121 BP Phase 1-CS000120 MEMORANDUM
FROM THE
DEPARTMENT OF PUBLIC WORKS
To:
From:
Date:
RE:
Larry Davis, Construction Inspector Engineering
Gary Price, Utilities Division Public Works
January 20, 2000
Follow-up Walk-thru One-Twenty-One Business Park
1. O.K.
CITY OF COPPELL PUBLIC tt/ORK$ DEPARTMENT
MESSAGE
CONF I RMAT I ON
01×20/00 16: 38
ID--CITY OP COPPELL
DATE
01/20
S~R-TIME DISTANT STATION ID MODE PAGES
OO~20" CITY OF COPPELL CALLING O1
RESULT
OK 0000
Issued: ~ Finished:
Phone Nu~nl~er:
WATE~
Employee: ;~'~// G~rid map:,
^d ess:
Check for: Acctwacy test: Meter Leak:
Initial meter relocation inspections
Check water pressure:
Re-read
1. Backflow Inso. 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.J~arricades B. Cones C. Tape D. Lights E. Other
/ /
7. If Meter/Service Leak: Classify: - City: Customer.
Fire plug ~shing
A. Water Loss (estimate): GPM
B. Was Water Metered: Yes
C. Was Customer Notified: Verbally
8. If Meter Change Out:
Total Gallons
Doorknocker -
Vehicle/Equipment Used
Unir # Miles Hfs Equipment
A. Old .Meter # Reading
B. New Meter # Reading
C. Old Meter Size/Type: D New Meter Size/Type
E. Type of work performed or f'mdings:
9. If mainline or deep service repair, describe type of pipe or service line and condition:
10. Man-hours: /
I l. List Materials Used:
Crew Members.
12. If you had an accident, lncident while perfo?~mg this request. Did you report it? Yes or no
13. Water Utilities meter inspection: ~///~~r fail
14. How many trips to do task?