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CHART� <br /> WATER MAIN FAILUR� REPORT <br /> DATE OF BREAK ��� I v 'I7 TIME: �4,-3� AM PM <br /> REPORTED BY: ,�,fi�d c —. .J�—'� PHONE <br /> � ��Ess: � 3 31 r�b+J�I — <br /> LOCATION OF BREAK: <br /> , .i �—� <br /> TYPE OF MAIN: G_ /. SIZE: �o JOINT: /y fO , <br /> MAIN I.D.�: � l ' � — W.O.�: /� -- <br /> i DEPTH OF COVER: _ ,3 � TYPE OF SOIL: C I�r�� �Cr}C�KS <br /> NATURE OF BREAK: Circumferential: � Lonpitudinal: <br /> g�� Joint Split at corp. Steevs: <br /> Miscellansous <br /> APPARENT CAUSE OF BREAK: Surye ' Defective Pipe <br /> C�� ✓ Deterioration Improper Bedding <br /> Hiyh Operatlnq Pressure Differentlal Settlement ✓ <br /> T�mp. ChanQe �� Contractor Misc: <br /> DESCRIRTION: <br /> CONDITIONS FOUND: Rodcs `/ Voids CORROSION: Out V In <br /> ELECTROLYSIS INDICATED (Y/N) � OPERATING PRESSURE: P� <br /> REPAIRS MADE (Materials): / '' �� �� S s �-��� ��`-�� � <br /> i <br /> REPAIR DIFFICULTIES (if any): �'f�S — LJA16�72 ��� ��`"�� f'-' <br /> S C.�J��- �! 1.�0�.9-/ lo.v c`� t- �E-�4�--� G��- <br /> DAMAGE TO PUBLIGPRIVATE PROPERTY: S l Fu+�.huC To ,�� <br /> �-PL�c��L <br /> _� <br /> Repair Made by: � _ <br /> Signaturo <br /> rowa.nw�rrcnm+n S /, f�^'C' <br />