[~ AIR TEST ~ MANDREL CI MANHOLE VACUUM TEST
PIPE
LINE DIAMETER STATION NUMBERS TIME PASS/FAIL FOOTAGE
SS-1 8" 6+19 - 3+00 7:36 Pass
SS-1 8" 3+00 - 0+00 7:36 Pass
CONTRACTOR SIGNATURE
INSPECTOR SIGNATURE
OPERATOR
DATE
DATE
726 S. SHERMAN STREET · RICHARDSON, TEXAS 75081-4028 ° (972) 231-3646 °METRO (972) 434-3812 ° FAX (972) 231-3934
CLS SERVICE & SUPPLY, INC.
The Underground Utility
Specialist Since 1979
JOBNAME C.C. Pizza Warehouse
ADDRESS
CITY Coppell, Texas
[] AIRTEST [~ MANDREL
CONTRACTOR
Sheet 1
Formedy ConstnJctron Laser & Supply. inc.
Date December 6, 1999
Blue Ridge Construction Co.
INSPECTOR Larry Davis
MANHOLE VACUUM TEST
PIPE
LINE DIAMETER STATION NUMBERS TIME PASS/FAIL FOOTAGE
SS-1 8" 6+19 - 3+00 Pass
SS-1 8" 3+00 - 0+00 Pass
CONTRACTOR SIGNATURE
INSPECTOR SIGNATURE
OPERATOR
DATE
DATE
726 S. SHERMAN STREET · RICHARDSON, TEXAS 75081-4028 · (972) 231-3646 °METRO (972) 434-3812 · FAX (972) 231-3634