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�T013F/LE <br />3-17-eS <br />t Stockton Division Gas Department <br />Cathodic Protection Work Request Tag <br />Return Tos Mail Stations M43 To Be Completed Bys <br />Work Location <br />--CPA O s Dtstri ct s � Towns <br />Location/Stre'st Address: ,!.!J ss Jl sr cE. <br />Tims Charges <br />Charge Time Toa 1) _Capital Work - WO/GMs Accounts. <br />Sub Accounts I.D.. Codes <br />�•_ 2) Maintenance Activitys _3 Sub Activity: <br />Personnel Dates <br />Requested Bys Date <br />Assigned Tos Date <br />Completed Sys Data <br />I Work To Be Completed <br />1) Insulate. Meter Set. - Type. of Meters <br />i a) Install Insulating Cock. <br />b) Install Insulating Union <br />c) Install Insulating Bushing <br />d) Clear motor Set Contact <br />i- a ). Other- I nstructi ons s <br />Company *s <br />Q Tee Okay <br />2) Eliminate: Underground Contact- at Location Indicated in Sketch Below.. <br />3) Complete Other Work As Indicated Below. <br />) Contact Corrosion Department When Work Begins. <br />Description Sketch of Work To Be Completed: <br />AL L <br />