Northlake 635 (5)-CS000821 MEMORANDUM
FROM THE
DEPARTMENT OF PUBLIC WORKS
Larry Davis, Construction ln~ctor Engineedng
Danny Hightower, Utilities Division Public Works
August 21, 2000
Follow-up Walk-thru Coppell Commerce Center-Lakeshore/Beltline
1. All O.K.
CITy OF COPPELL PUBLIC WORKS DEP.41FI'MENT
MESSAGE
CONF I RMAT I ON
08x22×BB 14:47
ID--CITY OF COPPELL
DATE
88/22
S,R-TIME DISTANT STATION ID MODE PAGES
00'20II CITY OF COPPELL CALLING 01
RESULT
OK 0000
WATER
Phone Number: (HM) (WK):
Check for: Accuracy test: Meter Leak:
Initial meter relocation inspections
Check water pressure:
Re-read
1. Backflow Irish. 2. Reoair 3. ~ 4. Other
Backflow Imp.
Bkflow Cert. Date
Re-Cert. Date
A. Main Lnie A. Pump A. L/ne Locate
B. Valves B. Water Tower B. Line Locate
C. Service Line C. Samples C. Tap
D. Hydrants D. Equipment D Excavation
E. Safety
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
7. If Meter/Service Leak: Classify: - City:
Customer
A. Water Loss (estimate): GPM __
B. Was Water Metered: Yes
C. Was Customer Notified: Verbally.
Fire plug flushing Total Gallons
No
Doorlmocker -
8. If Meter Change Out:
Vehicle/Equipment Used
Unit # Miles I-L,'s Equipment
A. Old Meter # Reading
B. New Meter # Reading
C. Old Meter Size/Type:
E. Type of work performed or fmdings:
D New Meter Size/Type.
9. If mainline or deep service repair, describe type of pipe or service line and condition:
10. Man-hours: Crew Members.
11. List Materials Used: '
12. If you had an/~ccidentlncident'while perforn~ng this request. Did yo~-fep6rt ~t? Yes or no
13. Water Utilities meter inspection: pass
14. How many ~ps to do task?
Signature
or fail
Issued: g~ Finished: __
Phone Number: (HM)
WATER
Employee:~
Grid map:
Check-for: Accuracy test: Meter Leak:
Initial meter relocation inspections
Check water pressure:
Re-read
1. Backflow Ius~. 2. Re~air 3. ~ 4. Other
Backflow Insp. A. Main Line A. Pump A. Line Locate
Bkilow Cert. Date B. Valves B. Water Tower B. Line Locate
Re-Cert Date C. Service Line C. Samples C. Tap
D. Hydrants D. Equipment D Excavation
E. Safety
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
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:
A. Old Meter # Reading
B. New Meter # Reading
C. Old Meter SizetType:
E. Type of work performed or £mdings:
Fire plug flushing Total Gallons
No
Doorknocker -
Vehicle/Equipment Used
Unit # Miles His Equipment
D New Meter Sizefryl~
9. If malnline or de_ep service repair, describe type of pipe or service line and condition:
........
10. Man-hours: Crew Members. ,
11. List Materials Used:
12. If you had an accident/Incident 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