Peninsulas-LR 950518Contractor:
Job Name:
1~65 Cal#omia ~ng · P. O. Box 542015
(214) -5-_r~_ 2913
Televisk~ Inspec~on Inlonna~on S~'~.
Date
Contract #: Job #:
Operator: K/,
P.O.#:
Description of Pipe: / New
f Sanitary
Une Size: C<~/'/ Pipe Type: P~/d Grade:
Old Live
Storm
Station I Feet I Clock PositionI Description Video
1-~'o 6~_' ~,'^ .~,~ ,~ ,~
Ground Conditions:
Remarks:
Page Number / of /