Cici's Addition-CS 991210 MEMORANDUM
FROM THE
DEPARTMENT OF PUBLIC WORKS
To:
From:
Date:
RE:
Larry Davis, Construction Inspector Engineering
Danny Hightower, Utility Division Public Works
December 10, 1999
Follow-up Walk-thru CiCi's
1. All O.K.
CITY OF COPPELL PUBLIC WORKS DEPARTMENT
MESSAGE
CONF I RMAT I ON
12/10/99 16:01
ID--CITY OF COPPELL
DATE
12/10
S,R-TIME DISTANT STATION ID MODE PAGES
00'20'' CITY OF COPPELL CALLING 01
RESULT
OK 0000
Issued:
Name:
Phone Number: (I-LM).
Address:
(WK):
Check for: Accuracy test: Meter Leak:
Initial meter relocation inspections
1. Backflow Insn. 2. Repair
Check water pressure:
Re-read
Backflow Insp.
Bkflow Cert. Date
Re-Cert. Date
3. Maintenance 4. Other
A. Main Line A. Pump A. Line Locate
B. Valves B. Water Tower B. Line Locate
C. Service Line C. Samples C. Tap
D. Hydrants D. Equipment D Excavation
E. Safety
5. Reason for failure: A. Electrolysis B. New Construction C Poor Installation D. Other
6. List of safety equipment at site if applicable:
A. Barricades B. Cones C. Tape D. Lights E. Other
Request for Services:
7. If Meter/Service Leak: Classify: - City:
A. Water Loss (estimate): GPM
B. Was Water Metered: Yes
C. Was Customer Notified: Verbally
8. If Meter Change Out:
Customer
Fire plug flushing Total Gallons
No
Doorknocker -
Vehicle/Equipment Used
Unit # Miles Hfs Equipment
A. Old Meter # Reading
B. New Meter # Reading
C. Old Meter Size/Type:
E. Type of work performed or findings:
D New Meter Size/Type
9. If mainline or deep service repair, describe type of pipe or service line and condition:
10. Man-hours:
1 I. List Materials Used:
Crew Members.
12. If you had an accidentffncident while performing this request. Did you report it? Yes or no
13. Water Utilities meter inspection: pass or fail
14. How many trips to do task?
Signature