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. � � . `- Pacific 3131 . . Concrete . . Services � � TELE�iIS10N IN��ECTIOIV REPORT � � • ��o�r m Se..�cr� / Date: .� � � �, � Contractor: �� � �` j, � ��� � ,� Job No: � Technician Inspector: � Weat er: Cleaned by: Repo�t No: Tap� No: �(� � 5c�.�'T ��1' From MH No: Pipe Diam�ter: Joint Length: Se tion L'ength': Joint Type: Pipe Material: To�MH�No: g � � • ��� fG ,-_ . � �, �— i��., �� Manhole Data / � MH No. - � �e ' , Location .�„���� �c �` -e.. . Depth � � Foota e Problem Code Comments I/I. GPM Type Leaks� Condition -�-�'° J � Recom. Rehab ` ��-g � � � � . � ' . - _. _2-�-�__�_ �: !� - �r, _— - - - - --=--------- Pipeline Data � � --- Cleanliness ' " Alignment ` � � Grade - l � Age - ; - Conditipn - Leaking Joints est°�a � Other. ' Recommended Rehab � � �� Clean � � ' ' Remove Roots 1 � ' � . Grout(%Joints) � Reline Replace Other � ' � � LE�END: , � � Page 1 of 1 ,SL=Service Left L = Leak � � _; PT= Protruding Tap R= Roofs - � . . LC = Longitudinal Crack U = Unpassable- � � ! ST=Service Top CC = Circumferential ` . Pacific Concrete Services 5 - 33 � Paafic 1 Concrete Services TELEVISION INSPECTION REPORT Date: Contractor: Job No: Z 2� o L� �� i�� ���- 'i� c.-' �`P Technician: Inspector: Weat�i er: Cleaned by: Report o: Tape No: � C��v� � From MH No: Pip��r�'eter: Joint Length: Section L�e�th: Joi�T �� P' e Material: To MH No: � . � Manhole Data MH No. 2 � Location Depth Foota e Problem Code Comments I/I GPM Type y Leaks � Condition 1 U t^-i Recom. Rehab Pipeline Data _ _ . Cleanliness ' Afgnment- . _ __ _ - - - __� �._ - ,. - . - - Grade ' Age Condition Leaking Joints Est�io Other . Recommended Rehab Clean R�move Roots G�out'(%Joints) � � Reline - Replace Other LEGEND: Page 1 of 1 8L=Service Left ' C = Leak � PT= Protruding Tap R= Roots LC=Longitudinal Crack U = Unpassable ST=Service Top CG= Circumferential Pacific Concrete Services Pacific _. � � Concrete Services TELEVISION INSPECTION REPORT Date: r � 2� Contractor. Ln ���i � �� � ��� Job No: rr Technician: Inspector: Weather: Cleaned by: Repprt No: Ta�e No:. l.![ From No: Pipe D',meter: Joint Length: Secti �nc�h: Joi t T�p�:� P�M�rial: To MH No: � l tif Manhole Data MH No. � Location Depth Foota e Problem Code Comments I/l GPM Type �,{� Leaks Condition ° � '� Recom. Rehab Pipeline Data . - - Cleanliness __... � — �— --- �-� Alignment � Grade Age Condition - Leaking Joints Est��a Other . Recommended Rehab Clean R�ove Roots • GC'OUI.�%JOi�ts) • Reline Replace Other � LEGEND: Page 1 of 1 SL=Service Left L = Leak � PT=Protruding Tap R= Roots LC= Longitudinal Crack U = Unpassable � �ST=Service Top CC = Circumferential Pacific Concrete Services Pacific Concrefe � � Services . � TELEVISION INSPECTION REPORT .�,� . Q: � Date: �.Z Z� �� Contractor. �� ���,2��� �G � e� Job No: Technician: Inspector: Weather: Cleaned by: Report No: Tape No: � From No: Pipe D` eter: Joinf�en*gth: Sei tZ�ength: J�nt Typec� PjQe�a�terial: To MH No: � .-- •�' Manhole Data MH No. � Location Depth Foota e Problem Code Comments � I/I GPM Type . IM 1f � Leaks Condition �— Recom. Rehab � SfL C� � S �-- � Pipeline Data Cleanliness --- - �� � "� - - �` Alignmenf Grade � Age Condition . Leaking Joints Est�io �Other . Recommended Rehab � Clean R�move Roots ,.. Groufi(%Joints) Reline Replace Other � LEGEND: Page 1 of 1 SL=Service Left L = Leak � � PT= Protruding Tap R= Roots " LC= Longitudinal Crack U = Unpassable - � ST=Service Top CC = Circumferential � Pacific Concrete Services , � '�v Pacific Concrete Services - � , TELEVISION INSPECTION REPORT Date: Contractor: Job No: �Z '?� o �b� �-� �\ �ta� 1���� Technician: Inspector: Weather: Cleaned by: Rep No: Tap No: c�E7�y�q . From MH No: Pipe D'iameter: Joint Length: Secti; epgt� Jo�t Ty,p�e.��� Pip.�M��ial: To H No:� " '� �� � Manhole Data MH No. Location Depth Foota e Problem Code Comments I/I GPM Type fM �-1 '—` Leaks Condition I t._ Recom. Rehab � � Pipeline Data Cleanliness � Alignment . - ---- -- ---- ..� _�. . . Grade Age - � Condition Leaking Joints Est��o Other . Recommended Rehab � Clean R�move'Roots Grout(%Joints) Reline Replace Other � LEGEND: Page 1 of 1 SL=Service Left L= Leak � PT=Protruding Tap R= Roots LC= Longitudinal Crack U = Unpassable ST=Service Top CC = Circumferential Pacific Concrete Services Pacific � � Concrete Services TELEVISION INSPECTION REPORT Date: ' � ,z� � Contractor: I �� �c ���� ����. Job No: (� �ceJ Technician. Inspector: Wea���� Cleaned by: Repor�lo: Tape o: C� `� From MH No: Pipe D'iameter: Joint Le�th: Section Len th: Joi t T pe: Pi Material: To MFi No: (r`� f C� � C�.F�-� �f- l/ S. Manhole Data MH No. 5 Location Depth - - Foota e Problem Code Comments I/l GPM Type . Leaks Condition �(�l.�l Recom. Rehab Pipeline Data Cleanliness - ._. _ . -- -- - Alignment � . �� Grade Age Condition Leaking Joints Est�io Other r Recommended Rehab Clean R�r,riove Roots Grout(%Joints) Reline Replace Other � LEGEND: Page 1 of 1 SL=Service Left L = Leak � FT=Protruding Tap R= Roots LC= Longitudinal Crack U = Unpassable •ST=Service Top CC = Circumferential . Pacific Concrete Services Pacific - � Concrefe Services � TELEVISION INSPECTION REPORT Date: Contractor: Job No: !2 7�o v� �� iZ�'���.� ��J� Technician: Inspector: W ther: Cleaned by: Report No: Tape No: ec�c y From M o: Pipe Diameter: Joint Length: Section Lenc�h: Joint Typ�� Pi e Ma�t-erial: To MH No: �� � .S Manhole Data MH No. � Location Depth Foota e Problem Code Comments I/I GPM Type . �} Leaks Condition � U� �� Recom. Rehab '— � r � I � � �tTt�.J r . Z � � Pipeline Data . 5 Cleanliness � - � -- - � - j_ - - `�- - Alignment � � Grade Age ' Condition Leaking Joints Est�io Other . Recommended Rehab Clean R�rnove Roots Grout(%Joints) Reline � Replace Other � LEGEND: Page 1 of 1 SL=Service Left � L= Leak � PT=Protruding Tap R= Roots LC = Longitudinal Crack U = Unpassable ST=Service Top CC = Circumferential Pacific Concrete Services Pacific Concrete Services � � TELEVISION INSPECTION REPORT Date: �� z�. 0 Contractor: L ��� �,�G� � €� Job No: Technician: Inspector: '�a�teh� Cleaned by: Reportj�o: Tape�o: F From H No: Pip�iameter: Joint Le�th: Section L ngth: Jgi��yge.•f Pi�M�Cerial: To MH No:� C� ,�-c�' '� Manhole Data MH No. � Location Depth Foota e Problem Code Comments I/I GPM Type �J Leaks - Condition ° • S fL . Recom. Rehab 25� 5`T � p — b1 � � 1 r � " � Pipeline Data Z. Z� � Cleanliness __ ' 2. �� _ _ .. •_ -- - - Alignment - � Grade Z -- Age s Condition � Leaking Joints Est°�o Other r Recommended Rehab Clean R�move Roots Grout(%Joints) Reline Replace Other � , LEGEND: � Page 1 of 1 SL=Service Left L= Leak � PT=Protruding Tap R= Roots LC = Longitudinal Crack U = Unpassable � �ST=Service Top CC = Circumferential Pacific Concrete Services