Park West CC(2)-CS 971216Phone ~um~e~:
Time for Water loc&Ce
Check for:
Re-Cer~. DiCe,
Finished __
WATER
Grid map _
A. P~Ltn Line
B.Wi2or Tower
C. Samples
w. Safe~y
5. Reason foe f&llure: A. Bleccrolys£s B. New cone=ruction
A. Bcicades B. ~e~ C. TI~ O. Llgh~l ~. ~
A.LineLoc&te
B.Xnepec~lon
C.T&p
D.Bxcava~ion
C. Poor lne=allaC£on
D. O~her
C.Was cus~mlt]~)t:.LZ.ted: Verbally_ ~
CqltO~e~: :
To,al O&llons ,,,
8.~fMe=er C~aageOu=:
A.OidMe=er$
8.New MeterS,
Ri&d£n~
mill
mainline or deep service repair, deicri~e C~pe of pipl os itL'vice line L.3d cond£~ion:
$L~nacq¥~