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WAIF TIME REPORT JOB ITEM NUMBFRS
• DAILV
PRODUCTION REPORT
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GELCO CLEANING REPORT
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REPORT IS FOR:
l7 Cleaning
❑ Root Foam Tfealment Day
❑ Pigging
)ate —_—
CLIENT _ _____ Job No _
Onb GALLONS REMOVED
METHOD OF MEASUREMENT —
Scal from mar❑ 1 V capon❑ Measmea by hipa❑ i+oun TYPE DEBRIS
FOOTAGE
1 MHa___TOMHa__.__.LOCATION
SIZE LINE COMPLETE
O YES O NO
FOOTAGE
Z MHO— TO MHO_—LOCATION
SIZE LINE COMPLETE
❑YES ❑NO
FOOTAGE
9 MHa TOMHa _LOCATION
SIZE LINE COMPLETE
IL YE ❑FIO
FOOTAGE
4 MHO —TO MHa LOCATION.
SIZE LINE COMPLETE
❑YES D NO
FOOTAGE
5 MHa __TO MHO LOCATION __..
SIZE LINE COMPLETE
❑ YES O NO
FOOTAGE
S MHa .TO MHa____LOCATION SCE LINE COMPLETE
D YES ❑NO
FOOTAGE
7 MHa TO MHO_-LOCATION 512E LINE SUMPLE TE
❑YES ❑NO
FOOTAGE
8 MHa TO MHa_ .LOCATION_ —
&ZE LINE COMPLETE
O YES ❑NO
Type of Denis S Sand R Nock G Grease B Broken Pipe AT Roots LINE COMPLETED
Tyce of Egmpment Hydfocleaner O Ball❑ Buckelt Mach❑ Hand❑ THIS DATE
Notes _.. SIZE FOOTAGE
Technician - Unit a InsOnctor or Client
J
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F
GELCO CLEANING REPORT
r0 BOA f.Vl 9A4(N M 9'AU ( W.\.a4 pr
REPORT IS FOR:
0 Cleaning
D Rool Foam Treatment
❑ Pigging Day
Date
CLIENT
-- Job No
METHOD OF MEASUREMENT GALLONS REMOVED
Soalee Imm map❑ T V son❑ Measure1 6y tape 0 H•\�•� TYPE DEBRIS
FOOTAGE
1 MHM_ _'O MHa LOCATION
SIZE LINE COMPLETE
0 YES ❑NO
FOOTAGE
2 MHa TO MHa _LOCATION
SIZE LINE COMPLETE
O YES O NO
FOOTAGE
3 MHO__TO MHO—LOCATION
SIZE LINE COMPLETE
❑YES U NO
FOOTAGE
A MHO TO MHO___LOCATION—_
SIZE LINE COMPLETE
0 YES 0 NO
FOOTAGE
5 MHO---TO MHa___ LOCATION
SIZE LINE COMPLETE
O YES O NO
FOOTAGE
6 Mrla____TO MH._ LOCATION.
SIZE LINE COMPLETE
O YES 0 NO
FOOTAGE
7 MHa __TO MHa LOCATION.
SIZE LINE COMPLETE
D YES D NO
FOOTAGE
8 MHa___TO 061Ha LOCAT ON.__:± _
512E LINE COMPLETE
O YES D NO
Type of Debris 8 Sand q RpCk G Grease E Brnken Pipe RT Roots LINE COMPLETED
Type of Egwpment Hydrocleane•0 Ball❑ BuCkelt Mach❑ Hand 0 THIS DATE
Notes .__ SIZE FOOTAGE
t
Technician _Unit e__Inspector or Client
J
• .��~ .rl�� etete-+e
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I
GELCO CLEANING REPORT
REPORT If FOR:
D Cleaning
O Root Foam Treatment Day
EJ Pigging
Date
CLIENT Job No.
t e'Ms GALLONS REMOVED
METHOD OF MEASUREMENT
&&W from map❑ T V rporl D Measured by tape CI Home's TYPE DEBRIS
FOOTAGE
t MHa__. __TO MHO—LOCATION _
SIZE LINE COMPLETE
O YES O NO
FOOTAGE
2 MHe__.._ _TO MHu LOCATION
SIZE LINE COMPLETE
D YES O NO
FOOTAGE
3 MHO _TO MHe LOCATION _
SIZE LINE COMPLETE
YES 0 NO
FOOTAGE
I MHe _TO MHs___—_LOCATION. _
SIZE LINE COMPLETE
D YES ❑NO
FOOTAGE
S MHa__—TO MHO LOCATION.
SIZE LINE COMPLETE
D YES C NO
FOOTA E
6 MHe TO MHe LOCATION.
SIZE LINE COMPLETE
O YES O NO
FOOTAGE
T MHO TO 111//e LOCAT'ON,
SIZE LINE COMPLETE
❑ YES ❑NO
FOOTAGE
B MHa TO MHO LOCATION:
SIZE LINE COMPLETE
DYES ONO
Type of Debris E Sand R Rock G Grease E Broken Pope RT Roots LINE COMPLETED
Type of Equipment.Hydrocleaner O Ball❑ Buckett Mach O Hand O THIS DATE
Notes ______.___.._.________.._ __—_ SIZE FOOTAGE
Technician _ Unit a Impactor or Client
L J
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GELCO CLEANING REPORT
V tlll,•i,' S4lM UR 9'AV IE' fW JN. M
REPORT IS FOR:
❑ Cleaning
O Root Foam Treat,nQnt Day
El Pigging
Data
CLIENT
Job No.
METHOD OF MEASUREMENT GALLONS REMOVED
S<ahU from map D T.V report D M. rNe by tape D Noun TYPE DEBRIS
FOOTAGE
t MHN TO MHN _LOCATION.
SIZE LINE COMPLETE
D YES ONO
FOOTAGE
2 MHO TO MHO LOCATION.
SIZE LINE COMPLETE
O YES O NO
FOOTAGE
3 MHN TO MHw LOCATION. _
SIZE LINE COMPLETE
O YES D NO
FOOTAGE
MHO—TO MHw_—LOCATION _
SIZE LINE COMPLETE
D YES O NO
FOOTAGE
6 MHN____._TOM ____ _ __LOCH r1ON'.
SIZE LINE COMPLETE
O YES O NO
FOOTAGE
6 MHO _TO MHw LOCATION
SIZE LINE COMPLETE
❑YES O NO
FOOTAGE
7 MHO TO MHO LOCATION.
SIZE LI, ,i COMPLETE
O YES ❑NO
FOOTAGE
8 MHO—TO MHN —_LOCATION:_
SIZE LINE COMPLETE
O YES O NO
Type of DobnS S Sand R Rock G Gives* S Broken Pipe FIT Roots LINE COMPLETED
Type of Epulpment Hyorocleaner O Ball O Buckett Mach O Hand D THIS DATE
Notes SIZE FOOTAGE
Tecnmcun _Unit N Inspector or Chant
L J
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ICE Day TIME
N, .: ITEM NUMBERS 1A
DAILY
! PRODUCTION ��/ �
• -
PIANCOIT TO CLIENT THIS WE
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DAILY TIME Rl .: ITEM NUMBERS
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DAILY
GFOLCOPRODUCTION REPORT
CLIMT
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TELEVISION INSPECTION REPORT
own
T.LFFItMF ii In.p.i\pr eJ1F.r (sYMp Pt 11YOn Mp. pNO.
Frem M.N.No pIW nl m. Islas Les.a\F {w\NF lerynl Jstar 1". FYe small.
MANHOLE DATA
MH no. LOCATION f -
depth
tvPe P heWm IA
__.---- hetFSe No No. CaM COMMENTS BIM
leaks --
condition
Recom.Reheh.,
�w Y'
PIPELINE DATA
c innthnecs _ r r ,' 1•Jy�i __
alignment -
grade
age
condition _( —
-
%Est.IMkingjoints
other
RECOMMENDED REHAB. -- --- - — --
clean --
remove hoop --- - -—
grout 1%joints) - 1
Wine is
replace
other
LEGEND ----- -- --
M•OnakFn Pipe
CC•CGrcumMMnrul r..
LC•LonanWipal tack -�--
• We m"We -
L• LYM
FT•Pmpp,hn,tap --
ST w mV --- ---
SL-Service leh
SR•Service rlghr
R• Roars
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I GELCO GROUTING SERVICE P.O. Boe 7247 Salem,OR 97303 Phone' 15031 384-1196
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I GELCO GROUTING SERVICE T.V. Inspection and Repair Report
i o MY 12o S L[M.Or nlm TEL W)3e4-119$
JOB NO. CLIENT
GATE
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE
SECTION LENGTH DIRECTION MEASURED TOE
t MANHOLE ry0. PIPt 11 JOINT LENGTH PIP[iVPEMINT TVPf (MANHOLE NO. L r L q
L[n ITrefnun rqi
Tr wet
BOTTOM
iompe JOINT REMARKS r-,,,n, FALE
SEALED � SF ALED REMARKS
n/o
r REMARKS
4
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LINE CONDITION LL�d�Ir
• Cleemin`s ! er.,L.,.P....
One LI -Leal Lxxtrapau .
i Graff LE -Lxax EMiilrverron
IT -RrgruWrW Ta(r
R Honn
5 M•n me Larval
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TECHNICIAN
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GE.LCO GROUTING SERVICE T.V.Inspection and Repair Report
P o W. 12.l SAUM CR Grlol Tn W)]M-Iwr
JOB NO, I CLIENT DATE
PIPE CLEANED BY WEATHER INSPECTOR
LOC.>TION OF LINE
Tn.
SECTION LENGTH DIRECTION MEASURED
_ Lool,„�
MANIIIIL! NO. PIPk SIIk IJINi IkNGTH PIPE TVPI JOINT TVP! IMANII(1LF.N(1. L[!I Un[atmn I.T
1,
rmK
I JOINT AJINT HFMAHKS
Fa,•n.rs SEALFD Hl MAPKJ "'I.ge SI ALA EI
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L INF CONN TION
Ckantin 9 n,,.
Urge LI L•J[ bd,m n
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GELCO GROUTING SERVICE T.V. Inspection and Repair Report
P o aOK 12.1 NLIY M %lm rn )W 364-1198
JOB NO. CLIENT DATE
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE r
SECTION LENGTH DIRECTION MEASURED rnP
MANIrVII NO. GIPf 511L lU1NT IENGTN PIPE rVPL i1bNl IVVI. �MANlllllf NII. �I
` � L[II Dvn'bw� IMI
V f•mN
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Ra•bxp 1•4 L O REMARKS f°iI' Sf ALLY) 'It MARKS
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LINE CONL11lIIIN Lf,'F N1,
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E.— Lf Lw1 In111, 1 .
Grant. LE - L-4 Lt Ell,,,I
MdOMIW� ♦ P.pur Nu.
PT RnbuO�•m iaV
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5 Sn��e Laloral
U Iliil�*`��Mr fF II '1 IAN
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GELCO GROUTING SERVICE T.V. InsImbon end Repair Report
r o W% W SALOA W vnm In ml]N'I He
J08 NO I CLIENT DATE
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE
m.
SECTION LENGTH DIRECTION MEASURED
MANNOIL NII. PIP19;1 L11N11I NUTH PIP! 1vPl �"�` �MANNUU N.�
V v �
REMARKS ,.I REMARKS
•.Vih
I 5�
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T•
` LINE CONIATION LNII NU
CManhma. • Woken l'yv
Lua LI L.•nL be_hoei. .� .
Gisfr LFeL[. .
n -
dNMo4n I Plieh. I• ••
PT P.m„tl, I IP
5 tiny,-I
U crawl A
•�I,� !P� 3. _.ems IIt to-&I iIr
GELCO CLEANING REPORT
VC tlJA�S•' �ME4 VN YI W? rrl V1�}a1.�M
REPORT IS FOR.
O Cleaning
D Root Foam Treatment Day
❑ Pigging
Date —
CLIENT Job No. --
TanM GALLONS REMOVED
METHOD OF MEASUREMENT Rolm TYPE DEBRIS
SC~iron,map O T V repo"O Meaw'w DY 1ePe D
FOOTAGE
t MHN_—TO MHO--LOCATION SIZE
LINE COMPLETE
D YES ❑NO
FOOTAGE
2 MHN -TO MHN LOCATION— -- SIZE LINE COMPLETE
❑YES O NO
FOOTAGE
J MHN TO MHO—LOCATION __— 512E LINE COMPLETE
D YES LI NO
+7s'T—z4;'
E
a MHe TO MHN _LOCATION'. LINE COMPLETE
D YES O NO
FOOTAGE
5 MHN TO MHN .LOCATION 512E LINE COMPLETE
❑YES O NO
FOOTAGE
B MHN TO MHN LOCATION SIZE LINE COMPLETE
❑YES O NO
FOOTAGE
7 MHN TO MHO LOCATION'.— SIZE LINE COMPLETE
O YES ONO
FOOTAGE
8 MHN TO MHN LOCATION 512E LINE COMPLETE
D YES D NO
Type of Deoria:B Sand A Rock G Grease ■Broken Pipe AT Rwb LINE COMPLETED
Type Of EOUIP"Ilt HYdFo I"n O Sall O BUCkett Mach O Hand O THIS DATE
SIZE FOOTAGE
Notes - -- —---
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Technician—Unit N Inspector or Client
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DAILY TIME REPORT O: ITEM NUMBERS
PRODUCTION REPORTDAILY r,51
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'4•
® GELCO
o----_m_o---�-mm
----
mmmm
INIIIIIIII
?'co PRODUCTION REPORTDAILY
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GELCO GROUTING SERVICE T.V. Impaaiam end Repair Repun
F 0 wx f247 1,1EM OII 11303 T n3]H-I"Ell
} JOB NO, CLIENT DATE
i PIPE CLEANED BY WEATHER INSPECTOR
4/ LOCATION OF LINE
{ SECTION LENGTH DIRECTION MEASURED TOF
MANH(f LE NO. PIPE SIZE JOINT LENGTH PIPE TYPE OOINT TYPE IMANMULE NO.
lrll Drn'uon 16x1
of
\r mind
BOT(O�
F°m SFF AIItr REMARKS Pwlq $EA EO XRNT REMARKS
qr,
I
1
1.
- REMARI"
LINE CONDITION LPGEND
CIMOL•wx B Mro nPyv
LIeY L/ L'x I„I�IIIJIIun
CNEtle Lf 1, nlli,ni,�n
MYItKI n P N,1'w,No,
Pi R.nn.Nnu fap
U .�bl.. 1 14N
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7ep
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TELEVISION INSPECTION REPORT
a an: I Y.Ne
+tYaYMn IWMNr Waalner Cleuwe 4. RYM11M. aaFa��J '
Ir.w M.M.ML IIN eyrlr. JY..LanrlN M MM. •Y,N.M..
I T
A,
j f{I MANHOLE DATA
MH
LOCATION i-W QP!•1'. S b. 'I�.r.,
;
Ivne T Now PMill
Ne. Code
a 1 COMNIFN1f GPM
leaks p -- I -
�� ((
cn dton
Recom.RMYo._.-_- _.._.__ 'r� ,•Y!4- �- -
1 PIPELINE DATA -
cleanliness --
slignmmt --- --
aqe /4f __ ---- --
condition OZn& 'y - - ----
%Fo.leaking IoinR _�' - ---
oMe• —
RECOMMENDED REHAB..an
roman route —
grwt 1%lointsl
oMer
LEGEND
BP•BwYen'"
CC.G¢umlmnual _-
LC-
Lorrpn WitulnM4 - - "'
G- B,Yk
L- LW
IT-
Prow
BT•S«vrtt too - --
SL•SarnttMn --- �--
SR
R. Roots
u- u.«nwwe
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GELCO GROUTING SERVICE P.O. Box 7247 Salem,Oil 97303 Ph : (503)384-1198
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TELEVISION INSPECTION REPORT
aLn: CITY: aae lla.
T wwIsm InN..Nr WNlwn CIN,yp 1y nMMIMe. same,
Q N, I I
IryN .N.N•. RM t1Yrn, aNwl YeNY fN1Nn YMM / rll TYM Pya aaM. Ta M.N.Nw
F' 1
MANHOLE DATA
MH no. LOCATION /✓C 14 4C"i r
depth ,.p
tvi'e Nl0, MMw III
L. -- PeeaaEa No. Cob GBMYEBTE GPM
leak.
Recorn Rehab.
PIPELINE DATA --
cleanliness T,T��(� yam[����y�/' ---
ahgnme^I _1..IDLJ.a____.
grade _.—
' age
Cpndrtlpn J/.IC/
%Est laaking joints
other
I
RECOMMENDED REHAB. -- —
bean
remove roots ------- --. -
Emus 1%Joints) -- -- -
rNme _
Teo)
— t
LEGEND --- -- l
CC•Grcumbremul LC•Lnlq,twwl tack
1
a• Br..kmm.da _. __
PT•Pronw .,im
ET•Earvse lop ._. --.
SL•PerNp NII
ER•aarviM r,Id
R• Re ass
u• OiirMbla
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GELCO GROUTING SERVICE P.O. Box 7207 Salem,OR 97,103 Phone 15031 3M.1198
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GELCO GROUTING SERVICE T.V. Inspection and Repair Repc+t
P 0 W. 12a1 SALE* 00 91]0] In 5 ] 30a-OI s
JOB NO, I CLIENT DATE
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE
TOP
SECTION LENGTH DIRECTION MEASURED L + ]
MANHOLE NU. PIPE SILE JOIN]LENGTH PIPC fVPL n�IN] IVPI IdANHULF NO. m
LV] Um..]xm ]Wl
�— Traurl
\! aOiIOM
Fuo]yp JOINT REMARKS FooLryP SJOINT REMARKS
SF nLED
J MARKS
LINE CONDI D, LEGL ND
C."I...ro 8 b...L P.m
Ll— U L—k LiNvnliun
1 Gant. LE Lrol e.eR�nenn
}1f11{F wnb„ra a
PT -Pngw,Lng Tq,
] 5 $..nax;Lateral
U TCCHNICIAN
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GELCO GROUTING SERVICE T.V. Inspaotion and Repair Repot
[o wK na Hdw OII w303 TIE, W3 lebue[
JOB NO. CLIENT GATE i
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE
T.,
SECTION LENGTH DIRECTION MEASURE
MANHOLE NO VIPf >.e? 1U1N1 LENGTH PIPE TYPE IOINT TYPE MANHOLE NO,
L[f D�Ix�iun IG11
T 1
f}OY
Fnmagr SCALED REMARKS "'IaW SEIA.LED REMARKS
LI
LINE CONDITION L(6f NO
Clw�li.wa a &wen P.,
Orb L' 4a4 IM.fil
Grape LE - t•a[GplYaunn
ManMrbe P N.:Nre No:
PT Vrmrudl.q TaP -
R 14
S 4hi�ry Lal.�nl
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1116-1
GELCO CLEANING REPORT
VD BOw 1N1 ss".OP B1. "1 'AI.Yr'rW
REPORT IS FOR:
❑ Cleaning
O Root Foam Treatment Day
❑ Pigging Date
Job No. _
CLIENT
Tmu GALLONS REMOVED
METHOD OF MEASUREMENT Horns TYPE DEBRIS
Scale,Irom map D T V report❑ Measured by tape❑ FOOTAGE
1 MHN TO MHN LOCATION_ SIZE LINE COMPLETE
D YES D NO
FOOTAGE
2 MHN TO MHN LOCATION SIZE LINE COMPLETE
O YES O NO
FOOTAGE
3 MHN TO MHN LOCATION. SIZE LINE COMPLETE
D YES ❑NO
FOOTAGE
N MHO TO MHM__—_LOCATION SIZE LINE COMPLETE
D YES ONO
FOOTAGE
5 MHN TO MHM LOCATION ___ SIZE LINE COMPLETE
❑YES ❑NO
FOOTAGE
6 MHN_--TO MHN LOCATION. ---- SIZE LINE COMPLETE
O YES O NO
FOOTAGE
7 MHN__—TO MHN LOCATION SIZE LINE COMPLETE
O YES O NO
FOOTAGE
8 MHM TO MHN LOCATION._ SrZE LINE COMPLETE
❑YE. ❑NO
LINE COMPLETED
Type of Debns',S San, R Rock G Grease B Broken Pipe FIT Roots THIS DATE
Type of Equipment.Hy,roCleaner O Ball❑ Buckett Mach❑ Hand❑
SIZE FOOTAGE
Note¢
Techmcran_ Unit N__Inspector or Client _
L J
J
TELEVISION INSPECTION REPORT
Ax CITY: M11o.
Teni xror woes. gixwe6' War.Re.
• I
.N'N PIM[I4 Ja1n14 inflow ISMM !Nx TYOs Ilp Yst 6 M.M.Nw
� MM k
MANHOLE DATA —
_
MH no i! is i E / : ti'd4 r• k/ i n, r
. LOCATION `
deotn ___ I
PasMp Mw� Ceia CBMMEMTB am
a
leaks f
condmoq_
Raeoln.RNYL _.. .. :_ l
PIPELINE DATA
f _
cleanliness
alignmentgrade
-
1
age
condition 'r ----
%Esl.leakingloin[s
other -- _._. ---
.--_
RECOMMENOED REHAB. I -
clean — —"
remove roots- _- - - -- ----- ---
grunt(%jomn) —'
reline ---- -" --
replace
other
LEGEND
BP.Bokin R:p _ -
CC-C:ru .eemw c.k
LC•Lo,.,.Ml rink
G erxF m9rWs -
L- Lxk
PT-Erovuu:rla ex --
ST-Sev omo --'-- -'
SL•Serv:x n' -
SR.Sevin
R• Roots --'
J• Uni —_ --
P!x al —
GELCO GROUTING SERVICE P.O.Box 7247 Salem,OR 97303 Phone: (503)3".1198
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TELEVISION INSPECTION REPORT
TKN I' INN.tNr WK\NN1711
CN.WJ MpM Ne. Tp Ne.
I M.M.Ne. , IIM nYm. LMt 1aMM 1KII N lNM4 INNt V,s We.MN. TS M.N.Ns 1
�ry cif f. 7
MANHOLE DATA
MH no. LOCATION
Meth
IaatP be"
Fwasa Eo. Caia CDWERiE DIY
►tPELINE DATA
cNlnlinass
aignmem. _ - _—
araM
spa --
corMition__�„_� -
—
%Est.MakingbiMs -
athN
RECOMMENDED RENAIL -- -
char\
ramwa win
grout l%Join%I
ryIIM
"ace
title,
LEGEND —
BI•BrekM
CC•Cvcumlmm,el crick
LC-L awk
L• Leak _
PT•Prorr W",.
ST•Sevin TOP -
SL•Ssrvl INI
SR.WN ..iah1 —
R• Roots
u• uroaNa. --_. _.
1
GELCO GROUTING SERVICE P.O.Box 7247 Salem OR 97303 Phone: (503)364-1198
L ..r..,r...,,iN1Y17
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DAILY TIME REPORT JOB ITEM NUMBERS
' INE loaf ,W^
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LOT PU WNITTW.CEUKW[S.MATERIALS T...NSE[NMED E IIES9N.TION5
LOT N.TERIKSU DE.LTI.C-AHXUi 5
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V. ITGXI
WE/..XEM COND�i10��5(w
DAILY
GEl.CO PRODUCTION REPORT w�-
LCC.TIC M
f1ELO CNWG[ P IPIIONSIIEBOLi _.
W"T TO CL4NT TIRE D.TE GIHN TO CLIET17 K 0 NO❑
111.AT
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y TELEVISION INSPECTION REPORT
1 Yew.
f DATE:
.upow. Mu^Mo:fw"bra
�nw.t« W..tBtl clunY N
rammaM^
Y.MN M.M.
_ r s
eIN GNm. Jam."m �.«t�s��n ISIM iYN
. Te Ne.
I /
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VANNOLE DATA
LOCATION ,;cc. '1.dtt.e.. L:/•_Sri_ -� '�'
MA
awn, -' Photo'. hoNe« L'OwlMp EIN
TV" C. ft~ No. coe.
leaks
Rectum.Rehee.. - _ f
_ __ .__ a
PIPELINE D ATA �__,.
wrede
condition—' - —— _
•Ea.NekinE lain r --
other
RECOMMEN'7ED REHAB.
clean
'moveroon,— --
pautl%Iointel
reline
rePlea
other
LEGEND
BP•6lok.n«N
CC'Orcuml«.mul o«k
LC•LmpnWIn l cr«k
G- BrNY:n«W.
L• LNY --_
PT•Rotr W ip NP .._
ST•5«raw too --
SL-S,'.Mh ----
SR'W.".'..m _—
R.
I
GELCO GROUTING SERVICE P.O.BON 72pW Sm,OR P7303 Phone: (5031 354-1198 i
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GELCO GROUTING SERVICE T.V. InEpaetion and Repair Report
P e.lKW 12a1 SALE..OR[IX3 m a)3.3M-11[[
JOB NO. (CLIENT — UAIC
PIPE CLEANED BY WEATHER INSPECTOR
LOCATIONOFLINE
SECTION LENGTH DIRECTION MEASURED TnP
L�OL vq
MANHOLE NO. PIPE SITE JOINT LENGTH PIPE TYPE. JOINT TYPE MANHOLE NO. m
L[n OPecaon Iwl
ul
T.mI
rlw
Eontaye JOINT REMARKS r..a[e JOINT REMARKS
SEALED SEALED
�x 41
REMARKS
1
LINE CONDITION LEGEND . .
CM h.es a -W,AL P"
L.n[ Ll -Le InMtr[t.o
Grace LE -LeN E.hln•uon
Manllokz P - Prmre No,
Pi -Rnrtutllrvl Tv
R -Ruot.
5 Sxvirc Latnal
TECHNICIAN _.
aal
F
GELCO GROUTING SERVICE T.V. Impaction and Repair Report
r o WX 7241 S.IEM m U.-Ills
JOB NO. CLIENT DATE
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE
Tor
SECTION LENGTH DIRECTION MEASURED wlry
MANHOLE NO. PIPE SIh JOIN� LtNGTM PIPE TYPE JDINf TYPk IMANHOLE NO. Lan Oreculn lent
of
Tr mJ
Y
JOINT REMARKS
fomyl JDINT REMARKS
F..,w SEALED SEALED
J
REMARKS
LINE CONDITION LEGEND
Caxenlireu a --W.k.Pip
Lire LI LaN IuNI�,R.
MmNolr� P P.,t N,
..__ Pr -Prnbudlmq I.p
R R....
$ yav a LaNral
U
J
a Aal��...�_�Ifs. � IIYr�%��e: d' '1_,r'.a► �!___ .....a .A._s �1>Ya►_>b' ��1�� .s ���
i
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I
GELCO GROUTING SERVICE T.V. Impaction and Repair Report
t O a0% 'Ul LLIM M 97303 T0. ml JOL-Ilea
JOB NO. CLIENT --
DATE
PIPE CLEANED BY WEATHER
INSPECTOR
LOCATION OF LINE ----
SECTION LENGTH DIRECTION MEASURED To.
MANHOLE NO. PIPE SIZE JOINT LENGTH PIPE TYPE JOINT TYPE MANNULEND.
�'— LL.r Dna'io�. Iwr
Travel
JOINT �, mTrOK
f SEALFT REMARKS FOmpe JOINT
SEALED REMARKS
REMARKS
LIN,CONDITION LEGEND
[Nan11Mv I -Woken piP
L. Lf -Lew InLlvation
Gran LE -law C.IinuliM
Me 1 1, P -PkMr N,
s -Rnvu La Tap
IT -Lwrs
-Sena LSIeral
u -unla.�aor
F dl[IAN
L -1
.r mic
F
GELCO GROUTING SERVICE T.V. Inspwi on and Repair Report
P o sox 1241 m". m olio] m W3 1 -NVF
JOB NO. I CLIENT DATE
1
PIPE CLEANED BY WEATHER INSPECTOR
LOCAT ION OF LINE
T..
SECTION LENGTH DIRECTION MEASURED L��u
MANHOLE NO. PIPE 511E JOINT LENGTH PIPE TVPc .JOINT TVPE MANHOLE NO.
LIPi OneClgn HKi
ul
T:area
li0r�
F—,a SEANT REMARKS F.Ra SEALED
REMARKSREMARKS
REMARKS
LINE CONDITION LEGEND
fCNanlineu f Broken Pipe I
Line LI Leak Inlilvernui
Gf a LE -Laet Cx Nliraeoo
ManAolra P -Pklure No: I
PT -Prplru II,Tap
—_-- N _Rapts
S Smrce L.Me1
Ambar—
U -Ur�pcvUb -,rtiin nv
L_ _J
I
GELCO CLEANING REPORT
Po Ifni SNE.mi BiTU rEr SW]N-nM
REPORT IS FOP.
❑ Cleaning
Q Root Foam Treatment Day
O Plggmg
Date —
CLIENT ___ Joe No. —
Tanb GALLONS PEMOVLD
METHOD OF MEASUREMENT
Scaled from map❑ T V rayon❑ M"wfad by tape❑ noun TYPE DEBRIS
FOOTAGE
1 MHa__.—TO MHa LOCATION.
SIZE LINE COMPLETE
O YES O NO
FOOTAGE
Z MHa TO MHO—LOCATION
512E LINE COMPLETE
D YES O NO
FOOTAGE
J MHO TO MHO--LOCATION
512E LINE COMPLETE
D YES Q NO
FOOTAGE
0 MHa TO MHO _LOCATION'.
512E LINE COMPLETE
O YES D NO
FOOTAGE
5 MHN TO MHe__LOCATION._
SIIE LINE COMPLETE
O YES D NO
FOOTAGE
6 MHa TO MHO—LOCATION
SIZE LINE COMPLETE
O YES O NO
FOOTAGE
T MHO _TO MHe LOCATION:
SIZE LINE COMPLETE
D YES O NO
FOOTAGE
S MHk_ TO MHa_ LOCATION'.__- -
SIZE LINE COMPLETE
O YES D NO
Type of Debris.S Sand R Rock G Grease B Broken Pipe AT Roots LINE COMPLETED
Type of Equipment Hydrocleaner❑ Ball❑ Suckett Mach O Hand Cl THIS DATE
Notes —_--- SIZE FOOTAGE
Technician Und a Inspector Or Client
L J
t
I
TELEVISION INSPECTION REPORT
u.e. CITY'
T..nnrc.�—. .--...—rngwl« wxq« tawwa Rkwrt�e.' r
eMNn lMNlr IYet, NB.M«. YN M.Is. 11.7.
r )
MANHOLE DATA r _t
I` MH no
LOCATION " ` ` "/•vtiTr�'' 7I
11roth - —_ ".to N.N.. CEIOlE/E ONtype Feet... Np Coee
leaks
conchboA
{ MPELINE DATA
CHenssent
Mi4nrMnt
I yea _ -
concittion 4/
%Est.INkin9 lot An f a —
other
-- 1
RECOMMENDED REHM ---
eklen
mirlann,Am"
rHNY -
repaa .�—
Other
LEGEND _--
Be-Bmbn p.w — -
CC•Cncpml...nnal c.Kk -
LC-L«pltodial ONk
ie- e.Ykrn prait -- -
L• LY. _— _— --
PT_
Prmr uainp lap -�
ST-S«vra top 1
Is -S..via lNt _ --
SR•S«nan
R• Raots I
II U- UnPaNaY. -
Its
GELCO GROUTING SERVICE P.O.8nx 7247 Salem,OR 97303 Phone. (503) 364-1198 1
I
a
M' JOB ITEM NUMBERS
mow
DAILY
GFOLCO PRODUCTION REPORT Ad,�'.Q
P.
r _
t
pr
GELCO GROUTING SERVICE T.V.Inspection and Renau Report
JOB NO CLIENT DATE
PIPE CLEANED RV WEATHER INSPECTOR
LOCATION OF LINE
SECTION LENGTH DIRECTION MEASURED
^r
N
MANIKJLC NO. PIPI$LIE JOINT LENGTH PIPE TVPC JOINT IVPE IMANNOLE NO.
L... „muiL... Une
y
I � Twxxl
r-aN
Foubpe JOINT REMARKS Fwn.y JNT SEALED REMARKS
SEALED
REMARKS
LINE CONLITION LEGEND
CMnIMw f -W.kL P.,
LeN Inlinranin
C—h LE -LeM Exlatrnion
P ..PIOIerx No:
PT Tp
R Rrruls
S -Yrvmx Lalw:a
-- U 11n[uc�dN' E 11 ICIAN
F
GELCO GROUTING SERVICE T.V. Inspection and Repair Report
Po 110K 17r1 5ALEM.OR of MU m W3 Oebl roe
JOB NO. I CLIENT DATE
PIPE CLEANED CY WEATHER INSPECTOR
LOCATION OF LINE
Tnr
SECTION LENGTH DIRECTION MEASUR�
1/\ Lgrknq
MANNOLE NO PIPE S�Cf JOINT LENGTH PIPE rVPE AINi IVPE MANHOLE NO, m
Lv On t lour
1
Tavel
e01TOY
F.o, g SEALED
REMARKS FOmaye SEALED REMARKS
Ile
REMARKS
LINE CONDITION LEGEND
G1.nnm..,.. a H¢3en PIM
L,-- Ll - -eA Inlilva5ion
GrxM CF -Lap EKIiIluSiRn
MuMalrs P RcW2No.-
PT gnvudinq Tv
R Ruars
5 e Lateral Y.Yx
U UnµusYlM TrCHNIC IAN
L J
4� J
f GELCO GROUTING SERVICE T.V. InWation and Repair Report
Po MK 1747 SAlt..CA 11303 TFL.US,1N-I Ha
JOB NO. I CLIENT DATE
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE
SECTION LENGTH D�IR{ECTION MEASURED L 1 1
MANHUIF NO. PIPF SIZE JOINT LENGTH PIPE TYPE 1.N11NT TYPE MANHOLE NO� �n
Il Lv Dvaclro IcwT
of
Tr n.9
Bo*In.
JOINT Foal JOINT REMARKS
Foulalx SEALED REMARKS SEALED
Y _
REMARKS
LINE CONDITION LEGEND
Cleanliness a -Broken Pow
Lire LI -LW Inlillration ,
GraOe LE -leek Erfiltration
K1anNales P -PkWrc No.
PT -P101l.d,N Tap
R -Roan
S
V -Unitis w TECHNICIAN
J
F
Paw
w.D LM+TIOn
.a
DAILY TIME REPORT JOB ITEM NUMBERS
SWOP . wpvirG lOT4
.ICwN�[�wt Nf
E�YI}yp} Puw/wun
LIST V O WR fIEN.DELIVEPIES.M+LER1451P+NSi[PRED\DESLPIPTIONS
LIST W ER14S VYD E+TTACH MIX S IPS
REIMI MS
VISITOPS
;f"I.E.CONDITIONS
GEl.CO _ DAION
}PRODUCTION REPORT �414iom
�.��ir✓vyi w5�y(—�[
I IELo cI P+naE D+naE UR�no Pnona w;ul
I RE"I TOCIIENI inISO+TE GIVEN TO EUENI Y6D MYD
gat 4
MTYEE C\EE.EILNi+TIN ipfw�N
J
J
OELCO CLEAW IG REPORT
PO aCx 721' S.4E4 OP pryp TEl py pR rlM
REPORT IS FOR:
O Clsanmg
❑Root Foam Treatment
❑ Piggmg Day
Date —_
Cl TENT
Job No. �-
METHOD Of MEASUREMENT. te4p I wILONS REMOVED
SF-W from map❑ T V report D Measured by lope❑ ffwpn ~—TYPE DEBRIS
---
1 MHa TO MMe_ FOOTAGE LOCATION._
512E LINE COMPLETE
D YES D NO
fOOTA E
2 MHa TO MHa LOCATION.
SIZE LINE COMPLf.IE
O YES D NO
FOOTAGE
9 MHN _TO MHe_ _LOCATION.
SIZE LINE COMPLETE
D YES ONO
FOOTAGE
a MHe__TO MHa_, LOCATION.
S4E LINE COMPLETE
D YES D NO
fppTAGE
5 MHa _TO MHa LOCATION:
SIZE LINE COMPLETE
D YES D NO
FOOTAGE
6 MHe _TO MH, ___LOCATION.
SIZE LINE COMPLETE
D YES ❑NO
FOOTAGE
7 MHe____TO MHa __LOCATION
SIZE LINE COMPLETE
O YES O NO
FOOTAGE
8 MHa____TO MHO-LOCATION
SIZE LINE COMPLETE
D YES D NO
Typo of Debris.8 Sand R Rock G Grease 8 Broken Plpe RT Rools LINE COMPLETED
Type of Equipment Hyerooleaner❑ Ball❑ Bucketf Mach O Hand❑ THIS DATE
Notes _ SIZE FOOTAGE
Tschnmlan_ Un,a InsPactor or Cheni
71
TELEVISION INSPECTION REPORT
--
ekn: cm
Tssenlegp -InUNNr W.aln� pNnN M r1NMtN. aP rN. j
EJNe1 - 7 . I
er�M.Re. slp.mum. �MN 7 eNn lnyln � b Np.bl,
}
MANHOLEDATA
MH no. LOCATIONdepth
�' Pkeb heWw IA
tvPe ___-- E Me. C9M m
looks Fastest
1
old side
7/ rD
1 .
PIPELINE DATA —
cleenlmns
L .iio �T"r� Llt7fr
grade •J - '-•_p..
as __ 1 _�1.—^+,,''-_ -
condition . ..-__ _ I t+�t.l1-
%Est.lesking joints
other
RECOMMENOEO RENAL -- _—
clesn
remove roof _ —
----
groutl%joinfl -- -----
roline -
rspl.lG__
1 other
LEGEND -
SP.Broksn nips
CC-Orcumfsr.nusl creek
Lc`LorpH,." ttatk
G- m pone ___.._ ___ __—
L- Lsak LNk
PT _—
ST.Swvmtoo
SL•Serpma leh ____ ___
BH
U- UM.N.
M1v
GE LCO GROUTING SERVICE P.O. Box 7247 Salem,OR 97303 Phone: (503) 3641198
i
i
TELEVISION INSPECTION REPORT
q
meYY1N YIxMN Cenee Y ewenea. W
NN pyw, lent'1ryp {Neae yyme lyml{,NM ales YN. T Y e.Na.
z�z
MANHOLE DATA
MH no. LOCATION .
wpm
type lam PbA ►rNNN N
leaks -Y'. _Ma. cob CMNIEN73 ilEl
--- c
contlrtlw
Recom.Rehab. --
PIPELINE DATA
Cleanliness
alignment — ---
grade _
agr
condition
%Est leaking joints
RECDMNIENO[DRENA! -
clean
remove rose, -- -- _
grout 1%loins) _
reline
repine
1
— _ I
LEGEND
eF Broken Pipe
cnia prenuol tins
LC•LnnW;Nl tree,,
_-- I - ----
-L
• Lwk
R•
St•$Nvios too -- -_
SL-Sa g let,
SR•SNv.o.rte -
R Raon -- --- _
11• Unyepaw. _
GELCO GROUTING SERVICE P.O.Box 7257 Salem,OR 97303 Phone: 1503)3U.1198
Virgo
F
I
TELEVISION INSPECTION REPORT
cm:
laP w.
�TNegea"
IIIN.01er WN\IrN (•'IeNiN yy pent Np. yew.
h
f N.Ne. I1M W... INM IJryM iryyew>Wrq 1NN TYN PIPS WL O M.N.Ne.
MANHOLE DATA
MH rw. _ LOCATION W 1fav ,7
depth
type "New heNem - UI
leaks vs. -Code
CDINIEMTf
- -- - -- ��
Recom.Rehat — Z^ - 6,4,
n
PIPELINE DATA
cleanliness
alignment -
a _
qe _ ;
condition
%Est.leaking joints i
other
RECOMMENDED REHAIL —
clean
remove roots -- -
grout(%Ioem) - -
reline
replace -
other
LEGEND
i CC•C.eure ine V nnel aci,
LC-LNynuduMl naek
G• Brwk in grave
L• Leak
PT•ProtrWieg tap —
ST•Sewn\OP
SL-Sera..Nh
SR-$eon nghl ---
R Routs
U'
l II{{ GELCO GROUTING SERVICE P.O. Box 7747 Salem, OR 97303 Phone: (503)36{-11IN
1 i —
:ee
R _
GELCG GM,;UTING SERVICE T.V. Inspection and Repair Report
r 0 MX 't4o 1.- O IIX3 nL .1 314- 1'a
306 NO 71 ''°' -_ DATE
'��"" ""`� WEATHER INSPECTOR
PIPE Jt! 1-v I.. i
LOCATION Of LINE i
SECTION LENGTH DIRECTION MEASURED Loa n
MANHOLE NO. PIPE fiI r� JOINT LEN4TH VIVE Ivy' JOIN IYPF MANHOLE NO. L. 1 Dn¢pmn lcxr
1
Tr Nei
!M
JOINT JOINT REMARKS
Pocuge SEALED HFMAflKS "'� SEALED
I
:t
I -
L
G
REMARKS
LINL CONDITION LE 6!NO
Cleenlm�ea / _W-l",Plea
-Lent InliHralion --
Graf LE -L-A Ca M1hlauon
P 1,w-No.
PT w,11,mina Tap
R
S Wle-I
L�
v „ q
r:-f- - i
® mom 4"
A
r"
GELCO GROUTING SERVICE T V. Inspection and Repair Report _
JOB NO. CLIENT DATE
PIPE CLEANED BY WEATHER -INSPECTOR
LOCATIONOF LINE
SECTION LENGTH DIRECTION MEASURED Tnr
Loukmq
MANHOLE NO. PIPE SIZE JOINT LENGTH PIPE TYPE JOMT TYPE (MANHOLE NO. m
L[r Dnenlun IeRr
Ii
Laves
rr
I i SEALE REMARKS Fwlapv JOINT SEALED REMARKS
77
RFUARKS
LINE CONDITION LEGEND
CNen1.n B Rroken P',,
L— LI -Leak Will, ..
G—k LE Let Exlllvaeo��
Man�o4o P Hnme No:
Ii `n mudlnq Tm
S nre Lemma
I
U .nMN. T'(�I4." .AN
J
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GELCO GdOUTING SERVICE T.V. Inspection and Repair P.eport
F 0 WX An SAL/M oa.110g T0. Wg aaa-nal
JOB NO. I CLIENT DATE
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE a
T�+v
SECTION LENGTH DIRECTION MEASURED
MANHOLE NO. PIPE SIZE JOINT 1 ENGTH PIPE TVPE JOINT TYPE MANHOIf NO.
LEI' 16w+
XIR+T REMARKS JOINT HEMAHKS
7F-11-JEALE SEALS _
T —
I
REMARKS
LINE CONDITION LEGENII -
Cleanh+wss B BroAnr P.,
iLi+rc U -Leak InliYration
+ Grww LE -Lwk E.W..+...,.
I ManOakn P -Pn lmr Nu.
IT -PrnuuAi++g tm
I R -Ruulz
(/ iEC11N l(:IgN
hL
B�ry
F
TELEVISION INSPECTION REPORT
.TPiIIWMP ln~or�_
gwMe ar PYiMt aP. NAA.
Prxn M.M.Na ryN OM.n. LMI LupM {whin kaNMr axPY TIN PIN Met—-- •M.N.N
MANHOLEDATA
MH no. LOCATION .`i 1i���a[✓�s / C F- A-f f
dnptn
type
leaks w' CeIN tam YM
to9tl'LOn
PIPELINE LATH 5 L
cleanlin6s �������//' J 4
T— - —
c.dition
%Eat.INksng jolntl --
other ___...
RECOMMENDED REHAB.
clean
remove roots _
grout)%lomtsl _
rehne
replace
omer '._'-----
__. i
_ 1
LEGEND _
m-Broken MN
CC-Cirtwnrxxdnl nwk I
LC-Lprgitudiwl erMk --- - _
L• Lock
PT•ProPWhq rro .. __-. .- —.
ST•Sxviw tap —- _
SL•g .ee left _
SA .rght
R- Rpon
U- UnpMMde -
GELCO GROUTING SERVICE P.O.Box 7297 Salem,OR 97303 Phone l503)38b1198
L
�� I
GELCO GROUTING SERVICE T.V.Inspection and Repair Report
P o wx 1241 swuM W 97303 M Wl le.-n Vs
JOB NO. CLIENT DATE
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE -
SECTION LENGTH DIRECTION MEASURED
Lool n,q
MAWul1.E NtJ. EIVI JOINT LENGTH PIPE TYPL JUIpT IVYE MAWIOLC N(1, Lcn D✓mno� .xT
d
T.„rl
eOTT'JV _
foot JOINT REMARKS SJOINI HEMARKS
9 SEALED
REMARKS
LINE CONDITION L!I A NO
yCbanlln.n� a Itr••..,•vrl+'
IL• U Leap bJrlrt
caTb LE IreIT CNdbmroo
f MVKntlua P futoreNo. _
PT uLmT T" r
R .p•.rm
5 Sm r Lnua.n
U I1.I.—Ioll TECHNICIAN
J
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1 /
1
GELCO GROUTING SERVICE T.V.Inspection and Repair Report
r o sox nu sALeM.a onm m forov.nae
JOB NO. CLIENT DATE
PIPE CLEANED By
WEATHER INSPECTOR
LOCATION OF LINE
Tnr
SECTION LENGTH DIRECTION MEASURED IuM1r„q
JUINT LENGTH PIPE TVPE iOINT TYPE IMANHOIE NO.
MANHOLE NO. PIPE SIZE Lv. Dneclw^ Iwa
nl
apTtm
w
JOINT REMARKS F^oupe JOINT REMARKS
PooNge SEALED SEALED
�. REMARKS
LINE CONDITION LEGEND
Cka+limss / -Rrv[en Pµw
Uro L/ Leaf L�IiM1ml:nn
GKy LE -LceE F.Inneaon
Ir^ ♦ - Rcwru No.
/T novwnnu Tar
a Pov
5
p \Inluxlble TECHNICIAN
+Mti�
J
DAILY ' r
•. ITEM NUMBERS
PRODUCTION REPORTDAILY
GIVEN TII CLIENT NET 0
' q
I
GELCO CLEANING REPORT
�O"Lr 7W SY EM 0.11.1 1E1111.1."I
REPORT IS FOR:
O Cleaning
❑ Root Foam Treatment Day
❑ Piggrng
Date
Ct IENT Job No.
mn
METHOD OF MEASUREMENT Te GALLONS REMOVED
SCeled Iran map D T V report D Measured by tape❑ Hours TYPE DEBRIS
FOOTAGE
t MHx TO MHM _LOCATION.
SIZE LINE COMPLETE
❑YES D NO
FOOTAGE
2 MHO TO MHO LOCATION _ _
SIZF LINE COMPLETE
❑YES O NO
FOOTAGE
9 MHO TO MHe____LOCATION. _
SIZE LINE COMPLETE
❑YES D NO
FOOTAGE
a MHO _TO MHa-LOCATION'.
SIZE LINE COMPLETE
❑ YES ❑NO
FOOTAGE
5 MHa TO MHa LOCATION'.
SIZE LINE COMPLETE
❑YES ❑NO
FOOTAGE
6 MHM TO MHM LOCATION _
512E LINE COMPLETE
D YES ❑NO
FOOTAGE
7 MHa TO MHO-LOCATION'.
SIZE LINE COMPLETE
❑YES ❑NO
FOOTAGE
S MHO-TO MHa_ LOCATION.
SIZE LINE COMPLETE
❑YES ❑NO
Type of Debris.S Sand R Rock G Grease S Broken Pipe AT Roots LINE COMPLETED
Type of Equipment.Hydrocleener D Bell❑ Duckett Mach❑ Hand❑ THIS DATE
Notes - —_____ __—_ SIZE FOOTAGE
Technician Una a_ Inspector ci Client
J
44
J
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I
TELEVISION INSPECTION REPORT
'^ W rWY1er YYaMx GWYeY nFxt Mo. q
JYMUa�M lY1YeIIMM JMY f1M Ilea MY. t.. TO .
MANHOLE DATA
MH no. LOCATIONr _ r
depth _. fIM rY /U ^ '�CI.C.d �^a, .•/ -�.: ,t. r .,.�:,.
tvp - __ Fesega Ilo. IC CB �y1E—y-' 9FFF
leaks _
condit on .__
Racom.Rehab.__
-
LEK
PIPELINE DATA
Nordinot _
alignment
grade _
condition __
%Est.looking Jewett
other
RECOMMENDED REHAB.
vlean
remove roots —
grout I%JoinW
relme
replan
other
LEGEND ---_- --"
RP-W"ten wpe — --._
CC•CircumlxbSbl crock
LC-LJnetudlW crack
O• Wk..'ado -
L- LYk
IT-grovW uq top
-Se, left$L - -
lL-Sx..vvi left
R• o rgln
R Flon
U• UewxYYa --. —
i
\ y _ e—N—
GELCOGROUTING SERVICE P.O.Box7247 Saim,OR97303 Fh":150313941198 II
S
TELEVISION INSPECTION REPORT
---
oan: c m: eY e.
Tyllnblen Iyyersr MkMky GlyM ay gYea. aM Me.
rn .M.Ne. IYe nby. !WI YqM IYWe 1JM14 JMM 1YN Near met.
MANNOLE DATA
MN 1
0. LOCATION
depth
wr- .. � Paeaga p Cede carErn N
leaks `� — Elr
Recom Rehab._ _. "`zt - 77
PIPELINE DATA " ' - -
cleanllness
r
condition
%Est.leakingjpints --Y.«.i� -- - -- -- -- —
pme,
-
--
REC-.dMENDED RERA& -'- -'
--
remove rnoY -
gtoutl%Io1nnl
reline
replay .—
other
LEGEND -- -- - --
M arokan Dipe
CC•Cncumfirennal Craek
LC-LorbnWlnN craak4
G- Week m grade
L- Lyk - -
T•P Why tw
S T-serves iop
SL-&,—.Ylr
sR•sav cr rwm
R- gnots
u• llwyynle -
Pay or
GELCO GROUTING SERVICE P.O Box 7247 Salem,OR'.17303 Phone: (503)36111198
J
L�
1 `
F
TELEVISION INSPECTION REPORT
Ir jeeenuu. te•eeew. we•tn•r o«..db awed Ne. ee'
'inne Y.N.Ne. NN gym. 40n1 L•npe lllee aNw JeMVYN PM•MY. T.M.N.N«
IMANHOLEDATA
MH no. LOCATIONovoth
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tYP0. .._ _ Femp Ne. Code EEWlNR ERII
leak.
I condition
4 r
Fecom.ReneD.___
►IPELINE DATA
cleanliness
alignment - - - - _
grade —
age
condition
%Est.ieskoglomts
other
RECOMMENDED REHAB. -- "—
clean _— — —.
remove roots__ -- — ---- - —
groot(%)oin")
reline ---- --- --
replace
other - -
i LEGEND — - -- - ----
eP-Broken
CC-Grcomrer•nnal cr•ck
LC•Lorynudloel Cralk
e� L• Leak
- Leak
iPT•ProtrWirq t•p ----- --
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GELCO GROUTING SERVICE P.O. Box 7247 Salem,OR 97303 Phone: (503)3H-11"
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GELCO GROUTING SERVICE T.V. Inspection and Repair Report .I
10 wx 17.1 SALEM.d1 07303 T6 W] 1aa-I HJ
JOB NO. CLIENT DATE
r.
PIPE CLEANED BY WEATHER INSPECTOfl
LOCATION OF LINE "
To.
SECTION LENGTH DIRECTION MEASURED L a
eNO. PIPE SRF� IDINT R'.-' � PIPE TVPf JOINT T rPk. MANHOIF NO. Lvr Unecuun e4xT
Bartow j
JOINT JOINT REMARKS
fWla9f SEALED REMARKS ""�' SEALED
.T _
LINE CONDITION LEGEND -
CIeaMIrMn / -B��rkrn Ppe
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j L1anNo4a / -Prt'lurc No.
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GELCO GROUTING SERVICE T.V.Inspection and Repa:. Report
r 0 W. 12,1 5 L[M M 11303 T W3 3 1I9r
JOB NO. I CLIENT — DATE
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE
SECTION LENGTH DIRECTION MEASURED CIT
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GELCO GROUTING SERVICE T.V. Inspection and Repair Report
>0 pX Tb> S/r l,[M d1 Vl]Ol `R SUl)M-I IYE
JOB NO, CLIENT DATE
PIPE CLE.'.NED BY 1 WEATHER INSPECTOR
LOCATION OF LINE
m.
— SECTION LENGTN DIRECTION MEASURED Dl�q
n rcRi
NT
♦ipx
JONT
F`XeXVe SE 4LE REMARKS KS 1"""'x' SEAILED REMARKS
REMARKS
LINE CONDITION LE(J ND .. '
CW,I lim^ a Rrukvn r:I„
lrre L. lxnt I:.
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GELCO GROUTING SERVICE T.V. Inspection and Repair Report
F o MK )xo "'. m Vnm TF. W3 xe4nve _
JOB NO, I CLIENT DATE �
PIPE CLEANED BY WEATHER INSPECTOR
'
LOCATION OF LINE
Tnp
SECTION LENGTH DIRECTION MEASURED I
JOINT LENGTH PIPE TVPf JOINT ivPE IMANMOLF NO.
MANHOLE NO. FIFE SIlE LEI' Drteclwn INIr
1
Trm.l
rxo�
JOINT AEMARKS Eoalage JOINT REMARKS
'-W SEALE SEALED -
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1 l
REMARKS
_INE CONDITION LEGEND
Cks a - Broken Pepe
L,—, xu to - Lr,INlpra)bn
GuW AG -L.k Evl1IValinn
Mantr ins P - Prctwa No.-
PT RaV U gTap
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D 0,"AJr iFCiJNICIAN
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DAY TIME REPORT JOB ITEM NUMBERS
T. _ TOLL
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LISTPO WRITTEN DELIVEPIE[YATERIKSTA.iNSf EPAE�LDESCPiR I(iN5
LISTWTEPIALSVSEDLATTACM.I.S Pe
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G�l.CO Dear W,L
PRODUCTION REPORT
E CRANO!o%* N •L•_O LRESULI
PEAfMIr TO CLIENT TIy NTE.
WV TO CLIENT Vp p�Np O
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CLIENT .I W W _AeP e Z4m _ CITY _ '3
JOB NO. __ _ DATE
M H LOCATION 1'!�!4 )rrlf f'V fr K_..C�i� M H NO
Quantities of Material
Water Table le
Type Manhole
Type Ring& Lid �—
Condition of Base
Condition or Riser —
Condition of Corhel
Hours Worked This M H
NOTES
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FOREMAN ✓- i_ ✓. �� -<!! _
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GELCO GROUTING SERVICE
CLIENT t�.7.C :/ CITY
JOB NO. _ DATE
M H LOCATION ': ' > • yL M H NO. _
Quantities of Material
Water Table @ b
Type Manhole
T•.•pe Ring&
Condition of
Condition of Riser
Condition or Corbel .A i
Hours Worked This M H _
NOTES: i
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CLIENT _u!l,.dy�,i�.�...:•-•.__ UTY
JOB NO. —�._. -. DATE
M H LOCATION _ — M H NO.
Quantities of Matenal
Water Table @
Type Manhole
-
Type Ring&Lid
Condition of Base �rA
Condition of Riser
Condition of Corbel
Hours Worked This M H
NOTES.
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FOREMAN
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GELCO GROUTING SERVICE
CLIENT _. _. CITY -.
JOB NO. __ _- __ DATE -{ " �- ?+'
M H LOCATION M H NO.
Quantities of Material
Water Tanis @ - ��-
Type Manhole _
Type Ring 6 Lid ^� i
Condition of Base
Condition of Riser �r
Condition of Corbel X' -
Hours Worked This M H _
NOTES.
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FOREMAN
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GELCO GROUTING SERVICE
CLIENT _ ,. ;,�;,_f CITY _
JOB NO. OATE �
M H LOCATION Ur' 11je— M H NO. T ---
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Ouantities of Material _
Water Table @
Type Manhole _
Type Ring& Lid
Condition Of Basa
Condition of Riser
Condition of Corbel _
Hours Worked This M H _
NOTES: i
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FOREMA;l i -_. . _r
GELCO GROUTING SERVICE
CLIENT L-: tL!--.(�' jTA CITY
JOB NO. —_ DATE '__.^
M H LOCATION M H NO
Ouantibes of Material
Water Table @
Type Manhole \
Type Ring 1,Lid 1
Condition of Base
Condition of
Riser
Condition of Co•bel
Hours Worked This M H
NOTES.
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FOREMAN
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GELCO GROUTING SERVICE j
CLIENT .LS�.� ---.. CITY ___ - -
JOB NO. —/— --f�-- DATE J- 71 4V ---
M H LOCATION — 4" 1"�,i.im— M H NO.
Quantities of Material
Water Table @ —
Type Manhole
Type Ring & Lid
Condition of Base
Condition of Riser
Condition of Corbel
Hours Worked This M H
NOTES. I
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FOREMAN
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CLIENT CITY
JOB NO. DATE ✓ " 7/ f'
M H LOCATION i �-�✓,;�T. _.-� __=_ M H NO. _.
Quantities of Material
Water Table @
Type Manhole
Type Ring& Lid
Condition of Base
Condition of Riser
Condition of Corbel
Hours Worked This M H
NOTES
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FOREMAN
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71
GELCO GROUTING SERVICE
CLIENT
JOB NO.
` DATE
M H LOCATION �31 y 1 �'� M H NO.
Quantities of Material
Water Table @
Type Manhole —
Type Ring &Lid —
Condition of Base —
Condition of Riser —�
Condition of Corbel —
Hours Worked This M H
NOTES. /
FOREMAN
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GELCO GROUTING SERVICE
CLIFNT /!�,� 1t CITY
JOB NO. DATE
M H LOCATION 1 yr ='L �' h%j r:�� _ M H NO _
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Qum,"•ies of Materiel _
Water Table le
Type Manhole —k '.
Type Ring & Lid
Condition of Base
Condition of Riser
Condition of Corbel 0) _ 1
Hours Worked This M H _
NOTES
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DAY TIME REPORT JOB 1'.EM NUMBERS
orAL
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LT I V4
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SWIRYEIII IlwWwu
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LEFT P O WRITTEN.DELIVERIES.NATEPIALS TPANSf ERPED I OESCRIVTIONS
LNT WTWKSl10El1E RTTILN MIZ SLIP4
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VISITORS.
W[A.•ryEP CgIdT1pN$
.1 GEI.C® PRODUCTION REPORT /lt, .,.
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TO CLIENT M R10❑
RERORT TO C. T TNIS DATE
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CLIENT CITY _
JOB NO. DATE
M H LOCATION `✓ 1 (A.42L--..• -y M H NO.
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Quantities of Material _
Water Table @
Type Manhole _ J
Type Ring&Lid
Condition of Base
Condition of Riser
Condition of Corbel
Hours Worked This M H
NOTES
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GELCO GROUTING SERVICE
CLIENT __.____ -_ _-_ CITY _-
< JOB NO. — --_ _. DATE
C
S M H LOCATION - --- M H NO
Quantities of Material
W ter Table @
Type Manhole ----
Type Ring 8 Lid ----
Condition of Base
Condition of Riser
Condition of Corbel .—..-
Hours Worked This M H
NOTES
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FOREMAN
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GELCO GROUTING SERVICE
CLIENT .12,4 .i..v _. ____ CITY
JOB NO DATE ?T :Rf
M H LOCATION -L,130tcSC7" M M NO.
Quantities of Material
Water Table le
Type Manhole
Type R Lid
Condition of Base
Condition
on off Rise'
- -
Condition of Corbel
Hours Worked This M H
NOTES
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FOREMAN
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GELCO GROUTING SERVICE
CLIENT � ` ,f:_.. l�r• ._ CITY
JOB NO DATE
M H LOCATION 774, YI ' M H NO. ._.
1�z- . >
Quantities of Material _
Water Table Ca _
Type Manhole
—
Type Ring a Lid <
Condition of Base
Condition of
Condition of Corbel
Hours Worked This M H
NOTES
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CLIENT _ i( j_ _. . _ CITY
JOB NO DATE t
MHLOCATION , N AK_ MHNO.
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Ouentllles of Materiel
Water Table
Type Manhole
Type Ring 6 Lid
Condition of Base
Condition of Riser
Condition of Corbel _
Hours Worked This M H
NOTES 1
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CLIENT CITY
JOB NO _ CATE
M H LOCATION �=31._ !•tcr•:/ .f�_�_{t'r M H NO
Quantities of Material
Water Table @
Type Manhole
Type Ring & Lid r \1
Condnwn of Base
Conddio
Condition of Corbel + '
Hours Worked This M H
NOTES
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CLIENT ..__._....__F <i.__._'_._i'`--. - - CITY
JOBNO —___. DATE —
or
M H LOCATION "Y.'�- -*1'��' M H NO. —
Ouantities of Material 1
Water Table @ /
Type Manhole r
Type Pomg &Lid
Condition of Base
Condition of Riser
Condition of Corbel
HoursWorked This M H
NOTES.
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CLIENT CITY _
JOB NO DATE
M H LOCATION M H NO.
Quantities of Material _
Water Table @
1 Type Manhole
Type Ring 6 Lid __—
Condition of Base
1 Condition of Riser
CondiLan of Corbel
Hours Worked This M H
NOTES:
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I FOREMAN
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GELCO GROUTING SERVICE
CLIENT _
CITY
JOB NO. tX. DATE
M H LOCATION _ M H NO.
Ovantities of Material ._
Water Table
Type Mennole
Type Ring& Lid
Condition of Base
Condition of Riser i
Condition of Corbel
Hours Worked This M H _
NOTES:
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GELCO GROUTING SERVICE
CLIENT �� yi 'Y'f' .. +��� __. CITY — —_
JOB NO ___ DATE _....__.._.—_
M H LOCATION M H NO. . -----
Ouantities of Material
Water Table @ --Type Manhole - --
Type Ring&Lid --- - ---
Condition of Base -- -
Condition of Riser ----_-
Condition of Corbel ---- -_
Hours Worked This M H __ I
NOTES,
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JOB ITEM NUMBERS
DAILY TIME MNRT
• PRODUCTION RUPORT L�1164 .. r:OR 111.1.�.TIIIF
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GELCO CLEANING REPORT
VO Bnr I}rt Sa1EM Un VIIO] �11 'M
REPORT IS FOR:
D Cleaning
0 Root Foam Treatment Day .
0 Pigging
Date
CLIENT
Job No
METHOD OF MEASUREMENT T°n°° GALLONS REMOVED
Scaled IMF r ep❑ T V.report❑ Measured by tape❑ Hours TYPE DEBRIS
FOOTAGE
1 MHO TO MHa LOCATION__
SIZE LINE COMPLETE -
D YES O NO
FOOTAGE
2 MHN TO MHe_ LOCATION
SIZE LINE COMPLETE
0 YES O NO
FOOTAGE
3 MHe TO MHO LOCATION'.
SIZE LINE COMPLETE
0 YES ❑NO
FOOTAGE
a MHN TO MHa LOCATION.
SIZE LINE COMPLETE
O YES ❑NO
FOOTAGE
5 MHa TO MHO-LOCATION
SIZETLINE COMPLETE
0 YES O NO
FOOTAGE
6 MHa TO MHa LOCATION.
SRE LINE COMPLETE
❑YES Cl NO
rOOTAGE
TO MHa LOCATION
SIZE LINE COMPLETE
0 YES 0 NO
FOOTAGE
8 MHa _TO 61/110 LOCATION.
SIZE 71NE COMPLETE
O YES D NO
Type of Debris S Sand R Rock C Grease B Broken Pope FIT Roots LINE COMPLETED
Type of Equipment.Hydrocleaner D Ball❑ Buckett Mach❑ Hand❑ THIS DATE
Notes -- - -- ---.---_ SIZE FOOTAGE
Technician Unit a Inspector or Client
fill
w�• r �; wr
DAILY N. O. ITEM NUMBERS
rz • PRODUCTIONREPORT ®® .
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GELCO GROUTING SERVICE
CLIENTk ._ CITY
JOB NO _. . _. DATF
M H}OtCATION M H NO. L�71_=1
Quantities Or Material
Water Table(a
Type Manhole Ilk-
Type Ring & Lid ✓ - �
Condition of Base
Condition of Riser ,Lt°'
Condition of Corbel Z7 i
Hours Worked This M H _
NOTES
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FOREMAN /.> <•-`_. r.
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GELCO GROUTING SERVICE
CLIENT `{ �t:. �. �� s. _.__-___ CITY —
JOB NO LL. _. _ DATE ..� _-
M H LOCATION --_— M H NO
Quantities of Materiel Water Table Tablo ed
Type Manhole
Type Ring&Lid
Condition of Base
Condition of Poser
Condition of Corbel
Hours Worked This M H
NOTES
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FOREMAN
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GELCO GROUTING SERVICE
CLIENTL,61.1 7v//'-vim/tt _ CITY
JOB NO. 6 ---_ DATE /•_. {,l��_/.--
M H LOCATION _—. M H NO
Quantities of Material e
Water Table Ca
Type Manhole `s
Type Ring 8 Lid /
Condition of Base ^'TT
Condition of Riser .. .
Condition of Corbel
Hours Worked This M H _ Y` It
NOTES.
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LL __ GELCO GROUTING SERVICE
CLIENT ^� �+ 1�,1�� 1, CITY
T
JOB NO I DATE --
M H LOCATION -y M H NO.
Onantifies of Material �.fr•--F '"�
Water Table @ -T---- i
Type Manhole
Type Ring a Lid
Condition of Base
Condition of Riser �. e----
Contlmon of Corbel
Hodrs Worked This M H —
NOTES
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FOREMAN �"-
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GELCO GROUTING SERVICE
CLIENT CITY
JOB NO. DATE 1�
M H LOCATION M H NO.
Quantities of Material _
Water Table @
Type Manhole
Type Ring 8 Lid
Condition of Base
Condition of Riser
Condition of Corbel Z—
Hours Wr`rked This M H _ 'i
NOTES.
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FOREMAN _
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11 / �GELCO GROUTING SERVICE
CLIENT r�.jy�L tL>d f(�z CITY
/ C
JOB NO, DATE
M H LOCATION — M H NO. -t-4 4/1
Ouantities of Material •-
Water Table@ IP
Type Manhule
Type Ring&Lid l'/!sT
Condition of Base 129
i
Condition of Riser
Condition of Corbel
Hours Worked This M H _ .
NOTES:
IC, �.
FOREMAN
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GELCO GROUTING SERVICE
CLIENT CITY
JOB NO. DATE --L�ze •� /
M H LOCATION M H NO
Quantities of Material
Water Table @
Type Manhole
Type Ring 6 Lid
Condition of Base
Condition of Riser _ L_ M1
Condition of Corbel
Hours Worked This M H
NOTES. `
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. �•... .• �. +rs 1^EIrIMYv!Tfw'whw..rM wrt•n w• !p.�.r...rw... n+e��.�.wwyrn...u....w..�
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CLIENT 1 R�"> /%� CITY
cT L
JOB NO C DATE
M H LOCATION — M H NO Z _
Quantities of Material I
Water Table la — I /
Type Manhole
Type Ring &Lid
Condition of Base �—
Condition of Riser I'I` 1
Condition of Corbel
Hours Worked This M H %�—
NOTES
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FOREMAN
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GELCO GROUTING SERVICE
CLIENT r:s.. �.. �,:�.-.i _'.
j fit, Lk- .
JOB NO. DATE —_
M H LOCATION M H NO. f_
Quantities of Material -
Water Table @
Type Manhole j
Type Ring S Lid �,—
Condition of Base
Condition of Riser
Condition of Corbel
Hours Worked This M H T
NOTES, /
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FOREMAN _
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GELCO GROUTING SERVICE
CLIENT �._ f�.,.i.�� CITY
JOB NO. __ DATE
M H LOCATION _ M H NO. —� �—
.�/ '. _
Quantities of Material _EGG
Water Table @
Type Manhole
Type Ring d Lid �T
Condition of Base �---.
Condition of Riser
Condition of Corbel
Hours Worked This M H _
NOTES
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FOREMAN =/w`��~—
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GELCO GROUTING SERVICE
CLIENT --- CITY ----
JOB NO. _ - DATE .
M H LOCATION M H NO.
Quantities of Material 4 4 D
Water Table Co)
Type Manhole
Type Ring 8 Lid
Condition of Base -4
Condition of Riser
Condition of Corbel
Hours Worked This M H
NOTES
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FOREMAN
L81
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GELCO GROUTING SERVICE
CLIENT T _ � �� �_ __ CITY ---
JOB NO — DATE /x
M H LOCATION ___— M H NO.
Quantities of Material —
Water,Table @ — r
Type Manhole
Type Ring&Lid --
Condition of Base
Condition of Riser -
Condition of Corbel _
Hours Worked This M H
NOTES:
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FOREMAN
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GELCO GROUTING SERVICE
CLIENT ='f I, CITY �^
JOB NO, DATE
M H LOCATION ///, �/�S�c:v M H NO.
Quantities of Material _
Water Table @
Type Manhole
Type Ring &Lid
Condition of Base t%
Condition of Riser
Condition of Corbel
Hours Worked This
NOTES:
L f
FOREMAN
/ y) GELCO GROUTING SERVICE
CLIENT / CITY
JOB NO. D DATE
M H LOCATION / _ M H NO
--i-," 44rail L ,A —..__--
Quantities of Material -
Water Table lu
Type Manhole
Type Ring& Lid
Condition of Base �.
Condition of Riser ae� _
Condition of Corbel
Hours Worked This M !1
NOTES
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FOREMAN
•rr�
DAILY TIME REPORT •: ITEM NUMBERS
DAILY
rzeLco ,.RODUCT,ON REPORT
GELCO GROUTING SERVICE
CLIENT y1.-1G xlL�p — CITY
JOB NO. C/ — DATE -
M N LOCATION __ M H NO —.--
�.1 -__—
Quantities of Material
Water Table @
Type Manhole T-
Type Ring&Lid !�'V`,7
Condition of Base --*-----
Condition of Riser ir!!
Condition of Corbel
HoursJiforked This M N - .y
NOTES
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FOREMAN
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CLIENT:11%-.f .1'Z' CITY
JOB NO. — DATE �' 4. 7.r"'O
M H LOCATION , M H NO, Jul
Quantities of Material "If•7 •�� _
Water Table
Type Manhole
Type Ring& Lid I .^
Condition of Base 1
Condition of Riser ,(�T1 •; 6rtA .r"ti
Condition of Corbel
Hours Worked This M H
NOTES.
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FOREMAN
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GELCO GROUTING SERVICE
CLIENT �.., _ CITY
JOB NO. DATE
M H LOCATION M H NO
Quantities of Material _
Water Table @
Type Manhole 11 ,
Type Ring a Lid '% r
Cundition of Base e
Condition of Riser
Condition of Corbel
Hours Worked This M H it
NOTES:
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FOREMAN
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CLIENT r a CITY
JOB NO. T DATE
M H LOCATION%/�''-ST _ M H NO
Quantities of Material zr,'r
Water Table @
Type Manhole
Type Ring;Lid (_ls.i "'•.
Condition of Base
Condition of Riser
Condit-on of Corbel
Hours Worked This M H—oe,_
NOTES'
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FOREMAN L�—�
1
GELCO GROUTING SERVICE
CLIENT �.��fp..� CITY
JOB NO _.. . DATE
M H LOCATION M H NO. l�
Ouantit.es of Material
Water Table(a
Type Manhole -•_r__ --
Type Ping & Lid
Condition of Base _
Condition of Riser
Condition of Corbel _
Hours Worked This M H __/._...._.._....____.
NOTES
d?I 1
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1
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FOREMAN 2' /-A-,-,"i-
J
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GELCO GROUTING SERVICE
CLIENT
CITY
JOB NO DATE
M H LOCATION _ M H NO.
Quantities of Material
Water Table
Type Manhole �C---
Type Ring&Lid
Condition of Base
Condition of Riser '
Condition of Corbel t
Hours Worked This M H /
NOTES. -
N/
FOREMAN
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GELCO GROUTING SERVICE
CLIENT' !� i',�'/'-•t�^-._ _ CITY
JOB NO __, DATE z /%
M H LOCATION _ .__— M H NO,
Quantities of Material
Rater Table @
Type Manhole
Type Ring&Lid
Condition of Base
Condition of Riser
Condition of Corbel
Hours Worked This M H _
NOTES.
i
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FOREMAN /
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GELCO GROUTING SERVICE
CLIENT C::� .._. — CITY
JOB NO. DATE
M H LOCATION M H NO
Quantities of Material -f —
Water Table @ —
Type Manhole
Type Ring&Lid s
Condition of Base
Condition of Riser -f -
Condition of Corbel
Hours Worked This M H (L
NOTES.
4
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FOREMAN
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CLIENT >✓ — -- COY
JOB NO DATE �'—_�_-h•�_ _...
M H LOCATION .— - _ M H NO.
Quantities of Material =f _
Water Table le
Type Manhole
Type Ring & Litl
Condition of Base
Condition of Riser — _
Condition of Corbel
Hours Worked This M H
NOTES'
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CLIENTdll'•4 ___ CITY
JOB NO. DATE
M H LOCATION _ _ M H NO, C 07.2
Quantities of Materials^ __
Water Table le
Type Manhole
Type Ring & L,d
Condition of Base
Condition of Riser
Condition of Corbel
Hours Worked This M H
NOTES
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FOREMAN Ct Al
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CLIENT CITY
JOB NO. _ DATE
M H LOCATION _ M H NO
Quantities of Material "�:• r
Water Table @
Type Manhole
Type Ring&LId
Condition of Base _
Condition of Risur _
Condition of Corbel
Hours Worked This M H _
NOTES.
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JOB NO. _- DATE -�
M H LOCATION M H NO.
H I
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Quantities of Material
Water Table @
Type Manhole - ��
Type Ring&Lid -L ':.S.t--
Condition of Base -- —
Condition of Riser 'L
Condition of Corbel 1
Hours Worked This M H {S
NOTES {
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DAILY TIME REPORT JOB ITEM NUMBERS
TK.XMKIWt •Tv .E.Yx YdIXO TOTN
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REPoRL TO CLIENT iXIg DATE GIVfN TO CLIfNI Y6 ❑ Iq❑
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CLIENT � %� �' CITY
JOB NO. —_ DATE
M H LOCATION —__— M H NO.
Ouantilies of Material
Water Table @ l ---
Type Manhole Type Ring Ring &Lid _--_
Condition of Base _--
Condition of Riser --
Condition of Corbel
f,ours Worked This M H --
NOTES
I.70
• 4
S
FOREMAN —
I
GELCO GROUTING SERVICE
CLIENT '� f 1. CITY
- i r
JOB NO. — _— DATE —L�
M H LOCATION M H NO.
Quantities of Material
Water Table le _
Type Manhole
T)pe Ring&Lid
Condition of Base
Condition of Riser _—
Condition .r Corbel -
Hours N`rked This M H
NOTES:
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FOREMAN���^�l`
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GEICO GROUTING SERVICE
CLIENT .�i. .�. _L . �.•... - _— CITY
JOB NO —� - _ DATE
M H LOCATION _._.__—_ M H NO. %
Ouantibes of Material -,
Water Table @
Type Manhole"
Type Ring&Lid T�-K
Condition of Base
Condition of Riser
Condition of Corbel '
Hours Worked This M H f _
NOTES: I
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FOREMAN
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GELCO GROUTING SERVICE
CLIENT •. � ,r. C�t CITY ---
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JOB NO. DATE
M H LOCATION M H NO
T`—
Quantities of Material r -
Water Table le Type
y-- \
Type Manhole , N57 \1
Type Ring 8 Lid
Condition of Base -A
Condition of Riser
Condition of Corbel
Hours Worked This M H —_—,-.--
NOTES:
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FOREMAN
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JOB NO _ T � DATE
M H LOCATION 'y'UL.' %% •� �y. M H NO. l �� 04�9
I
Quantities of Material
Water Table @
Type Manholer
Type Riny &Lid
Condition of Base
Condition of Riser b I i
CoorsWo of d This t
Hogs Worked This M H
NOTES.
FOREMAN
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GELCO GROUTING SERVICE
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JOB NO. DATE �'
M H LOCATION _-._- M H NO, 7�
Ouanfio,_of Material J9
Water Table @ '- t
Type Mannc's
TYPe Ring&Lid
Cond-.tion M Base
Condition of Riser
Condition of Corbel
Hours Worked This M H —
NOTES:
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• FCREMAN /f`� ��L -
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GELCO GROUTING SERVICE
CLIENT CITY —
JOB NO. —. —.
DATE '- 1 - ---
M H LOCATION
Quantities of Material `4 -
Water Table @ _
Type Manhole ��
Type Ring 8 Lid �
Condition of Base
Condition of Riser
Condition of Corbel -r
Hours Worked This M H �—
NOTES. �\
FOREMAN
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GELCO GROUTING SERVICE
CLIENT C ` CITY
JOB NO. DATE
M H LOCATION / / 1 M H NO.
Quantities of Material
Water Table @
Type Manhole T a --
Type Ring d Lid
Condition of Base (L�
Condition of Riser
Condition of Corbel
Hours Worked This M H _ 1
NOTES:
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JOB NO. -- DATE �Z'
M H LOCATION � M H NO.
Quantities 01 Material
Water Table @
Type Manhole
Type Ring &Lid
Condition o1 Base
Condition of Riser .
Condition of Corbel
Hours Worked This M H F
NOTES: /
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JOB NO — DATE __. �' "6 62-1
M H LOCATION _ M H NO.
Quantities of Materials --�
Water Table @
Type Manhole _L
Type Ring&Lid
Condition of Base i
Condition of Riser
Condition of Corbel
Hours Worked This M H
NOTES:
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FIREMAN
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G�E.LCO GROUTING SERVICE
CLIENT _ I..;. CITY
JOB NO. 1 (/ - DATE
M H LOCATION M H NO.
d,O
Quantities of material4.��
Water Table(3
Type Manhole
Type Ring&Lid
Condition of Base I
Condition of Riser
Condition of Corbel
Hours Worked This M H _� I
NOTES.
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FOREMAN
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GELCO GROUTING SERVICE
r i,,L j� rL CITY
CLIENT _ . --- - -
JOB NO. DATE
M H LOCATION _ M H NO.
Quantities of Material —
Water Table @ -�
Type Manhole `
Type Ring B Lid
Condition of Base
Condition of Riser
Condition of Corbel
Hours Worked This M H —
NOTES:
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GELCO GROUTING SERVICE T.V.inspection and Repair Report
P 0 MK Tla` SALEM dl 97.N11 m W3 WI-I la
JOB NO. I CLIENT DATE _
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE
TP,
SECTION LENGTH DIRECTION MEASURED 0,a:
MANHOI f 11 JOINT LENGTH PIPr TYPI JOINT TYPE MANHOLE NO.
' L[n
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- REMARKS „I JOINT REMARKS
SEALED
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LINE COBOITION an
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MANIPLE DATA --_
MyH�no. e�C- j LOCATION.
typ- - r heads laege haMeN -- —N
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RetroeL
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op
age
R1KlH1E DATA •�Y --
condition. = ir!/ E C01A. ,oi3J 9u„
%Est.leaking Joints
other
RECOMMENDED REHAB.
clown __-
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grout Joints)
reline
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LEGEND _
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GELCO GROUTING SERVICE T.V. Inspection and Repair Report
10 EOY )]r) y LEM M 9I]0] m SO]]N1IY!
JOB NO, I CLIENT DATE
PIPE CLEANED BY LOCATION OF LINE YEATHER INSPECTOR
Ir
SECTION LENGTH DIRECTION MEASURED T.,
MANHOI E NO. WIPE si,E JOINT LENGTH PIPE TYPE JOINT TYPE (MANHOLE NO. Lrxrt q
Un Dnmtiun laxr t
INIT
I
Trarel
m.
FuureOe JOINT REMARKS JOINT
SEALE FOO1�' SEALFD REMARKS
-- I
_ F
— I
.__ REMARKS t
LINE CONDITION LEGEND
CleanlnN�S B -eroYnn P.M
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GELCO GROUTING SERVICE T.V. Inwwtion and Repair Report
10 BOY lxu Y LEM OP -IN' m W3 Bal
JOB NO CLIENT DATE
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE
i
I
SECTION LENGTH DIRECTION MEASURED L '[
MANNOL[ NO. PIPE SIZk JOIN I LCNGTN PIPE TVPF X)INi TYPE IMANHOLF NO.
LVI Onaeu�� Iaxr
1
WITT.
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r
REMARKS
4-
LINE CONDITION NO
Ckan..ress B --
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GELCL GROUTING SERVICE T.V. UnpectiG .and Repair Report
V o wx Iw yAUM m Vnm In. W3 36411q
JOB NO. CLIENT DATE
PIPE CL! +NFU 7Y — WEATHER INSPECTOR
LOCATION OF LINE
Tor
SECT—ION�(LEBGTH DIRECTION MEASURED l.n.t.,u
MAN110LL NO PIPC SIZE �ItJINT LCNGTN PIPE IV^F JOWL 1"Pf IM1tANNUIi N(J. Lvl Orreabon IMi
f
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JOINT JOINT 1l MARKS
Foulwp SEALED REMARKS "'O�" SEALED
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LINE CONOITI+IN LEGEND
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MANHOLE DATA
cw=
LOCATION
depth /. •,r - — _— UI
tvpe _ --C /+`- F.wP Ills.�• Claimc01NFEllTE B/11
leaks _ /r+ _ _ ,.Jh /�/N���� v! A.v
condition
Recom.Ratuo. N C
f
PIPELINE DATA -
cleanhn+ss 4.=—
T
alignment
grace
age
condition v-
%Est.Waking loinsother
RECOMMENDED
RECOMMENDED REHAIL _
clean
remove roots
grout I%lolntsl
aline _
rwlaee --
other 6144d--rc
I
LEGEND
SP•&okM pipe
CC•Grcumlx.ntiai on[k --
LC•Loognodiool crack
O• creak In 9r61a
L• Laak —
If
ST-Smvin top _
IL•$ervica bh
SR•S vm vent
R• RnaA
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GELCO GROUTING SERVICE P.O.Box 7247 SMan.OA 973W F1wtn.(503)W44198
IF
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TELEVIJION INSPECTION REPORT
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r MANHOLE DATA
MM no, E[)E" LOCA710Nh
depth J'l /7 r"tvm r r•, r4LIQ� 7''l f. ,
leak _ f /(— F"UP � vc
calls, CEr1EEiE N
Ipaks _Ir. rJ WO
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Recom,Reh de..
PIPELINE DATA /Jz cpY
—
alignment�_ 1
i�H rir- ob /e
i grade
age
gondihunTa&1Z - I
' %Est tasking loins
RECOI/MIENDED RENA0. -- -- -- i
clan -
nngw -
gross 1%)oinnl
refine
raplaa
otMr.I6n.eLL�_—
I
LEGEND
eP-BrokNrpp __ 1
CC-CNewnleMnriY Crack
LC-L onyrpeinl Pack _..
a- errlek Ingnese
L- Lrrk
/ -PetW inea
i
Sane
SSRwv'aerpnT- oSL-&'..let, - - — --
— — —
-- '_--
R
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GELCO GROUTING SERVICE P.O.Boa 7247 Salem,OR 97303 Phone: (503)364.11N
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GELCO GROUTING SERVICE T.V. Inspmtior.and Repa:r Report
F o WK na .wLIM.M Plo> n 'A]Abl lls
JOB NO. CLIENT DATE
PIPE CLEANED BY W ATHLR INSPECTOR
LOCATION OF LINE ,
IDe
SECTION LENGTH DIRECTION MEASURED
MANNOLF ND. PIPF Silk JOINT LENGI4 PIPE TYPE JOINT TVPk IMANN(JLE NO.
un Dowuo� lair
:d
Tr Nrl
rrw
JOINT REMARKS
Footage ATS REMARKS Fuo(age SEALED
SE ALE _ ..._
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1
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7
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LINE CONDITION LEGEND
CbanLlkss / -&Ukm PSI* _
Lhe LI -Leak b.tW.,o
Gut• LE - L_.l
PT N .:
5 arc a LEI
V TECHNICIAN
so.w,�loeo to No . .t
.a L LocA,�oN
DAILY TIME REPORT JOB ITEM NUMBERS
LIME i�Mt —
(
EWMEIME' LMW.wIN
U$L PO WPIT,:N UELIVERIE9 MATERIALS LRANSEEXMEOE VEECAIVLNJN$
UST Y4ERIµ$U V ATTACNMM 5`IP9
NEMUIKS
VISILORS
WEATNECCONIITONSr
GeLco a.
PRODUCTION REPORT
NELp CMAIM Ofl..OE$CRIVi1pN A NESU'
RpORT TO 11_MY•:nl$.9 6wEN LO CLIENT V6 ❑ NO❑
Ma
Mnnm E• SNMeo h�._�
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GELCO GROUTING SERVICE
CLIENT i 1. CITY t
JOB NO. __._ J DATE
MHLOCATION MHNO.
Quantities of Material
Water Table @
} Type Manhole C J ,r
Type Ring&Lid
Condition off Base
Condition of Riser
Cundition of Corbel
Hours Worked This M H
!i NOTES.
i
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FOREMAN 'r' `--.
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1
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DAILY TIME REPORT JOB ITEM NUMBERS
NE TIE X
--
EYYMWMT •eFX.FE/,loos
L 15T P O MIIT.EN.OELIVERIES.rM,ERIALS 1R.I15FERPfO E CE6LM1fION4.
LIST WTFRILL$VSFDE.TT.LNMIX SLIVS
' 11EYHR5. —
W SRp14
WE.TNER CONOIiIONS
GEl.CO DAILY
G PRODUCTION REPORT
LODATI .
FIELD Cr4NOE MOfR OESLA�atION>aESULI
M.T TO CLI Nl LnIS DHE GIVEN TO CLIENT M ❑ NO❑
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i
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TELEVISION INSPECTION REPORT
♦Nknrcu. t w,N cpen,ov RYon Ne. Ye",
rya,OYnk IYOt y:yNr r Yer on r.,vw Ialnt Tap, Yp YN e Y N.Na.
MANHOLE DATA
MH no. _ LOCCAT10N
depth _ Ca <.- s 11, - 2C n, AI I,'G 1
tvce _ Pwal� Na Ce/aPlains IN
leaks ��
condition Y --- Yr r KL."•..,
Reksb.----- —T 71elrn4�
PIPELINE DATA
cleanhnxs
t ailynnx• -�»i -
grade ___
d9a
condition rVaok
%Eat.k4kir g Join s;n_.
otMr _
RECOMMENDED RENAL. _
CYM _
remove repu
P got(%lamb) - —
reline_ --_- —
rWI"
ether _w•.d fC �__ __. _—._ _ __._
LEGEND
M-Brok,n PPa
CC• ocwNxev cal crack
Lc-LongnnacMl crack
—
G- Rreak.n,r,J,
L- Leak
PT-Preneiu,tap _— ---_
ST•S, top
SL•SN,Ice 10,
SR•Sxriu ryht
R- Rmu
u• GnpeoaY,
eaa,_N_
GELCO GROUTING SERVICE P O.BOX 7247 Salem,OR 97303 Phone: (503)364-1198
l�
GELCO GROUTING SERVICE T.V. Inspection and Repair Report
v o Box lb' HAEM.M 91101 TEL W31a.-n99
DATE
JOB NO. CLIENT
PIPE CLEANED 6,
WEA HER INSPECTOR
i
LOCATION OF LINE
Tnr
SECTION rLENGTH DIRECTION MEASURED LT'Arn
MANHOLE NO PIPS Sol( 1 JOINT LENGTH PIPE TYPE iO1NT ivPl: (MANHOLE NO. Lor Dnea u�m 1 WT
r I
BOitOrr '
'PINT
1. 1 JOINT REMARKS
$FACE REMARKS
Fuulag¢ '�' SEALEU
}
REMARKS
LINE CONDITION LEGEND
Ck ml" e - Rmkeu P.m
L,m LI - Lvat W.111.tloo —_
G'" IE -LeA Exllllvlla�
AEnMnNn / -Pmturr Nu:
PT -Nou.clmO T.,
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J
GELCO GROUTING SERVICE T.V.Inspection and ReOl Report
P 0 W. '}u SHLM.m 91ID1 TM SOI;1N-11%
OR NO. CLIENT DATE
d
PIPE CLEANED RY WEATHER INSPECTOR
LOCATION OF LINE
r
SECTION LENGTH DIREC—I MEASURED
MANHULC NO. PIPE SIlF (JOINT LENGTH PIPE TVPf n.,NT TYPE MANHOLE NO. ,
v L[n Dnrclro IWi
T.a...l
TT"
F lop JOINT REMARKS Fu"PB" SF II FU NT REMARKS
SEALED
_ I•
f
y
I
REMARK
i
LINE CONDITION LPGFND 4
CNanlinm - BmAen Piles' �
Lire LI Lra.Int�rniun
Glr LE -LaM C+Illlrerlc r
ManMrley P -Plroun•No.
PT -Havud—'Tan j
A -Rrrotx
-- 1
5 - Suwcr Luler ri t
U -Unlu++wly TPCHARCIAN
TELEVISION INSPECTION REPORT
WE CITv mow'
T....n. worn« GaYMC et Rape w. tap w.
ir«n M,M,Mo, ryp OYw. INnI Uryq fNMae Lewpll !NN TYp M Ma\. T.M.M.M..
MANHOLE DATA — —
MH no. LOCATION j
depth
type feet' Y Ce6 1:0I11MEMTS OfY
Inks —
cmdRlon_ —
Recent.RIMM._...
PIPELINE DATA
'E cleanhn,,s
alignment
grade_ Ili,
age
condition ' -
%Est.leaking joints
other
RECOMMENDED REHAB. ----
cNan
"more roots -- -—'—
grout 1%iolnB)
reline - ---
eplace
other --'
LEGEND -- — '-- -
BP•Bmkan pp
CC-Circums««niel crack _
LC•Lo091tWinal cr«k
B. Weak m9rWa
Lpk
PT.PIPV W'n9 w
ST-Sa".rop
SL•Seca]an
SR•$«n«ri9M
R. RaoY
u• unprMNa
•.« _
GELCO GROUTING SERVICE P.O.Bo.7247 Salem,OR 97303 Phone: (503)364 1198
l�
GFiLCO GROUTING SERVICE T.V. Inspection and Repair Report
•o WR n" 1.11. CN 41303 rn Wl )M1..i 1@
JOR NO. CLIEVT DATE
PIPE CLEANED BY ..LATHER INSPECTOR
LOCATION OF LINE
TAr
SECTION LENGTH DIRECTION MEASURED L DIN
MANNOLC NO. PIPE 51lE JOINT IENG fH PIPE TYPE JOINT IrL1 1ArvROLE NO.
.f ILFI DrIK;l4n ILMI
Tlav
B.T*
Fucluy JOINT JOINT
REMAnk', "'°'T SEALED REMARKS
SEALED
REMARKS
�— LINE CONDITION LEGEND
Cbanlirress a --B,We P.W
Lm U - LM1N InIr111xIMr
Gratle LE - LCak Cxbw Sinn
ManpuNn P Hrnnr=Nu:
PT Pr r1r1, 1ri,
R
—FI5
_J
I
GELCO - ROUTING SERVICE T.V InspWIO, and Rerit Report
10 Mx n. H EM Oe 91ID3 M W3)ebHve
JOB NO. CLIENT , DATE
PIPE CLEANED BY
WEATHER INSPECTOR
LOCATION OF LINE
m.
SECTION LENGTH DIRECTION MEASUflED L I
\\MANHOL[�NO. PIPE SIZE JUINT LENGTH PIPE TVPF JOINT rypE IMANHOLF NO. Lr rr�i.t••
V ` I
Lavrl
borrow
JOINT REMARKS f—tq JOINT REMARKS
Footage SEALED SEALED
I
REMARKS
LINE CONDITION LH3FN0
WRa LI
Grave LE
Menholm P v
PT
U Urgm�aWr.
J
TELEVISION INSPECTION REPORT
pAn: mr•/
i.[knRbn 1 Welnr ;.�. yI-wuuo 41/Y,NCM wprl Ne. T.w. I
ere�n Y.M.Ne. .IM DYrn. JSMI LNyM _ tlon tINaD JMM TeN Mee Yal To
M
MANHOLE DATA 1
MH no._�L �_f LOCATION
depth C,. • > -r r -r>• '�I$ Van ,cfi.o &. J.;:
tiPe t' - Poolop Nei. COON C � IIt DE ERY
leaks /F'S /
conch-
Foos
_
— dT -fl7
Ras RohaE _
PIPELINE DATA
cleanliness
alignment
condition _
%Est.leaking joints ZL•
other
9�f
RECOMMENDED REHAE.
clean
nanow roots
grout(%jomn)
Wine _
other
LEGEND - --- ---
LC•erteumMenu crack "_ _
LC a•LOrgiIWiNI M'k Y
e• Breek in AeEe -- - '
PT•% ..N tap
ST•SMna top
SL•Service hlt
SR•SYwn rieM
R. Rn.D
u• waa W.
hae M_
GELCO GROUTING SERVICE P.O. Box 7247 Salem,OR 97303 Phone: (503)36 k98
i
J
-. ump Station. System 1984 Field Rpts
I
F
RWm)•O!S ��� -
wL a
DAILY TIME REPORT JOB ITEM NUMBERS �-
TECRYKIWS yN SROV
n4f
NYII[I[M[ ua/roan
UST P.O WART"[I[IM.'E3,WTFRI45 TRANSF[MID S OESCPIPilON4
UST 1MTEPIALSY .A AT T.LCR W{YIPS
11EEE/JM{4
VI$I'OR[
WEATHER COHOILIOHlw
O DAILY e G ( mE RD E
v_v PRODUCTION REPORT
FIELD CHANGE OROUA OL"C T`71U SRE5ULT
MPOAT TO CUENT MI5 WT[ GIvIN TO C4lN\ Y6 D Am❑
L
AE<ErTloh � [ISIFO h_
CWrtWr Y .IrrEMRtnIi.I rONMW
Lpqr
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M7 � TEFL v7R' —' �f` :S,.�Ea /►�.�["'�'�.. '•yft' ,iE
1
TELEVISION INSPECTION REPORT
wtc uT+
1 !.
a1M11M Ir«.m M1c Tx•NC.
TwanlcOn rN Nr VN\LNr _
r .
.I "• ..
•nm M.x.N•. PIM qxN l.Mr lwyN WIN.IAMN J«•ThN NM M«. TC M.N.N..
MANHOLE DATA
MH no. I < LOCATON
depth
Pram Pro em rR GPM
tVM feeNPa Mn Code
Ir
Racom Rehab '
PIPELINE DATAj.. -/'— ------
✓ --_ , ,
c!em6npr
ahgnmant
area.
caMition T,Pc
%Est.Iwkhq joints n�.__
atMr
RECOMMENDED RENAR "'--'---' " -- ---
clean
remove rook
grout(%,, tsl
replace .—
LEGEND
BP-B,okx,wtN
LC Lonpn,Miml<rwk - —
I;
• Look I _
P -P.otrwiry ip �-
Sl•Sxnn mP —__ . —.— _.__
SL•Snnn blr - --
SR
R Nnou
V UnWr«d.
. hM_N
GELCO GROUTING SERVICE P.O. Boa 7P47 SBIM,OR 97303 Phone: (503)3641198
L
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a q1
I
GELCO GROUTING SERVICE '.V. Inspection and Repair Report
JOB NO. I CLIENT I \+ATE
PIPE CLEANED BY WiATFER INSPECTOR
LOCATION OF LINE '
SECTION LENGTH DIRECTION MEASURED ( x
MAN]]ulr NU PIPF>CI NINI Lf NGYH PIPC TYPF SUIN] ]YPC (MANIIUIF NO, n
((fl D,�Ptfuu, 14xf
w+l
(i Y
Fan1s]e 'N)IN1 KrMARKS "IOINIh REMARKS
SFAr F D
UNF CON011.", U I Vi=
Gram L[ - LeW EO.W.l n
Mw,flnles • Pm u,e No.PT tv
---__ R
5
U TF IINICIAN
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GELCO GROUTING SERVICE T.V.Inswton and Repair Report
r o BOR `N' Hdw OB "301 RL W3 JN-I Nr
JOB NO, I CLIENT
DATE
PIPE CLEANED BY WEATHER INSPECTOR
I
LOCATION OF LINE
SECTION LENGTH DIRECTION MEASURED Tyr
MANNOLL NU. PIPC$IIt. IUINT LCNGTN PIPE l YPl �UINI f VPF MAN11plf NU,
L[fl Innro,• lcut
VV Bollou
Pont JOINT JOINT
St:ALED REMARKS '!'W SEALED REMARKS
r
LINE CONDITION I CI NO
CMenlimv B F•..� i I•qe
Llr�e LI I�..n InFle n�„�
G,a LE L.n i.rnn,n••.
MmKOIe� a Pn N,_
ar r, a eLml t.n.
s
u w�l....n'e� rrcNwnAN
a
lit
- ' ti
1111111k — IMMENSENESS
I
TELEVISION INSPECTION REPORT
naTa
TNen4bn ..now", NN1Mr ee.aa cr MMe eN Ne.
/a
frNn M.M.Ne. Nse nMn. JYnI LMeM M•111M LMetB !mm Tvor Y alh Wr.
MANHOLE DATA .._._.
MH oe. LOCATION �1�7
('1 /-,.,--N ve'7 To � q+2.3.'Z. --
l N
j P ad.Wive foobM NuPeete. Cade _ EOIDIIAR EIY
leaks _. /YI IL E«ei 7 fl4]l
—
Raemn RelsaB._
11 _
PIPELINE DATA �� Q
cleanlinaM -"'-
alignment
ale { _
ogMition �-
%EN.
cr
RECOMMENDED RENAL. --- - -----
clean ---_ _---
remove roots -- -- '— -
arWt I46 Idn[tl -" '— -
re inn --- --- ----- -
rePMce
other
LEGEND -- -
CC`Gr[uml«emwi cre[k
LC Looqo�,�ic,ack
6` BrNk,o Prtle
L• Leak
PT•PronuNy "
SL•See Ma __. ____—_—_ ___._
SR•Se—re r-gnt
R. R000
U• U.mmsnde --.— - -
GELCO GROUTING SERVICE P.O Box 7247 Salem,OR 97303 Phone'. (503) 384-1198
J
GELCO GROUTING SERVICE T.V.Inspection and Repan Report —
P o wK nu swleM a n]Ol m W3 I,.-i lal
DATE
JOB NO CLIENT
WEATHER PIPE CLEANED BY INSPECTOR
LOCATION OF LINE
TA,
SECTION LENGTH DIRECTION MEASURED LwrE„q
MANNI l (DINT
11 NV PIPI L➢NT IENGTN PIPE IY{, tvPE MANHOLE NO.
LEn Dnxllon rGKr
\ ul
60IT9e tt
JRNT REMARKS
r IgVANcti "P' SEALE
REMARKS
l _
LINE CONDITION Lt AND
CkM111rMv 1 H, 4k P'm
Ww LI Lwk bddlrM.ln
Gr" LE LM Edgbapurr
IAenwoMn P PIL,,Nn:
PT Pr.VWNnq IMr _
P R-a,
S S+rvxv Lnixr Al
p nquvsRtl+ LK H ICIAN
^ J
i
:,. • r `� a` .�.._ . �i ice!!' '�" ►I
F
GELCO GROUTING SERVICE T.V. Inspection and Repair Report
r o Bex )tu SAlba W %Tol TM W3 ba.l lae
JOR Np. I CLIENT DATE
•. _ 10,
PIPE CLEANED BY Y r i WEATHER ;INSPECTOR -
i
LOCATION OF LINE
SECTION LENGTH DIRECTION MEASURED Tt,r
mq MANHOLE NU PIPE SIQ JOINT LIK '�, PI°C TVP( Ji u'•. ,PI MANHOLE NO.
/(, ( aJ .( urt Unecaon IaxT
i r�ava !
BoitO.
Fwlape JOINT REMARKS
SEALED REMARKS
f..
q q
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REMARKS
LINE CONDITION 1
i
cw.Niraess
Lire LI -Leal iadi,ae n a
G,a LE Lent EeM1lrntlan
Pi
R
B -.Swvxe Larwai
V
i r=r�l.v iEinN
Vie".... �....
L _J
TELEVISION INSPECTION REPORT
— ---
wte: gm: 7 ,ne M
_ __
4 T.eI1nMOn InY.YI MM11ur � C u+en�._ Moen No Leg N. i
/IteaM Y.N.N.. PIN Dlem .:Jeln\IAMM iNM.n L.naln lelnl T.ea - MN Mn. Te M M.Ne.
MANHOLE DATA
MH oo.,- _ y_ ]. .J LOCATION,o,
depth
tvae Photo Paellas IA f
i `• Footage, No. Coda C6Q1lrTi 61Y I]I
leaks
condioDn
RPLym.RMeh 7
Etta''L;,;�L
PIPELINE DATA
J
cleenliMn i ---
alivirmNlt I
grade ✓ �,
age p
/ -condition _ ---
AW
other ------ --- ___
1
RECOMMENDED REHAB --- - ----- -
1 Clean — --
•emoveroof --- - ..
lawn lx loin) ..
other
LEGEND —
eP-emkan
CC-Cbwmyrnntial crack
LC•LorlpnWwl n.ck --- ---
G• ereok tn 9.ad. —-
L- Look
PT•PNonW,de tell, — - ----
ST a G vo.too -- -
SL•$Nwoa Hlt
SR•Sxr'.rghr I
R• Room, '-- ----- '
u- uMaor.hl. _ --- _
i
area�N/
GFLCO GROUTING SERVICE P.O.Box 7247 Salem,OR 97303 Phone: (503)364-11M i
I _ _ _. •. ...'_.
swill
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GELCO GROUTING SERVICE T.V. Inspection and Repair Report
P o e k 7211 SALEM.CP v!)Dl TEL sal laa-I ITe
JOB NO. I CLIENT DATE
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE
TOa
SECTION LENGTH DIRECTION MEASURED looLrry
MgNHULE NO. PIP[SIlE JDINT LENGTH PIPE TVPI. JDiNI IVPE MANR(1LE NO.
Urr Dn awn rceT
N
T.,wr•1
1
TIDrI
F°°fad SE ILED REMARKS FrSEALEDrlgln SEEILED REMARKS '
/ t
REMARKS
LINE CONDITION LEGEND
Cbanwrxess I H... Prpe
lire LI L•1,InM1ltrellpn
Gracie LE t.-A c0dl,m'..
Manholes I P., No.
/T -Prmmrfnxl Tap
S - Yrvrrr lateral
7 7%
1� J
O, •: ITEM NUMBERS
DAILY TIME REP
rz
• ®�
7 , ',.:.
a
GELCO GROUTING SERVICE T.V. InWwtion end Repair Roport
Po pa riu f Lt. M"10 TEL Wl 3..-nq
JOB NO. I CLIENT DATE'
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE
SECTION LENGTH DIRECTION MEASURED TAB
e
Nu. 1'IPI FVI IUINT LkNf.tH PIPk LVPI n11N1 Ivl`1
B **ow
E il"NT N)INI
1 SEALED HEMAHKS SLALLD MNIARKS
,
—
- -
LINE CONDITION l I 1 NI
Cltls,brwa I ,.J.,.I'q..
4M U L.n r
G, b LE L..e ,
MmKo4. v a",
I ,
Pi -
M H
U
Lr CHNIb AN
L�
ww
IELEVISION INSPECTION REPORT
4
.10
TMPNYP 1 .J NMM« fll.b, Ryaq rls r
Pnn Y,N.N4 MN DYrR JYrN INyO 1n11M M 10104 TYM NPa Y.\. •M.N.N..
n 3r 7 ,v—
MANHOLE DATA —
MHnn LOCAT Ib
death //r` 7autl,m! /
Noe hna! ME. 44 C9�ERIE EIII 1
leaks
condition
Pow..Ra1YR G—,i -_—
Lr.i
PIPELINE DATA _--
Ueanhnns�f SIL
alignment yi'
grade 11 uJ
age
condition
%Est leaking points
otne- _.. llAlfi_., A 1241—..
RECOMMENDEOREHAS. — ----
clean - — ---
i
remove rcw[s - -- —
groutl%loin¢I --- -_--- -
Wine
replace
LEGEND ------
BP•8ro4n ol.
M-CncwvNren.tl ,-c
LC^Lonp,l.d.na.racy
0• Bmk n yraoe _—_ — .._--._—._
L- Look _
IL•1—io of,
R• Rnn,
U- U.W.
GELCO GROUTING SERVICE P.O.Box 7247 S@Wn,OR 97303 PhoRP:160313E4.1199
J
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I
I
GELCO GROUTING SERVICE T.V. InM wtion and Repair Report
e o wK 1pu SHUN OP el W) nL WE M.-IIIe
JOB NO ICLIENT DATE
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE
Tne
SECTION LENGTH DIRECTION MEASURED
L•
MANNUII NU. VIVf SVI II'INl 1.1 NO C11 PIPE TVPC �inNl ivPl �MANMUU Nil •-
I L(n ILn.Jen. iaw!
i n•I
BO11 Y
PCMAfl FC ALI NF M1IAP Kti
� $EAU I'
1
�r !
LINE CONOItION LEPENE'
CN+x\Illma a Nie�,.�111<
Lim U Ivry L.hui+'nn.
Grwb LF I•vl Er 'maul
My'paMa ♦ P,.,Ium Ne.
♦T R,nr..dry I
_-
5 Ynui'I�e•inl
U Unl".vl'I�' TrDINIOAN
J
J
I
I
TELEVISION INSPECTION REPORT
T aeMM. IICMc�MP We.MN MCMNe IYNnIM' M
•r«e Mp,M,Ne. e1N OYT. lNwl UMM WMe Ueaw M M N NPe W1. T.M,N,Ns.
133
MANHOLE DATA
MH W..�.S" v . i_)/' LOCATION
oeotl3
tvBe I.A. l.� C. FtMMEa IN Ie CeEe COMMENTS BIM
bake eonUrtlon� Y _. _(,i •1�z .__ .zfii�e��— I•, 7 /rcW _.
ram, /0,5
PIPELINE DATAL'-
cleanlimett L
n'gnmNlt f Qom, .—_- pr—o
cmd,ion i/' "--- - - _----
othu
AECOMWPIDED REHAB. --- '— -'_--
clean __ —___-__—..
g'.1 I%IOnlhl
LEGEND
W•Gmuml«mwl neck ____
LC•LDMIIWIMI cr.k ..—.. _..._.. .. _.
U• e,Nk 1n
L• LYk
PT-P,ov W.N Is,
SL-
Ser.,n Wl
SR-Se.rg11-
U- Up .
Peee LN�_ i.
GELCO GROUTING SERVICE CO.Box 7247 Salem,OR 9T303 Phone- 15031 ?64 1198
I
GELCO GROUTING SERVICE T.V.Inspection and Repair Report
10 WX 12.1 SAkEM a anoJ m W3 IM-I1 _.
JOB NO. I CLIENT DATE
/ .. Ili' INSPECTOR
PIPE CLEANED BY
WEATHER
LOCATION OF LINE
SECTION LENGTH DIRECTION MEASURED k
JOIN II NGTH PIPE TAPE JOINT IVPI MANIIULP NO.
MANHOLE NO. PIPE SIZE L.+1 D�m.Tvul IwT
Trn.+a
Bo+ro+
JOINT MINT "I Y.0
Foclepr SEAL EO REMAII� ''y" SEALED
REMARKS - ,.''�.• I
—— 1
LINE CONDITION Lt Ilf NU w
C4anLewss • ..B&oken Paw
Ll— Li - leak IMelalMn
Grxfe LE -Lrek EG11111..Lou
Mar,noNa P Plcwre N,;
Rnnutlmn Tap
R Rcub
S Svrvrce Leland
TECHNICIAN 1
�,. s
I
TELEVISION INSPECTION REPORT
GAT[. atr. ----- MOW
i
�eenm.un uwento. _ .� wannel�� ._. .... t+.waer Resaa Na.� wNe.
Inm N N.Ne. qM JJy. JaMr yrNM ]nNnn LMM Llnr tyM Pye Ma Ts N.N,Na.
MANHOLE DATA
MH no. -I L__s [ LOCATION
i "
Photo ProMom o
��i FHtaPs No Ca" CEFMAEIIIE
-
Condibon __ - •.._
PIPELINE DATA _--- -
alignment - - -
yvyt-_—
condition
%Est.INking jpnts "'—
ottw
RECOMMENDED REHAL
cNan -
ramoea rood
grout I%imnnl ----.- -- ---- -
other
LEGEND
CC'CirCu nM1 anl�el crKh
G• ernk m 9retla ._.._ ___
L Lwh
ST
SL•Svaca iea
SR-SerNn"nM _--.---_.
R- Rnaty -' - ------- - -
GELCO GROUTING SERVICE P.O.Box 7247 Salem,OR 97303 Phone: (503)7AM 1198
L
J
t e
TELEVISION INSPECTION REPORT
an: aTr.
t'«Il.wun IIIMRL. w.«n«
ipM M.M.M.. NN[IwM. NInI IUHM f.[Ilnn l.M1M IMnI NP.WL a M.M,INl
l_
MANHOLE DATA ---- - - -- 1
MH no. I _ LOCATICN
uI
Ma xi co" EOIMErIi E1M
kontlnlon _ _. Foe Photo P .1
I
Reoom.Ringo
PIPi LINE DATA ,r.r A4wJ -
r _
cleanhness f t I _
ehpnment
age
conanlon
%Est leaking lointa
j RECOMMENDED REHAB.
remove roo[s
grout 1%lointsl
mfine '
nRlaa
LEGEND — —
aP•e.uk.n Pew __- —.-- — _—
CC•CncOmMren[NlcvNk
LC
�• &xY m prtla --
L• Lwlk
PT-Pravue�ry tp
ST-Swan.ran —
SL-S•vrca lert
$R•Swvrc.ngnt �
R- Rnon
u.
v.w _
GELCO GROUTING SERVICE P.O Bo>7247 Sebm,OR 97303 Phone: (5031 3B4 1198
J
J
GELCO GROUTING SERVICE T.V. Impaction and Repair Report
.•O W% )]U L 11. oP.1103 TEL W30 .1I99
JOB NO, I CLIENT DATE
_ I _
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE
SECTION LENGTH DIRECTION MEASURED 1 k W
MANHOI VQ PIPf tilll JOINT IENGiH PIPE TVPf IOINT rVPE MANHOLE NO.
����� I Un Ilnmr,on 1WT
I
r I
sotTo.
F—Il CJOINE0 SE AL1
HEMANKS I..utnyr TIIIN10 REMARKS
[A .
LINE CONGITION LEGI NO '
CMenLna.o a Hruken Plp
l.nw LI Lrak Inflltratbn
Gerx LE L.Nk Ghuralr n
Manhuln ♦ Pu-nm N.,
PIT RubudnW Lp
5 SaNr r Lm.,.I
U IFNkrui�l.' — TECHNICIAN I
L.... - J
J
GELCO GROUTING SERVICE T.V. Inspection and Repair Report
p} 17.1 SALE. m 11303 TU 503 3>E.119E
DATE I
JOB NO. CLIENT
INSPECTOR
PIPE CLEANED BY FATHER
1
LOCATION OF LINE
TAr
SECTION LENGTH DIRECTION MEASURED
JOINT LENGTN PIPE TVP6 JOINT TYPE IMnNNULE NO.
MANL0.11.1 NO PIPE$I�,E LEfI DnRUM 16M1
1
L
SOT,"
JOINT REMARKS
JOINT HEA'- "�"'A' SEALED
SEALED
E
REMARKS
LINE CONDITION LEGEND
CMmOrNsa ! Nrokon P�Pa
4rw LI -LrM Inlatmlwn
GFa LE - Lwk EO11hW1 11
I Pwlwrc Nu,
PT -Aalruenq T"
A Rana
5
D wq.n.M1w �
J
Day TIME RNRT
.: ITEM NUMBERS
REPORTI tl
DAILY
GeLco PRODUCTION
a
_ 7 '
GELCO GROUTING SERVICE T.V. Inspection and Repair Report
III W% nu SALIM M onm TI 11111.II11
JOB NO. I CLIENT DATE
PIPE CLEANED BY 11 WEATHER INSPECTOR
LOCATION OF LINE
TAs
SECTION LENGTH DIRECTION MEASURED �
1 u.dr..l
MANHUIF NO. PIPE SIZE IOINT LENGTH PIPE IVP! IVMI 1VVE IMANIIIIIF N(1. in '
� LIE" L)m r4Mt
V Da nrrn
BOT tom
F.", q JOINT SEALED REMARKS F"a1'o' SEALED
REMARKS H(\'IARK$
---. _.
H L MARK'
LINE CONVITIUN LEGEND
Eieanlirwsr e -Bn.kmr Pipe
Lnw LI Leak lnhprnbon
Grate• LE -Leak Eafiltrotio�
Man�ulee P - P®lurx Nw
Pr -RlAlti l l rep
e - Kim,
S ,Latnnl
u orLM. TECHNICIAN
Moll
f
F
GELCO GROUTING SERVICE T.V. InWection and Repair Report
PO W. 17.1 SALFM M>)JO) TEL W)O -I .s
J08 NO. CLIENT GATE
PIPE CLEANED BY WEATHER INSPECTOR
LOCATION OF LINE
SECTION IENOTN DIRECTION MEASURED L k
MANHIiLl.NU. PIP! SIZE JtUINT LCNCTH PIPE TYP! JOIN! [Vvk IMANHULF NO.
L[rt�lfMT
t eorTOM
F.,rtey. KANT REMARKS Fu,'t,W JOINT REMARKS
SEALED SEALED
i
I77I V
REMARKS
--L
LINE CONDITION LEGEND
Clronliirya 8 Wnken Plpe
Lnm LI Lwk 1.1ibration
GrxM LE Leak Glihralmn
ManauN•i P P¢Wrc Nn:
PT -PrnlruMrp Tw
R -R.t,
5 S'.nrce Lawxl .
M On)viable TECHNICIAN
.x�+... 'Hwrt.+._ •.n+M �F �. � ��.�x.�wm. .wrTJ .��_..��r_�wnr��... r...n�...y.
f T�
TELEVISION INSPECTION REPORT
an: Clint:
rY..YNs I .. YNMMr 9M^N�r RYwr Nr
L4 rwC� 1', u,i� (''F'IC C
s_)
IryY Y.N•Nw %M pyq, INn1 L.MY eNWe LMeY /YN N PYe IMI. r.Y.N.Nw
MANHOLEDATA
MH no( L.-- :J/ </ LOCATION
dePthcob �Im
�. b -.,- r-�� �.! �'.I.}•lira_ i��>I r i l l t_ 1. l '� __
leaks
condnlon_
RaBW.—
%PELINE DATA
cleanlinm Z
alignment ��
grade
age
condition t:�
%Est,leaking joints L
other
RECOMMENDED
REHAB, ---- -- _
clean
wmove root, _
grout I%jomtsl -
reline
otNY
- - ---
LEGEND
CC•Grcumrxenoal c.acu —
LC Langnunvul crank —- I
6- B.Y4m,reee
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JOB NO. CLIENT DATE
INSPECTOR
PIPE CLEANED BY WEATHER
LOCATION OF LINE ,
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PIPE CLEANED BY
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LOCATION OF LINE
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PIPELINE DATA
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LEGEND
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GE LCO GROUTING SERVICE P.O.Box 7247 Salem,OR 97303 Phone: (503)3841198
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MH no.( " -7 T LOCATION
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PIPELINE DATA -"-�'—
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GELCO GROUTING SERVICE P.O.Box 7247 Salem,OR 97303 Phone: 1503)364-1198
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TELEVISION INSPECTION REPORT
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MANHOLE DATA
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PIPE CLEANED BY WEATHER INSPECTOR
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RECOMMENDED RENAL — I
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LEGEND
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GELCO GROUTING SERVICE P.O.Bon 7247 Selern,OR 97303 Phone: (503)3134-11W
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