HomeMy WebLinkAboutAir Test Report SANITARY SEWER SYSTEM LOW PRESSURE AIR TEST .- - 3"' v I
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DATE: / / - / -i a INSPECTOR: /V7 /4iU 7, t )3
PIPE
LOCATION LENGTH MATERIAL PIPE SIZE PRESSURE TEST TIME RESULT
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datacenter/forms/pbpw/utiI itysystems/ww/sspressure.doc 0212002 bh
City:Renton
/INV 4)
Tel:206-783-3317
INNOVATIVE VACUUM SERVICES,INC. Fax:206-783-0919
Small:
Inspection Report
Date P/O.No. Weather Surveyor's Name Pipe Segment Reference Section No.
111912012 Dry JAYME KEITH 4
Certificate No. Survey Customer System Owner Date Cleaned Pre-Cleaning Sewer Category
6638 ISSAQUAH SCHOOL DIS 111912012 Jetting
Street SE137thPl/lssaquah School Use of Sewer Sanitary Upstream MH SSMH P2-05
City Rlfiiton Drainage Area Dowstream MH SSMH P2-04
Loc.details Flow Control Dir.of Survey Upstream
Location Code Length surveyed 88.09 ft Section Length 88.09 ft
Purpose of Survey Routine Assessment Joint Length
Year Laid Dia./Height 12 inch
Year Rehabilitated Material Polyvinyl Chloride
Tape/Media No. DVD Lining Method
Add.Information:
1:650 Position Observation Photo
S-411p,
.
0.00 Downstream Manhole, Survey Begins
AI
88.09 Downstream Manhole,Survey Ends
S-MH P2 05
OSR OMR SPR MPR OPR SPRI I MPRI OPRI
0000 0000 0 0 0 0 0 0
jjwiu sc.1 I n.A/1Q91NJ ea 117th AA waawLw! II Dann•A
City:Renton
MIFJ .
Tel:206-783-3317
INNOVATIVE VACUUM SERVICES,INC. Fax:206-783-0919
E-mall:
Inspection Report
Date P/O.No. Weather Surveyor's Name Pipe Segment Reference Section No.
111912012 Dry JAYME KEITH 5
Certificate No. Survey Customer System Owner Date Cleaned Pre-Cleaning Sewer Category
6638 Issaquah School Dist/Ren 1119/2012 Jetting
Street SE137thPlllssaquah School Use of Sewer Sanitary Upstream MH SSMH P2-04
City RNl{ton Drainage Area Dowstream MH SSMH 16 EXISTING
Loc.details Flow Control Dir.of Survey Upstream
Location Code Length surveyed 20.68 ft Section Length 20.68 ft
Purpose of Survey Routine Assessment Joint Length
Year Laid Dia./Height 12 Inch
Year Rehabilitated Material Polyvinyl Chloride
Tape/Media No. DVD Lining Method
Add.Information:
1:650 Position Observation Photo
SSMI-06
0.00 Downstream Manhole,Survey Begins
20.68 Upstream Manhole,Survey Ends
S-004
QSR QMR SPR MPR OPR SPRI MPRI OPRI
0000 0000 0 0 0 0 0 0
1lnhwvcal I sand/14909 ce 137tis Al mageni 0 Pane-S
•
PROJECT REQUEST FORM
• PLANNINGBUILDING/PUBLIC WORKS
•
•
DATE:a+cQ,h 2,0 , EXT.
FILE STATUS 1 0 NEW OR ❑ EXISTING: FILE CODE(Pau-Xx-XXXX):
LOCATION 1 0 My Work Space: 0 File Bay Shelf#:. 0 Other:
PROJECT NAME/FILE TITLE:
(70 characters max)
DESCRIPTION OF PROJEC,:
—f- l '�
c
UTILITY PERMIT# -0/0� `� LUA# W0# 7 d 3
• ADDRESS/STREET NA/VIE(S): 137+1 -Pi Cal<4aej`d7 c'2 _JP,) `�' `
• DEV: ; OWN:1-a - ; CNSLT/ENG: :&—S/11
Olt ALIAS9 /1 1(107 R/Ste, I (0f3 5...c- �� I
/OC4G,✓seers. /3; 14- Zq- % z 3 d /Z •
Circle Size of Waterline: 8" 10" 12" Circle One: New/Replace/Extension
Circle Size of Sewerline: •digirgIP 10" 12" Circle One: '/Replace/Extension
Circle Size of Stormline: 12" 1.8" 24" .. Circle One New/Replace/Extension
S�
1344/ 5-4; S� /3c/ 5 l3 7-{h 2J 5.-E- /44 /.')
CHECK EACH DISCIPLINE INVOLVED IN PROJECT Ltr Drwg #of sheets
❑ '-TED 0 0
(off site improvements) (include TESC)
❑` TRO ❑ 0
(Signalization,Channelization,Lighting)
WWP
(sanitary sewer main,include basin name)
•
❑ . WTR
0 ❑
(Mains,Valves,Hydrants) (inc.composite&HorizontalCtrl)
❑ SWP ❑ ❑
(CIP onlyXinclude basin name)
CI" PLR (For Developer Files Only) ❑ (letter only)
PLEASE CIRCLE filE DISCIPLINES WHICH NEED TO SIGN MYLARS
•
WATER • WASTEWATER SURFACE WATER - TRANSPORTATION FIRE
FOR FILE MAINTAINANCE USE ONLY
File
Co
dessFile Alias
Date Entered and Labels Made
/A i n3c i ) 0"357t7
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