Freeport NIP(2.4)-LR 970902 CLS SERVICE & SUPPLY, INC.
CI~ SERVICE & SUPPLY, INC.
The Underground Utility ' : ..... · '-":" '-':' ...... :~..==,"
Specialist Since 1979
Sheet 1
Date September 2.1 997
JOB NAME Dersey CONTRACTOR Renaissance Contrators, Inc.
ADDRESS
CITY Coppell, Texas INSPECTOR Larry Davis
OX AIR TEST ~ MANDREL ~1 MANHOLE VACUUM TEST
PIPE
LINE DIAMETER STATION NUMBERS TIME PASS/FAIL FOOTAGE
6" 0+00 to 3+63 2:50 Pass
6" 3+63 to 4+19 2:50 Pass
CONTRACTOR SIGNATURE __ DATE
INSPECTOR SIGNATURE DATE
OPERATOR
726 S. SHERMAN STREET · RICHARDSON, TEXAS 75081-4028 ° (972) 231-3646 ,METRO (972) 434-3812 · FAX (972) 231-3934