HomeMy WebLinkAbout13924 Lower 59th Street N Water Meter Installation and Final Inspection
Date/Time: C
Location: /3 9 ,
Contractor:
Contact: -CZ/ 2 a Z2
Water Line Material and Size: 3/L/ (' p0..-e1C1C-
#of meters and Use: / it9� c
Meter Serial Number(s): 7//6 3 a C1 7
Meter ECR Number(s): 6 73 0 0 R / 7
Radio Number: / ( 0 G 0 3 7
Hydrostatic Pressure Test: Pass/Fail
Disinfection: Pass/Fail/N
Are Meter Easily Accessible: /N
Type of Valve Installed Before Meter(s):
Type of Valve Installed After Meter: t
Meter(s) Installed in proper direction: /N Meter >1 2" above Floor: N
Order: 00972039 Line: 001
Electric Bonding Around Meter: Y/1 /t/
Radio Installed and Tested_../ N / Date: 1109 IIIIII111111111111
Check Plumbing for Cross Connections and Backflow Preventers: Part No: 5756596461056A
Desc: MTR 3/4S SRII
ECRDM-S1000G LTP
Port 1 18106037 Date 06/12
MXU ID: M510R-C1-3W-X-AL
Sketch building and meter location. 1111111111111111111111 census IIIIIIIIIIIIIIIIII11I11III 111111
Keter SN: 71163207
�' / Flow: X11111 11111III III11111III III
Low: 098.0 Mid:100.7 Hi:100.1
• Register 111111111IIIIIIIIIIIII
oust ID: 67300817
Register 67300817
Fact ID:
/ Config: ®,® ®®y0 0 0.0
Public Works Observer Name and Date: A f%
i
Notes:
Share/PublicWorks/Forms/Meter Installation
TREE CITY U.S.A.