Laserfiche WebLink
wore m: nisrerca <br />p reoms errec� <br />WATER MR1IN FASLURE FEPORT <br />DRTE OF AFEAI!_� z_� �I 3 TI MEe _ 3 A. M _____f'. M. <br />REFOFTED BY: _�yC_cEI_ uT �________ PHONE M_____ <br />RDDFESSt <br />LOCRTION OF BFERI:: _31�5_%'f�!/___ <br />--_'___-_-__-_'-__ <br />MAIN I. D. N: __________ W.O. M: �'� b� PFOGFAM:_/ �%_ UTIL. ACCt E_!_3 <br />� ----- <br />TYF[ OF MAIN:_�}1L(%A�IT_ESIZE: _�_r'_ JOINT: ________ <br />DEFTH OF COVER: _�/___ TYPE OF SOIL: _ C'�`1________________ <br />NATUFE OF_ PREAI:: Circumferentiel __ Lonpitudinal___ <br />Glowout_ ✓ Joint___� 5plit at corp.___ Sleeve___ <br />Miscellaneous___'__________________________'_______'_'_________' <br />AFPARENT CAUSE OF EREA1:: Surqe___ Defective Fipe_'� <br />Carros:an ✓ Deteriora}ion '� Improper Peddinq___ <br />Hiqh Operrtinq F•ressure Differential Settlelment___ <br />--- <br />Temp. Chanqe___ Contractor___ Misc.__________________ <br />DESCRIFTION:------------------------------------------- <br />CONDITIONS FOUND: Rocl:s___ Voids___ CORROk3I0N: Oui_� In <br />ELECTFOLYSIS INDICFiTED fY/N): � OFERHTING PFESSUFE:_____ psi <br />REFldIFS MADE (Hntcrials):______1 _ e� ��_C+�/'/1�%Z C/��^'�� <br />_ _ ___'_________" <br />_____________'__________________________________________________�_ <br />REI"AIF DIFFICULTIES (If r�y�:----5�_LLq�lr^�,f_�p.��v_(__K(Z/I/ <br />_�,�r-�2_�__'_ Hn�C -'4 -�'-�--��'-'- s3Y- N/fla�------------ <br />DAMAGE T� �UPL7GFF.IVA?E PROFEFTY: � G <br />------------------------------- <br />-----------------------------------------== ------- -1-'t'_"------ <br />------------------------� �- � = 93----�1��---x `�r-� <br />