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13848 Upper 58th
Water Meter Installation and Final Inspection j_ssr,',/ Uh /61-7/- // Date/Time: (6 -1(- Location: , Ppp 1 S% G - P t Contractor: Sion G C oM�� �ir? Contact: &// ..5.710/7C C 51 ) q g 3 - T7 z q Water Line Material and Size: I P1 - < - #of meters and Use: t Bowz-5 1-,‘ 3/It 1( S/ 2 Meter Serial Number(s): o 1 / 1 0 5-0 Meter ECR Number(s): ' I S g '1 3 Radio Number: 1 4 Hydrostatic Pressure Test: Pass/Fail/() Disinfection: Pass/Fail NA Are Meter Easily Accessible: Y/N C Le SS 7 911-/- , �-- Type of Valve Installed Before Meter(s): 6 G(. c Type of Valve Installed After Meter: 6IXe Meter(s)Installed in proper direction: ©/N Meter >12" above Floors/N Electric Bonding Around Meter: Y/N ,)rder: 00834529 Line: 003 Radio Installed and Tested:()/N Check Plumbing for Cross Connections and Backflow Preventers: date: 0507 III11111111111 1���! Part No: 5750696461073A Port 1 M510R-C1-3W-X-T MXU 0 17425881 Date.03/08 I 1111111111111111111 Desc: MTR 3/4 SRII Sketch building and meter location. nA ECRnM-510006 LTP gi i( S ,mss; (,S ( l o3 — 71z9 ! dieter 111 IIIIIIIIIIIIIIIIIIIIIIIIIIII ID: 67770650 r 9% Flow: 11111111111111111111III11III Low:098.7 Mid:101.3 Hi:099.6 Pus tI D: II I III I I II IIII I I II I IIilll l III III 61653973 Public Works Observer Name and Date: /CZ �� Fa0tzD: 61653973 Notes: + �ndN fc" t,tL -�ttL - uokik . /.:Vo7 / Config ®,® ® ®,❑ ❑ ❑.❑ Share/PublicWorks/Forms/Meter Installation TREE CITY U.S.A.