HomeMy WebLinkAboutWWP2701496 Plat of Park S-247
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TAKEN INTO PLANT IN '982
/',ONEER NA711iNAl
i l i'lE INSURANCE
rrry-
_ i.i,,, ha It„�•nl +t Rtqun.t nl i i
r J
JW
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v BILL OF SALE " ` ` "a
tn! PIA[�t. WALI, h RL•'ULKOP CORPORATIOW
-a of Bellevue
ae1 t `�•` rimy 'State of Wa' hinlon the part y of the 5nt part
UaC UOLLIR '*Wu .lJ:700`• --------_----.._---__-__-..-- Rr1I:u•
:ed —C. . A nrr it .n hind IUiA by
Tua. CITY OF RL'NTUN
�h• `ry �• •• `n.1 ` fit wh.rr,d :: S. l�. ::m.x�rdRrvd. d,es by theta P...... .r..t
h ' r• •• .* y .,, th ..,no-1 pu r !�4.pinF rMa rilr.d Ix rvnAl prrgwnp nnu
i iiy hbury Park Plat
m ? t • canton , ,ue, .1 "Cing and ;!at, of %C adnnyhM t x..
The complete Sanitary Sewer system -for tlighbury Park Plat, valued at
approximately �114, ti..00, and consisting of the following,
.d Ijnftoles
3" PVC 11641 ft main
PV.' 2,500 ft aide sewer.
I+r rtr .e.d part y ,.I the .,,and part, its hrtrn, exKgt,"
1,. .,.d p.,rt y a the arrt past fm its hem.
s `nd aerws t+.and Mon+ the yid party A the , `Ad part its
p:nry ,.f ttto tr,t pm is the ` +n•r r.f the wd
s :•..I c;h, .n+d hdl .nomad% ,o .ell the nv .nd chat it
,,tvo Ch. col Party of tfw +Crud 1>,nt, its
aam+t all and r m latrv.n r r a'nuna,vtnt a,er, Iaoiulh r
.t. ' i'l'''t � .! r.trt y fit rho firs pan ha s Imennto wt ita hmd
dap of March, 1960. -
"AAI.L -j--¢+�Uk1aOP CORItOliAT�i� __ t�c.t)
by:
STATE OFF_ rZ
am th —day of
..coed• a .%-tarf Pantie d and at tM state of
and A D. IV ".• hdo»me. the atndar-
amd my r ta.noamll9 appaeead - duty eammiarowad
to aaa hapala ta be the. - WA __-
Socratmr7,raapwtlea4.of
dw nfiun
ooaVa that aiecuted the (or,y,rna rnatrumamt, and aaks—ladsad tha acid itrtauataat ro be�Iraa and tteiae-
Ifta eat and dead of cad rurpormt,on. Inc the ,aaa and putpnna thtleu, mmtbrlad. mad as anth aahtad the
L
-- - autfwr-"`f to eaacuta tM aaid ""a' meat and that the coal efliaed b tha rsasatata real W Wd
aagetlMiem.
VMITESS rot hand and oekwl awl harato aQia,d the day and yanr in eh*eertiheate shove avy"ao,
CERTIFICATE OF CONSTRUCTION OF WATER POLLUTION CONTROL FACILITIES
INSTRUCTIONS:
A. Upon completion, and prior to the use of any project or portions thereof, a
Professional engineer shall complete and sign this form certifying that the
project was constructed in accordance with the plans and specifications, and
major change orders, approved by the Department of Ecology.
B. If a project is being completed in phased construction, a map shall be attached
showing that portion of the project being certified on the date given below.
Each phase of a project must be certified as it is completed. Additional
certification forms are available tram the Department of Ecology offices listed
below.
NAME AND BRIEF DESCRIPTION OF PROJECT
NAMC OF OWNER DOE PROJECT NO.
ADDRESS DATE PROJECT OR
PHASE COMPLETED
CITY STATE ZIP DOE PLAN AND
SPECIFICATION
APPROVAL DATE
I hereby certify I am the project engineer of the above proj^_ctp that said project was
inspected by me or my authorized agent and it was constructed and completed in accord-
ance with the plans and specifications, and major change orders, approved by the
Department of Ecology and as shown on the owner's "as-built" plans.
Signature of Pr-,fessional Engineer
Date
SEAL OF ENGINEER
Please return completed form to the Department of Ecology office checked below,
Southwest Regional Office C1Central Regional Office
Department of Ecology Department of Ecology
7272 Clearwater Lane 2015 South First ':•eet
Olympia, Washington 98504 Yakima, Washington 98903
Northwest Regional Office C Eastern Regional Office
Department of Ecology Department of Ecology
4350 - 150th Avenue N.E. East 103 Indiana Avenue
Redmond, Washington 98052 Spokane, Washington 99207
ECY 040-2-28
4+< STATE OF DEPARTMENT OF ECOLOGY
' WASHiNGTON axn uw�a.. r+e Reanv:..w.nMyo.,anca lam us:.
DM%L. Ray
r„�",
May 14, 1979
City of Renton
City Hall
300 Mill Avenue South
Renton, Washington 98055
Gentlemen:
Highbury Park Sanitary Sewer Extension
in accordance with RCW 90.48.110 and WAC 173-240 of the Department of
Ecology, the plans ead specifications for the subject project have been
reviewed and are hereby approved.
Upon completion, and prier to the use of the above project or portions
thereof, the attached Completion of Construction Certificate must be
completed by the responsible professional engineers for the project and
returned to this department.
Nothing in this approval shall be construed as satisfying other applicable
federal, state or local statutes, ordinances or regulations.
For additional information, please contact John C. McDonnell , the plan
review engineer for this project.
Sincerely,
Robert K. McCormick
Regional Manager
RKM:JCM:bh
Enclosure
cc: Norman 8 Associates
King County Health Department
�AMETRO
Municipality of Metropolitan Seattle
Fndungetlidq. •021 Second Ave..SrNHe.NLs' .=IM
Mai, 9, 1979
City of Renton
200 Mill Avenut South
Renton, Washington 98055
Gentlemen:
unitary Sewers - Highbury Park
Construction plans for the above project are hereby approved.
we enclose one copy of the plans for your files.
?n accoc,ance with Metro's Rules ane Regulations, it is re-
guested „hat the Municipality be furnished with a copy of the
"Contractor's Notice to lroceed" and, upon completion of the
project, with a copy of the test results.
Very truly yours,
Neil Peterson
Executive Director
Bye
"�W.YMallo
Director of Technical
Services
TWM:dgm
Enclosure
cc: Department of Ecology
Puget Sound Council of Governments
H.U.D. - Attn: Mr. William Speer
E.P.A. - Attn: Mr. Warren Montgomery
N
SANITARY SEWER SYSTEM LOW PRESSURE AIR TEST -�
PROJECT V
DATE i
LOCATION I LENGTHI K C I RESULT
SANITARY SEWER SYSTEM LOW PRESSURE AIR TEST IN
PROJECT
V ddd
DATE
LOCATION LENGTH K C RESULT
SANITARY SEWER SYSTEM LOW PRESSURE AIR TEST -4
PROJECT
DAT
LOCATION LENGTH K C RESULT
SPEED LETTER
TO: DATE:_ _
PROJECT:_ — �Ir
SUBJECT:
lid
`r•, l
S gned
SPEED LETTER
TO:
SUBJECT_ DATE:
PROJECT:
-----`tea --�__
Vne
r Precision Sealing S. MG L,nm KOy
Bellevue.Wd 9ton 9800a
r71 V Video Systems 24 ehlxobleel.a926
I O N I N S P E C T I O H__R
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T echni GI.fn Inspector Weathor Cleaned ny 9ec.ort Ta.:.:
UNu"0,2 a I L, - ii I P'a4 1 1
Fr�m M.H. Nc. dice :;ism Srcticr Length 3=int Ty;•e Vine RaG. T�
Fe � .ke. PJe.
a _ -4T4:
LL ATIUN U LINE
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Photo rod em
t.y:x• CJ^x 11tl _ pFuotage Ni. Ca COKILNTS
:iti::n. .2 He n P L.Rehah - 1'
LIFT
n_i,lnmcnt -- 1
vlo..
... titian Cvl•`�"'�
C!_X,
r eon.uy --
.. o olnts_ --
el n
c
it . r
LICtNbi _
B.) m Broken Pipa
CC a Circumferential
Crack
.0 < Longitudinal — -----
Crack _
L a Leak _
VT z Protruding TOP
5 - Service
RI . Root Intrusion --"—'
u . Unpassacle
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a 6 Lim I Nay
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G1� Video Systems (206,W-29M
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_
Jcf th �� C�`1 V\+ ME `c U.Tc+k..C� C- \Oq
t\ t_n photo To an
f_ctage 6c. coop. CLrMENTS
L Lk
7.... Renah 11i
1a � w.E F'1 �Tiab'.. ti. ♦T - tiRr
.HI M
c._canllnaaa.s mil c_ \,., ♦tt m1k `k
of i•70aent Uwo•�
leaking Joints N=
c:u3n
rq�nrlVY TOO -- "
LEGcF03 _
B, a Broken pipe --
CL a Cirzunf Nrentiai --
CraCk - --
L_ a Longitudinal
Crat,
L Llak _
pT - Crctru7iny Tap
5 = Seruica
aI = Goat intcr,aicn --
U . Unpaasaola
ay^= i zi
iz
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on
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--
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Video Systems (206)e41-$A�5
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Technician Inspector Jlathvr C1,a,I eY Report Te
Tr',* F.H. N_. °ice uiar: i ot. 777F.
i.:
YVo-X-
.L� LUCRTIGN ;;f LINE'
fpcta9e .�. Coac COFN9EI.TS
.. 'C.% S L.Er<
�Zt ' AFT
L'. 15 Lf f i
Mki
u
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LC�tAd
B? . Broken Pipe
lircu-farentis-
Crack —�
_.. Lmgituniral _,.
Crack
L = Lef..k
pT = PratrudinB rep
S Slrvicq
11 Root lntrusior, — -- —
.. = urpassable
wage zf
Precision Sealinp "s L°"" rcay
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Video Systems (206)60-292E
E Y I S I QI I B S O C
"ete City ` ^ Co.RK 7oa
T ucnnici+,+ Ins ectcr vactner Cleane7 -ay Repgrt Tape
Fr:^ ".H. -i:.r l.am 5-. ticr L;:ngth 7tirt Ty,e ?'ce flat. To P'.H. No.
12r+ut PVC Z
..T4:
A L'' CATIu& JF LIN--
t+ pncto rob em I -
-- Fcotage Coda COWNT3
-- ¢r as .r,
4..o cG ..., a.. IT1ll L
No :
.e a.i ma ,-rots W
� rvr j,
S--C %�
F � —
tr•:r —
LEGENU:
3d . Broken pipe
CC v Circumrerentlai — — —
Crack
LC . longitudinal _ --------
Crack
L . Leak _
PT . protruding Tap
. Service
RI . Roat Intrusion
p . pnpa9aaCle
.age
IYa
•• Precision Sealin P6 Lmml k°y
�, Bellevue,WaSinglun 980%
Video Systems I206I541 2928
L E V I
e
lrl K'er� F1 iC,��
TEchnician Ins actor Wt dthar Cleaned by Report Ta}c
u c,,,
Ftom FS.H. No. G:Ge Oiam S-cticn L•:egth Joint Type Pipe Mat. To M.'.. h
P�BNHOLL DATA:
V,H no L LLCATICN CF LINE
tlecth
J C C N l
- ...K Photo rph am
1/1
Lypc
Fpctape No. Coda COMMENTS IP'��
a.n iti:p
w•sv c '6.
1
F::cc,a. Rehab yLl� S Te? Qi t T
1•,ak."g
.-ern we LaO�-
cr;:.:t mints_
rol
repa— .._
ac
LEG'_NOs
RP = Broken Pipe
CC m Circumferentisi ——�--
Crack ---'-'--'
LZ z Longitudinal - — ----
Crack —
L m Leak
PT m PrArudang Tap _
S = Service
RI Hoot Intrusion
u = unpassatle
-age 1 _F
....,
•' - r 6 L„non, key
Precrsrn Baling een hin evus,Wasgton 98ae6
M. Video Systems saFis<,-N26
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Taohnieian 1111PICtOr IW93thqr Clesned oy deport Tape
-
Pran Pipe Diem i.ction Length joint Typo apu Rat. To R.N. No.
IJ Fx Y. iY.
NANNOL_ -!ATA:
' LOCATIUN OF LINE.,
MR notlaPth .. .•`hoto rab en
type (.•...w.w footage Nu. Cote CONVENTS GPR
canditicn
9cc:.•*. Rehab �1,11
y. 1
PIOEL I'..
claonlinesa C -- - _
alignment �•.: _
grac.
c"'dit Ian --
118kinq juinta "I
clean
ramOw ratite — ---
gtouc ,jo)hts --
rsline�_ -
r cd--- __
ot
LECENJs
BP w Broken PIPS
CE w Circvmforentiai
Crack
LC a Longitudinal - -- -
Crack
L w Lank —
PT Protruding Tap
s . service
RI w Root I,,tros:en
U e, Unpossaole
'rage of
s 6 Lumen, Key
PreclslO/i Sealing Bellevue,Wash,ngton 9eobe
Vide Systems (206)64 292e
T t I D N B P c
bete CltYy Jw Nn.
Technician jeathnr Cleaned Cy Report TOPn
Trom M.N, No. Plpa Jiam S'cti_n Length )tint Type Pipe Plat. Tu h,q. Nc. i
Y.AWOL% DATA:
MN no �� LOCATIUN OF LINE
depth no o rnU em
type t Eoote9e No. Code COMMENTS GPM
S oaks i_\ - • .... il'•It 1..
c::nPlCi Jn>w�-
1.
:A-'FLi3a .ATA: _
c_sehllness� ^ . z1y:,v
allyfinenC -
condition, '
looking Joints i4._
1
I is CLMM.",J_ n:.H a'.:
c 1 eon
romove route
grout ^,point•
V64
rap k
LEGENDS
9d Broken P:Ps
CL = Circuw:rorshtia, -- —'
Crack
LC . Longitudinal -- -- `—
Crack ---
L . Leek _
PT . Protruding Tap
S • Service
RI . Roct :ntrusaon
V . Unpassable
Paga t of
Precision Sealing
BaHavw, laasainglon Baap6
Video Systems 12W 641 ?M
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Date CitJs Joc r;o.
TaCMlCian lnapact Pi JaaNa[ ,CNoned oy de Prt Tape
P[aa M.M. N�. 1.a^ "•cticry Lsngtil ]min
"ypo C�Pe at. Tv M.H. No.
MANMIX ' .NTi:
hH no LGCATIGN Of LINE.
depth 1/1
type C_ .. photo rob aM
YP ILPootege No. Code CWWWTS GPM
oaks t Imo- 1 `1
ccnoltl"n*."
Rehao.. -
-aaniiness� `1 —
'_igmenc r '— --+—
tadv _. ..".—.
':.ndition
1[akirg
LCLMM NJ
cl aan_ _
revive routs
rep�cO------
utr.cr --
W . Broken Pipe
CC + Circw^rarant la:
Crack
LC . Langitucinal -
Lratk
L . Look
PT . Protruding Tap
S . Service
Al . Moot Intrusicn
U . Gnpsesable
Page 1 Pf ���
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Bellevue.wasn.ngt.3ecot
a Video S} ste ins IM1641 2938
T - L E U 1 5 I G N-_y�.iP,F C T t n
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Tear ion Infrctor Report Two
No. P}Pe Dlan .-:.qtn 7:::'.t Tv:eT- ar, To
t�ua n.
iaTAt
L:CATION OF LIME —_
tpp� +mot ,•,Photo Problem
Pootsya NP. I:PJe Eitlf9g NTi GPn
'B9N5
coma-" _
1-
9ecu.*. P.enab
PIJELINL JATA:-� - --
cLsonllnesa' -'
s_ignment_^ --
grace
condition=` _
looking joints
I SLrt"' fU..P dcr AJ.:
clean
reamer rue ttq
IEGENN
BA . stake,. %ipo
CC Citc. fsrvntis, ---- '—'
Crack ---- _
LC • L<TgituCinal
Crack
L •• Lank
PT . Ptotrudiig Tap
5 5ervice
Al . AM Intruaio, - —" ---"
U Unpassaole
Page 5T
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Precision Sealing Bellevue,Waamngton moos
Video Systems (2MI641-2926
I E L E1 101 1x5PF r r I L_
Data City tReport
o,Wearjer Cleaned by TeOcOallo. Pipe ]i ar Section Length ]Dint Typo Pi a Met. N, rya.
MAJOMC OATAt
KH no i L. LOCATION OF LINP.
OaDth . , . r.i -A,y
.
La+. �— hoto rob am
type Footage No. Code COMMENTS ;.PF
leaks__
CCMiti Pn^•
Rrn,n. Rehab_ —
PIdELINL
ela0nlineaa_ . n
aliI mont
grad. M
ag^ -
condition
leaking joints
clean
-
reaove icota_—_ -
�tout % J4nts
idiltt�--
ca..
LEG"NOt --
8.1 a broken Pipe _
Circumferential — ---
Crack
L: LWgitudinal ---
Ctark
L a Lask
pT Protru0ing TaD
S e Sat=9 -- —
RI • Root Intrusion
O Unpeavable
page i cf 1
u
Key on%,
Precision Sealing n.navue,wasnne: 005
AVideo Systems ixoe.e.f-:max
— - . .
E L E V I S I O N I N S P F C T I O N e
Onto City
Technician Inspector Waather Cleanod by depart Te:a
Prow M.N. No. Diu. JCem. 5nction Length Ocint Type Pipe Met, Tu Nc,
MANHOLE DATA:
MH no ;; LOCATION Of LINE.
type `-. "� U Photo Proulem
!sake
Footage No. Cod COMMENTS GPM
1\�' "
condition t*
Reco.. Reheb—_
PIPIL14L JATA: ----'—
cicanllnnas -'
alignment
grade
ag• —
condition
leaking joints
iLCCMMC NJ-') 9dr+P9.: _—
clean
remove routs '--'- �—
grgut j6Snts__
re lino - 'i
--
utnov
LEGEND:
SP o Broken Pipe
CL = Circumferertia: ---'—
Crack
LC m Longitudinal ------
Crack ._ ._—
_
L e Leak
PT . Protruding TAd
S - Service
RI + Root lntruaion — '-
U s Onpessable
page . cr I
. a5 L... key
4- it
Precision Sealing e.Jevue waehmelen 9aOM
26Video Systems i�)641-2926
Date City Jco
It \11
Technician Inspector Weather Cleaned by \, Repprt Tape
From M.H. No. pipe Diem Secticn Lengti Joint Type Pipe Mat. To M.H. No.
MANHOLE OATAI
MH no LUCATION OF LINE
depth photo MOST em
type:.'•. , Footage No. coda COMMENTS GPM
).asks �•, • c.
condition..
Raccm. Rehab—, _
PIPELINE 'JATA:
cleanliness '
alignment
grade _
ag"'
condition
leaking Joints♦_
RECLMM-NJ_:l RLHA9.t
clean_
remove routs
grout % J�ints ---
reline
other
LEGEND:
BP a Broken pipe
CC a Circumferential --
Crack
LC a longitudinal —
Crack
L a Leek —
PT a protruding Tap
S a Service
PI a .Root Intrusion —'
U a Unpaasable
p ege of
r�up;
' `, Precision Scaling
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Da\t�e Clt l�l 641-2926
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-( wr't�. user nyp
Prom M.N. No. Fipe Diem �'r*`., Cleaned oy
,1 ��,,. napert Tape Section len M 1
MANMDIC DATA: t c: �r 9 ]Dint Type Pipe Mac. i.. �.p. Na,
MN no 11
der tb` ' < LOCATION OF LINE
teaks t Toota he rob
No. Code c onci ti pn ,. LU6n'hi-
Rec-m. Rehab ''1 GPM
P l.'r —�
IINE JATa: —=
ctsanlineee, '- <-�•�,�
y=w9Neent��_ _ --
condition
leaking j::inta .
iLCCMM.b�—
clean
remove at$— —
groutPints___ --_
-
r q
of r_
ICGEND:
—�—
a Broken Pipe
Cl Circu farentiai
rack
L. a lrAgi lutlinal
L a leak Crack —"
PT w Protruding Tap
S e Service
RI m Root lntrueion
u e Unpeasable —' "—�
rage F
e a L.0 , Key
r Precision Sealing Beneyw• wean,nglon 90LIM
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F re•^, ...H. A:. �1Pe Dlak iaetlen`L rngrh .Je1nt Type pipe Mat. To
V - 1..Oi 1 �.k>t , i
N,At1NUL, DATA:
mm no L; ATIUN OF LINE
depth,_ 11 ') 'Y
no to Protlem
type c_, Footage No. Code E9M -NTS apm
l.eake �• a
condition", i —_
Rehab
PWEL INc )AR:, --
clwnliruee
aligment
grad,
ag.
condition �>
leaking joints N_
clean
re move yce�la
p� }OlnLa
r
r 1 �•
Ptr,or
LC6CN0:
BP . Broken Pipe
CC . Clrcumfersntial
Crack
LC • Lmgitudinal -
Crack
L . Leak
PT . Protruding Tap
5 . Service
RI • Root Intrusion
U . UnpaaseOle —"
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Y o,
MAN11a.
mm no -- _ LCCATION OF '_IRS a I
tlaJth a f.. t.r,
Pnot Jr_..;e
type t '. roctage Nc. �-.e COMMENTS
Gar.
Seam. Rehab._.__
T
1RTA: _ L.
c:fioni lnP.!l�
leaking }ZinL!
i :Lm r:
Clean
rsmov, r.
grout 94 - �ints_
reline
,,p Lace
_tnrr —_
LCGERDZ —
BA a Broken PIPO I _
cC . clrcumisrantiai _
Crook
LC >< LW91tudinal _— —'- -
Ctack
L • Nak _.
PT . DrotrudIN Tap
S s 4ervica
RI s Root Inttusicn _
U = Unpassable
Precision Scaling +e L"""' key
Bellevue,Y1asn gim 9F0.K
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HM li
3.v Secticn Length 7o1nt iy:c ?Ina Mat. Tu M,N, No,
LUCLfION OF LINE
depth frote Pr3b1W
type <y footage No, Code CO"CNTS GPH
Leaks_
Rt .m, Rehab
PIdELINc )ATP: -- .
c_sonliness ; t ;
all"ont
grade _
e9. —
condition
looking joints
i-C:.'Ir• HCH4d.:
c 1 flan�_
remove to _
wout 7i�Jau't
r eplece
utner
LEGENOi
B7 . Broken Pipe
CC a Circumforentie=
Crack --
L: a Longitudinal — --
Crack _
L a Leek
PT .+ protruding ap
S . Service
RI a Moot brtrusion
U a unpesseble
.a9e of
e a Lamm, Ke
Precision Sealing t Y
Bellevue, Wash,nglon geJOg
Z Video Systems g0e1ee1-2926
P r r T i U N R F o
Osta City jot) K..
Technician Inspector leather Cleaned b" Report Tape
Fran M.N. No. Pipe JiaM Section L-ngth ]oint Type Pia Mat. Tu M.H. No.
µ
MANOLl DATA:
MH n0 I�t LUCATIUN Ui• LINE
dsPno T ' So.-,.. Nq A ro N•..�n
t C.wS� Photo Prob em
type _ Cootags Z. Code CUMMENts GPM
leaks_ •>lPi. " _ a,— 1\ \1
�c oma Rvheb n�ft
PIJELINL DATA: -- -- - _ —
ciaanlinesa
a119Maent �••
grade c..
eg, tk-. —
cond-tion C
leeking Joints -`
I"CLMM NJ
c loan_,
remove routs _ _ --
grout % J61nts —_�
LCGENGS
BJ Broken Pipe
CC CirwmPerantia�
Crack
LC Longitudinal -- --'-'
Crack —
L e Leak
PT a Prptiuding Tso
5n jer V iCa
41 a Rpot Intrusion
U • Unpassabie
Pegs f
' d 6 Lumna Key
Precision Sealing Bellevue,WawN gkon geoM
Video S-, s terns 2061 Ea, 2928
-----
.b n
Data City- ',
TaChnlclar, In%pvoter Weather Cleaned oy Report Tape
Trots m,N. No. 'Wipe Dian ct.ion Length ]pint Type pip¢ M.
To M.H. No.
..,c ., :rc...� v( i
mAN40L- Data:
MN no —. LOCATION X LINE �.
depth photo Prob am
type �__ Tcc Gage No. Code COMMENTS GPM
cam itionL, - .Its _
Recum, Rehab._._.—
� I
ciconlines•
alignment__
grade
aO
condition
leaking Joints
c lean_
remove rcute
grout )j Kdi te—
rellne 1
replacer _.
other
LCCEND: `
Ba a Broken pipe
CC a Circumferential
Crack
LC a LWgitudinal _.. ----
Crack
L a Leak
OT . Protruding Tap
S Service
RI a Root Intrusion
u s unpassable
page pf �_
t•..:,
Precision /6 Lurmr Key
Vide SPBtllig geuevua, 2926 9tanvaoos
Video Systems (aae)sa:-zgx
JCL E y
pate City
TaChnlCian ` Inspector dnathar Cleaned by Report Tape
♦iAa O:.tv k,e..- LZC'.
Prop M N. No. pipe JiamF, Seeticn isrgth ]oi nt Type pipe Met. To �. No. .
r Fr r o.n
MANHOLE OATAI
MH no S LOCATION Jf L.iN,
tlepth- - :.._v.
type C .,;e Noto Problem '
rootage No. Cc de CWMENTS 'PM
eks N.+ T ik
Recur. Rehab,
PWELINL JATA: _
claanlines*�`
eliwant lam.
gratlo
ag,. —_
condition
lesking ,joints y_
clean
romove routs
grout % Joints_
rap'J,aca --
otr,pE
LEptmC:
gp s u- .ken pipe
CS s Circunferentiai
Crack '—
LC s Longitudinal
Crack
L . Leak
PT a Protruding Tap
S c Service
RI s Root. Intrusion
u unpossable
i{f+•f
1'"1'e.ls.C :' .Sealing.} NB Lumm� Key
�• 6 yellavua.WAannytm 9aCt6
• '��' G& Video Systems (M)eat-2925
I-A
Dste City„
TKM=cian Inspector deathsr Cleaned by Report Tape
Froze M.M. Nc. =ice D:eM" Sncticn Length Joint, Typo jPiPQ Mat. Tu M,4, No. ,
MANNOLc DAM
MM no LOCATIUN OF LINE -
depth
Photo rob ea
type rootage No. Code COMMENTS
leak& r_`'
Conditicn�
Rer.h. Rehab_
PIOEL19L JATd: -�—
cleanliness.!--.__
slignment ' _ -
grade --
condition --
leaking Joints t.
clean 7—
roacve r.ute '—
grout %,jginla
iel4neT__. -_
Litre _
p er`
LEOEkOt _
B2 Brakes Pipe
CC. s CircunPerentivt
Crack
LC longitudinal —.—
Crack
L s Leak
PT . Protruding Tap
S Service
R1 >• Root Iitrusicn
U . Unpassable
age
Precision Sealing 6w xa2Mngtor 9e110E
^�f `,¢� Gdi Video Systems (zot)641eai-aeza
Dab Cltr- job rt:,,
Taehni c ion t, Impactor _ _. es'.1 by Is.
It
Tepe
frox ?LX. No. °ice s.� .. "qtn ]Dint TyC- .ioa rat. . .
,n
MANAXt DATA:
PIN no 1.":AT ION iF 71
dooth , not- 'r)CI e*
type - rootage Rc. cor,. C.'rM^ Ts ;plm
Candition �- --
Secom. Renab
cl•'EL1NE IATA:
claaniinapr~....—
alignment . > --
grade
sq
con,litlon
leaking Joints c:_
I_CLM1 I,: —
clean—
rexovn routs _
grout $Vointa__
retina
otr.cr
LEGEND:
Bd . Broken pipe —_
CC a Circunrerential
Crack
LC - Longitudinal _ --- -- -'
Crack — —
L Leak
PT . pretrudinq Tw
s service _
RI Root Intrusion
u e gnpassable
cege__
ytTu� .
Precision Scaling Be"Om. Ra
Video Systems ixosiae,-zgxe
I N N I N g P F T I O 1L—g1�.
9eb City
TapMieian I^ppactpC tleath .eaneI oy gecort Tazn
Froa; M.N.eNO. 1Pa OiM Snet. gth 7 ^l
::.^t Tlce hcv et
1 `P�.,. . .4 1
MRNNUL� 34TA:
MN r.o LOCATION X LINF.
aepth Photo
roc:en { �'
type lop Loge No. Cnee CORMENIs 'PM
laaka P 1 T 2.
cimitip
Rocca. Rehab___
claanlineaa=i--
allgMenr�__.__.� '—
grape _.
e;
ccn alarm —
leakiry iota
Clean _
rplloua roots
grout %
reline—
ICGNOi
ap a arckon Pipe
CC . Circurfarentli, --
Crack —
LC . Longitudinal ------
Crack -- —
L . Look
PT . Protruding Tap
S Servico
RI = Root 4ltrusion _
U Unpossoole
cage
Precision sealing
;u _Video systerCS rr,n Sz. ..... ......
-'._.. "• - - aaoas
-. fa06J a5s...v6.
T. I60]) 363 6...
V. INSPECTIONGROUT
mp.
OB NC. CLIENT and G R O U T REPORT
�{N T
IPE CLEANED 8Y •.�-:'::2 T.., '.� . DATE
WEATHER r. r
G INSPECTOR
OCATION OF LSNE
N 'S
ca[
Direction of Flow pF £OY11DN ' C-
f^a' nhpla- - L�
No, pipe Slze —�—'
Joint Lsngth PiPe Type Joint Tvpe tanhc ee �ui� or
F,.i,..
C� i�1)„ No,
L 1rBCt Ion of MBa9urBmar�t(� Tq�c I eft Righ
T��- From Center of Manhole
` 1 C.
T. �• I �' S P E C T I O N la Bottom
Foots,;, G R C a 7 I N G
RamaCk6
Gate R6Pai CFd
C - ( - ''\ CF _ '� Remarks
rT
z - j--- - - _
-------------
--
LINE CUNDIT DN — ---y
Pipe Condition —�LEGE kO 1
-Oroken pipe --J
Mennole Condition LI -Leak Infiltration PT -Protruding Tap
LE {Bak Enfiltration R -Roots
Gretle p -Picture No, S 'SarvieP Lateral
l'wu U -Unpassaole
TECRNICIAa,
Precision Sealing ,,,_
Gdb Video Systems a.n ion. W.�Rmpen eB e33
T. V. INSPECTION and GROUT RE PORT �t� t 2� ✓
OB NO. C,I_NT
DATE
WIPE CLEANED BY WEATHER 15
INSPECTOR
LOCATION OF DF LINE
O � N � L4
�-.-<�...•e1�...� l,`e�t' -F-r�.x�� �v.}-.gin eve 1✓�Ie� t ((��__
Direction of Flou tOfYWT'11;�
Manhole pp
No. Pipe Size ]Dint Length Pipe Type Joint Typo aD
eft Righ
❑fraction or Measurement�From Center of Manhule I Bottom
T. U. 1 NSPECTI ON GR OU TIN .
F Dote%;e Remarks
Data Repaired Remarks
�IiuE CUNDIT IGF. LEGEND
pipe Condition iir, B -Broken Pipe
LI -task Infiltration PT -Protruding Tap
"'--hole Cpntlition LE teak Enfiltration R -Roots
S -Sarvice Lateral -�
P -Picture No. U -Unpassahle
TECRA ICIAN,
Pre,ision ,Sealing .a>.1 s[ .ee.a s..••i
R.nrn- W.J•...... Yao&$
C8 Video System, (aOU .:a-a.fa e•..•n Wo
.•a, eL+--_ _... - (s oa) IaJJJA. j.gm.O.
T V. INSPECTION and GROUT REPORT
OB NO. CLffiNT SATE
.�
U
VIPE CLEANED 8V ekka YIEATHER INSPECTOR
Coo
OCATION OF vLINE
Direction of Flow ——�� e-�--. DftR
f"�anhale pie Size ]Dint Length Pie T anhole �*^^�• 3
No. P S o y.; 9 P YPn ]oiM Type No Uirecticn of N.aasurement —From Center cf�noholoy ��
T. 'J I N S P E C T I O N G R O U T I N G
Footage Rer,arAs Date Repairea Remarks
l7 Fc ')C QCLC J� lZ.�w 0,1 "r 1\k 3
LIRE CONDITI06 LEGEND _
Pipe Condition_ R -Broken Pipe PT -Protruding Tap _
LI {eak Infiltration R -Roots
Planhole Co,�I tion ". LE -Leak Exfiltration s -Service Latetel
:;retle
' -Picture No. U -Unpassehle
--- --
`���� TECHNICIAN
Precision Sealing ram is rank au..r
Video .i Ysfcm, a•er•.. a•.•r.sr..ai Oaa
Rod) 215 9.1$ *.,p W.
r (Beal aaa-aan $.1en or
JOB NU.
T. V�INSPECTION and GROUT REPORT
CI LENT
C, <. Cn. UATf
p,K CLEANED 0Y WEATHER I 1
INSPECTOR
cLc�Lt Q �Lw C�.a.
GCATIGN OF LINE
C)
DirSCLion of Flom
Manhole —�� � iDmol.
}} � DftRigh
NO. pipe Si Le Jgint LBngth pipe Type Jo.nt Type aFY^�. y
`+ O b l(Lriractien of Me$.... Canter of Manhole 'Adel
T. U. I N 5 P E CTIGG C, RUUTTNG
Fontana Remarks
JdLC 're,dire'l r, Larks
L h.E Co EGENU
vbe Condition R -BrokM Pipe p
L] {ask T ^*rotruoing Tap
Manhole Condition Infiltration R .Roots
LE -Leak Eztiltration 5 -Setvaea lateral
. U -Jnpaesahle]rade `a1CtQre No `\ S..hiNO� Vr7.7�a•�Ty-v.•
TECMAILIAN
r Precision .Sealing nrrr or rear. an..r
✓ S , bmo.._h. V/ IPO S VSIPMS a a$ 84?3 A.o mua.a es4
1303) 303-ii)r s a.hm.p•
T. V. INSPECTION and GROUT REPORT
08 NU. CI IE11" DATE
CU , y
PIPE CLEANED BY WEATHER INSPECTOR
5 ? CL.0"o� ,o
GCATION OF LINE
ON ld t�
eiree lion of Flov [[JJ on
No. ipe Size Joint Length Pipe Type Joint Tyoa aNhola
THE` (left Righ
Direction of Fleasuremen from Center of Manhole �
6 1 ` epttpm
_ T. V. I N S P E C T I 0 N ;, H D U T I N G
Footage Remarks rate Heuatrea Remarks
6,rT i�.f
L NE CONDITICr. LEGEND
Pipe Condition , 8 -Oroken Pipe PT -Protruding Tap
LI teak Infiltration R -Roots
Menno!e Condition LE took Lnfiltration S -Service Lateral
-Picture No. U -Unpaaseole
Grado
TUHn IC IAN
y Precision Sealing rz nz i[ rasa Vx,
b. ... IY W."..asab.
Video S VS IemS ! ' 006) zs!-e ra v.,w e«
_-- (5e9)003-331). 1.,..C
T. V. INSPECTION and GROUT REPORT
OR N0. :.I.IE%T OATC
WIPE CLEANED By WEATHER SNSPECTOR , I
sat t
OCATIUN OF LINE
Cirection of flaw cp
Mannois pipe Size Joint Length Pipa Type ]Dint Type anhole
'.o. $0r �70 Q 94c O el1vG '�0. eft Rign
\6� Cirection of Measurement- 0*—From Center of Manhole �i/ tfv
T. V. I N S P E CTI ON
Footage Remarks �.'-ate 9epairad Remarks
O �Z STca'tC OF �� - IN
�L\E COf�JIT IUt. LEGEND _
ins_ontl itior tu_ 9 -Broken Pipe PT -Protruding Tap
LI -Leak Infiltration R -Roots
"'.annole .:m,aition LE -Leak Exr:itration S -Service Lateral
..tads
-Picture No. U Nnpassacle ^
�cct� TECH&ICIAN
( - - -
PrECISIon Si - 'a,w s.e. uu. an..r
Z Video Systems a•"'O^ a,uh',,"•n Yaeaa
r]oQ aas sue.bn
-- (soa) asa-aa,r s•r..•.�.0,o.
T. V. INSPECTION and GROUT REPORT
JOB NO. CLIENT
DATE
PIPE CLEANED BY WEATHER
INSPECTOR NL li
�Vw�i �?x CST n �iNzot�LOCATION OF LINE
OAFS y �1t vV1a �OW t� < _
C ase
Direction of Flow 4
Manhole .� pp
No, PSPe Size Joint Length Pipe TYPB Joint Type 'anhole K��N
1 l vc -- 2 P4o• * aft Righ
Direction of Maasuremen��From Center of Manholo tRi'h Z Bottom
T, V. I N 5 P E C T I 0 N
G R O J T I N G
Footage Remarks
Date Repaired Remarks
Q
L IiVC COP+DITIOP. LEGEND
Pipe Condition Mvw 0 -Broken Pip,
L1 teak infiltration PT -Protruding Tap
Manhole Condition H -Roots
Q LE -teak Enfiltration S -Service Lateral
. 0 -UnpaSseale
Gretle P -Picture No
n
TE CHL ICIAN
Precision Sealing r)I;l Sf 10 910 Sn to$
.I �h R6n ... w....nFen 9Noss
:\ A Video S v,temS tzoU 26a en5.aemrr�W.
(503) 363 51)) S�Iem.Or
T. V. INSPECTION and GROUT REPORT
00 NO. CLIENT ,DATE
C -'v (v I'. G�5
PIPE CLEANED BY WEATHER INSPECTOR
2`. -k
OCATIUN OF LINE
OF r a ". yO�"el
Direction of Flow aP
Manhole pipe Size )aint Lan th Pipe t anhole 0,.^, g
No. 9 p YPe joint Type .)a eft Rich Direction of Msasuremert44*�From Center of Manhole Ji Z Bottom
u
T. V. I N S P E C T I 0 N :. y C T I N G
Footage Remarks .�d to1eoa..a.. Remarks
4 kFCk
LINE CONDITION LEGEND
Pipe Condition 3 —Broken Pipe PT —Protruding Tap
L1 —Leak Infiltration R —Roots -�
e Condition �C4, LE -Leek Eaf iltratian S —Service Lateral
n —picture No. U —Unpecsso Is
� Grade
�lVo T CHNICIAN
1
1
ENDING
OF
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FILE TITLE