Villages of CC P4-WO 930216Date Star, ed:
Phone number: (~)
Personnel Reporting:
COpP~.T. WAr~K~TILITIES WOP~KOBDER
Address:
Weather Condition
Check For: Meter Leak -- Accuracy Test __ Meter to be picked up
If Meter/Service Leak: Classify-City: Customer: Activity Code:__
If City Leak - Describe Repair:
Water Lost(Estimate): G~-P Days
Was Water Metered: Yes No
Was Customer Notified:
Verbally __
If Meter Change Out
Old Meter ~:
New Meter 9:
Old Reading:
New Reading:
Old Meter Size/Type
New Meter Size/Type
Purpose for Changing Meter:
Total Gallons
Door Knocker
Vehicle/Equipment Used
Unit # 'Mi~es ~
If mainline or deep service repair, describe ty~e of pipe or service line &
condition:
Vehicle/Equip. Cost:
~lst Materials Used:
La~or Cost:
Material Cost:
Total