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Pacific
Concrete
Services
TELEVISION INSPECTION REPORT
Date: Contractor: Job No.
Technician: Inspector: Weather Clc,an SBy: Re nrtt Njo. Ta e No.
Jenkins C.j �>' N • I
Frorp MH No. Pipe Diameter Joint Length SictiQn Length Jona iypc Pipe Material To Nin No.
g' t �(:?1 2_7 S 64.afief
Manhole Data
MH No. Location
Depth Footage Problem Code I Comments IR
GPM
Type _ 6`t
Leaks �5'
Condition
Recom. Rehab
Pipeline Data
Cleanliness ;Vic.,
Alignment A
Gradc
Agc
Condition
Leaking Joints Es Clio 0
Other
Recommended Rehab
Clean
Remove Roots
Grout(%joints)
Reline
Replace
Other
Legend Page 1 of 1
SL=Service Left L=Leak
PT=Protruding Tap R= Roots Pacific Concrete Services
LC=Longitudinal Crack U=Unpassable
ST= Service Top CC=Circumferential
J
Pacific
Concrete
Services
TELEVISION INSPECTION REPORT
Date: Contractor: Job No.
Technician: Inspector: Weathi'r Clan d By: Re nrt No. Ta No.
Jenkins �' �...��- 4[
From MH No. Pipe Diameter Join ngth Section Length iOnit ypc Pillp Material ToL•loo.
6
Manhole Data
MH No. Location > .
Depth Footage Problem Code I Comments IR
GPM
Type J
Leaks f SL .
Condition r2. 1 S/)
Rccom.RehabZ SL
`te S/e
Pti .5a(' .t-
Pipeline Data / '7 ". 11
Cleanliness ;w c� `
Alignment
Grade .�.
Age
Condition ouA
Leaking Joints Est /o
Other
Recommended Rehab
Clean
Remove Roots
Grout(%joints)
Reline
Replace
Other
Legend Page 1 of 1
SL= Service Left L= Leak
PT=Protruding Tap R=Roots Pacific Concrete Services
LC=Longitudinal Crack U=Unpassable
ST=Service Top CC=Circumferential
Pacific
Concrete
Services
TELEVISION INSPECTION REPORT
Date: Contractor:
Job No.
Technician: Inspector: W atj,er Cl ancd By: Report No. T�pe�No.
Jenkins
From MH No. Pipe Diameter Joint Length Section Length Jou'. i ypc Pi c Material To 1‘41No.
Z-S�� ,5,6et . nvL e
Manhole Data
MH No. Location
Depth Footage Problem Code I Comments 1/I
GPM
Type "l -
Leaks 2 c0 j Z
Condition
Recom.Rehab
Pipeline Data
Cleanliness
Alignrncnt
Grade
Age
mew
Condition ou c1
Leaking Joints EsiIk.
Other
Recommended Rehab
Clean
Remove Roots
Grout(%joints)
Reline
Replace L__ _—
Other
Legend Page 1 of 1
SL=Service Left L=Leak
PT=Protruding Tap R=Roots Pacific Concrete Services
LC=Longitudinal Crack U=Unpassable
ST=Service Top CC=Circumferential