Ashton Ridge-WO 9611122. Repair
A.Main Line
B.Valves
c. Service LAne
D.Hydrancs
Backflow Insp.
Bkflow Cer=.Da=e
5. Lis= cf ~afeuy equipmenu a~ site if
k. Barricades B. Cones~
A.Pumpe
B.Wa=er Tower
C.San~plee
D.Equipmen=
E.Safe=y
A. Elec~ro!ysis B. New construe=ion
aDulicable:
E. Other
4,O~her
A.Line Locate
B.Inepec=ion
=.Tap
D.Excavatlon
C. Poor ins=allanion
D. O~her
7.!f Mener/$e~z~cs Leak:
A.Wa=sr Loss ~uiea~=l: GPM
5.Was Wansr Metered: Yes
2.Was Cusnumer Nonified: Ver~al!y __
classify - Cloy:
Fire plug flushing __
No
DOORKNOC~,R __
Me=er Change
k.oid Mener~. Readin~
5.New Mecer~. Readin~
To=al Gallons
Vehicle/Equipment Used
Unit ~ Miles Hfs Equip
D. New Meter Size/T~.e
2.Old Me=er
5.Type of work oerformed or findings:
9.1f mainline or deep semite repaY, deserve :~e of pipe or so,ice lane
12.I£ you had an accident/incident while per£oL'ming ~hiI =equIm~you reI~O~C LC? ~I ~ no
Slqna~ur~~