Gunner Sub-CS 991103 MEMORANDUM
FROM TIlE
DEPARTMENT OF PUBLIC WORKS
To:
From:
RE:
Garreth Campbell, Construction Inspector F-n~neerlng
Erne~ Powell, Utilities Division of Public Works
11/3/1999
Follow-up Walk-thru for 1717 E. Beltline Rd. Fairway/St. Martin
1. All items comoleted & O.K.
CITY OF COPPEfaL PUBLIC WORKS DEPARTMENT
MESSAGE
CONF I RMAT I ON
11×0~×99 14:~;1
ID=CITY OF COPPELL
DATE
11/05
S,R-TIME DISTANT STATION ID MODE PAGES
OO~21" CITY OF COPPELL CALLING 01
RESULT
OK 0000
· Issued: ][/I Finished:
Phone Number: (HM)
WATER
Employee: ~ Grid map:
^d ess:/?l? ?.
(WI().. q7~
Check for: Accuracy test: Meter Leak:
Initial meter relocation inspections
Check water pressure:
Re-read
1. Backflow Inst~. 2. Remit
3. Maintenance
4. Other
Backflow Insp. A. Main Line A. Pump A. Line Locate
Bkflow 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
5. Reason for failure: A. Electrolysis B. New Constxuction C Poor Installation D. Other
6. List of safety equipment at site if applicable:
A. Barricades B. Cones C. Tape D. Lights E. Other
Total Gallons~
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
No
Doorknocker -
8. If Meter Change Out:
Vehicle/Equipment Used
Unit # Miles I-Irs 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:
11. List Materials Used:
Crew Members.
l 2. 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