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13936 Lower 59th Street Irrigation
Water Meter Installation and Final Inspection Date/Time: c jZ/I I Z` •o f iv Location: ,393 Lcw-e r :;--?'A 5 4" Contractor: /MI A/66- L G'-t) ( y; e Std 3 Contact: ) 4-Y-I 320 -- ;3 3 (Z 5 l Water Line Material and Size: #of meters and Use: if r' Meter Serial Number(s): '72 0 r7 Z7 ' Meter ECR Number(s): b 9 43Z.C.4(, Radio Number: 1©0 Z 194 9 Hydrostatic Pressure Test: Pass Fail/NA Disinfection Pass/Fail/NA Are Meter Easily Accessible() N Type of Valve Installed Before Meter(s): 1t Type of Valve Installed After Meter: &k( Meter(s)Installed in proper direction: Y/N Meter >12" above Floor: Y/N Electric Bonding Around Meter: Y/N Radio Installed and Tested: Y/N Order: 00116345 Line: 002 Check Plumbing for Cross Connections and Backflow Preventers: III Ittlllli�llll Date: 0710 Part No: 77610904610018 Des c: MTR 1.5 PMM ELM Sketch building and meter location. ECR 10003 LTP Senses 111 111111111111IIIIIIIIIIIIIII Meter SN: 72071278 Flow: IIIII IIII II1111111111111I III Low:100.6 Mid:100.5 Hi:100.5 Register 111111 11 11 11111111 Gust ID: 69432646 Public Works Observer Name and Date: Register 69432646 Fact ID: Notes: Oonfig: ❑ 8,E1 g,0 ❑❑. Share/PublicWorks/Forms/Meter Installation TREE CITY U.S.A.