First United-CS000214 MEMORANDUM
FROM THE
DEPARTMENT OF PUBLIC WORKS
From:
Date:
RE:
Larry Davis, Construction Inspector Engineering
Danny Hightower, Utilities Division
February 14, 2000
Follow-up Walk-thru 420 S. Heartz, Methodist Church
1. All O.K.
CITY OF COPPELL PUBLIC }FORKS DEPARTMENT
WATER
Issued:t-~// / Finished: E mp loyee:/'~ 3-~ (5...~ Grid map:
Phor, e Number: (H3,{~ ~' (WK):
Check for: Accuracy test: Meter Leak:
Initial meter relocation inspections
Re-read
1. Backflnw [nst~. 2. Repair 3. Maintenance 4. Other
Backflow Insp.
Bkflow Cert. Date
Re-Cert. Date.
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
7. If.X, leter?Service Leak: Classify: - City:
A. Water Loss (estimate): GP~! __
B. Was Water Metered: Yes
C. Was Customer Notified: Verbally.
Fire plug flushing
No
Total Gallons
Doorl~ocker -
8. If Meter Change Out:
Vehicle~'Equipment Used
Unit # ~lL!es Frs Equipment
A. Old N{eter # Reading
B. New Meter -~ Reading
C. Old Meter Siz~"Type:
E. Type of work performed or ~'mdings:
D New Meter Size~Type
9. If mainline or deep service repair, describe type of pipe or service line and condition:
Crew Members./
LO Man-hours:
l l. List 5[ateri. als Used:
2 [f"ou had an accidentIncident ,,vhtle performing this request. Did you r.-'por~ it? Yes or no
13. Water Utilities meter insFection: pass or fail
14. How rrlgaly trips to do task7
Signature
MESSAGE
CONF I RMAT I ON
0~/14/00 19:10
ID--CITY OF COPPELL
DATE
02/14
S~R-TIME DISTANT STATION ID MODE PAGES
00~20" CITY OF COPPELL CALLING 01
RESULT
OK 0000