HomeMy WebLinkAbout14985 60th Street N Ot
Date/Time: u< Z " i S
Location: 1 i e 5 (�d S I. c. 1� or,� 1-kUcr..i
Contractor: r J•,(t o YA Rh-id 're), 5 ( -('> ) ZOO —(%O 2
Contact: 701 C e A nn e-) h 51 (6 5 I) 410 — $1 t 6
Water Line Material and Size: Cot) e r - .J.- J o 4 t cr.c\
# of meters and Use: 1 :LW; cuvL C eLe d -E
Meter Serial Number(s): 7 54i 3 O Q Ss-
Meter ECR Number(s): i P'2•r
Radio Number: (%C c
Hydrostatic Pressure Test: Pass/Fail/
Port 1 M51 OR-C1-3W-X-.°.L
MXU ID:18055424 Date 01/12
Disinfection: Pass/Fail/ IIIII11111111111111III
Are Meter Easily Accessible: Y0/N IMeck. Qcorr
Type of Valve Installed Before Meter(s): '`-i r'° b--,a
Type of Valve Installed After Meter: y4- 10-. 0
f
Meter(s) Installed in proper directio ( '/N Meter >12" above F1oorO N
Electric Bonding Around Meter()/N
Radio Installed a n d Teste. N
ve
Is the meter a Deduct Meter: (Y, N /t/0
Check Plumbing for Cross Connections and Backflow Preventers: Pass LOP be-tie-00 w
Sketch building and meter location.
Order:235808 Line-3
Date: 12/12 III 1I II IIII I1I IIIiID I III
Part No: I4X3GLXX
Desc:
X
MTR 1 IPERL 1000G
Customer 1111111111111111111111
Meter S/N: 75430055
Public Works Observer Name and Date: Flow: 11111111I1IIIIII11111111III
Lo:099.5 Md:100.1:100.1 Hi:099.9
po ��� fin, n Sensus 1111111111111111111111
Notes:
v� � - Meter S/N:
75430055
For Factory Use Only I
III
1011111111111111 1111 01111
F00099206
2
TREE CITY U.S.A.