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RODTE T0: DISPATCH <br /> � PHOTOS ATTAC� <br /> WATER MAIN FAILURE REPORT <br /> /� <br /> DATE OF PFEAI!,f" -�7 TIME: /D_ �, p,M <br /> � REFORTED PY: _�e^��6c_'�7Fv�____ FHONE M <br /> -------------- <br /> FiDDFESS: ----1 D_Qr--�-� -J�-�7 iV-��_ -f m,r�Sr•�_�'_�_'S_ <br /> � . <br /> LOCATIDN OF AFEAK: _�IL&�f �� f3�6�_�o��SS <br /> ___ <br /> MAIN I .D. N: __________ W. O. #: L?�(/ PROGRAM: 7rfl__ UTIL. ACC: I�673 <br /> ; TYFE OF MAIN: __�[________ SIZE: 3_�___ JOINT: _�[o� <br /> / <br /> DEPTH OF COVER: _�____ TYFE OF SOIL: _C'!�'q� <br /> NATURE OF_ PREAF:: Circumferentiai___ Lonqitudir,ai___ <br /> Dlowout___ Joint • Split at corp . ___ Sleeve___ <br /> --- <br /> Mi scel l aneous_____Sf I�i i_ R'�_i�E�� <br /> AFPARENT CAUSE OF EREA1:: Surge___ Defective Fipe___ <br /> Corrosion Deterioration Improper bQddinq,_,_ <br /> High Operating Fressure ✓ Differential Settlelment � <br /> --- --- <br /> Temp. Change� Contractor___ Misc._______.___________ <br /> DESCRIFTION:---------------------------------------------------- <br /> ---------------------------------------------------------------- <br /> CONDITIONS FOJND: Rocl:s �Voids '� C�FROSION: Out In <br /> ELECTROLYSIS INDICATED (Y/N) :�i[_ OF'EFATING PRESSUFE ��� psi <br /> FEFAIFS MADE (Materials) : __o9 _3 aMti1( [� JP�.l��' f4^�c� _____ <br /> . . <br /> ��_o �__,`� `�_O �_� �°E' <br /> --------------------------------------------- <br /> ------------------------------------------------------------------ � <br /> REF'AIF DIFFICULTIEo ( If an > : �.O/s of' 1 i�tt /O /,2�_fl� {_D�4 r_ � <br /> . � Y ----------------- - --- <br /> �oJQe�-�-�K---------- <br /> ------------------------------------- <br /> DAMAGE TO �UBLIC/FF.IVA?E PROFEFTY: _�a �J�l A�,PI�A��_(�J�l� <br /> _ r--,- ---_ . <br /> J_"_�_�5_i��r__�_�t������_C f��s,��-- � ,(-�__e--���� �c3� <br /> ------------------------------------------------------------------ <br />