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E <br />DI <br />ff:MI <br />1 2 3 4 5 6 7 8 9 10 <br />NOTE TO CONSTRUCTION <br />PRIOR TO INSTALLING ALL GAS SERVICES, <br />PLEASE REVIEW NEW GSR/GSD FOR <br />SPECIFIC INSTRUCTIONS REGARDING EACH <br />SERVICE. <br />THE FOLLOWING SCHOOL OR HOSPITAL IS WITHIN <br />500' OF PROPOSED CONSTRUCTION ACTIVITIES AND <br />MAY REQUIRE NOTIFICATION PRIOR TO COMMENCING <br />WORK PER THE NATURAL GAS PIPELINE SAFETY ACT <br />OF 2011 (CALIFORNIA AB -1937) <br />HOOVER ELEMENTARY SCHOOL <br />THE FOLLOWING SCHOOL OR HOSPITAL IS WITHIN <br />500' OF PROPOSED CONSTRUCTION ACTIVITIES AND <br />MAY REQUIRE NOTIFICATION PRIOR TO COMMENCING <br />WORK PER THE NATURAL GAS PIPELINE SAFETY ACT <br />OF 2011 (CALIFORNIA AB -1937) <br />COMMONDORE HIGH SCHOOL <br />Print Test Supervisor Name <br />Phone Number <br />Date <br />LAN ID <br />W J <br />CD <br />Company Name (if third party) <br />M <br />Make, Range, and Serial No. of Pressure Gauge <br />Date Last Calibrated <br />O� <br />Size <br />(in.) <br />WT(in,)/ <br />SDR <br />Length <br />(ft.) <br />Description <br />(Pipe Type, Manufacture, Date, Grade) <br />Duration <br />Start Time <br />End <br />Time <br />Test Pressure <br />(psig)' <br />G <br />CD <br />O <br />S <br />w <br />o <br />439' <br />U <br />w <br />z <br />J <br />M I <br />J <br />a l <br />M I J <br />Gauge Tap, Bypass, or other Pipe Pups not part of above <br />Location <br />Test Supervisor <br />LAN ID <br />Date <br />Duration <br />Test Pressure <br />(pslg) <br />m <br />z <br />J <br />CnO <br />1 <br />CD <br />1. Round to the nearest tenth of psig. <br />3004—C2-3 <br />iD SD <br />MICHIGAN AVE (60' <br />55f�] 3004—C2-2 5� <br />HP HP <br />EX: 2 STL HP — 25Tr <br />2725 <br />10' <br />146' <br />W J <br />CD <br />M <br />O O <br />Z <br />O� <br />498' <br />W <br />N <br />v J <br />3 W <br />G <br />CD <br />O <br />S <br />w <br />o <br />439' <br />U <br />w w <br />SD <br />446' 496'— <br />EX: 2" STL HP — 10 -- 1966 <br />1�1 IA, <br />HP HPC HP HP HP <br />EX: 2" PL HP — 8' — 1994 <br />7' <br />i "I i w - w - w- <br />1" PL — 974' <br />- (EM) x 843' -r X -r -r x <br />I irk HPC HPC HP H HPC HP HPC H i HP <br />;:t= <br />HP�� HP HP HPC HP HP— HP HP7 <br />ygB2 EM ,I 4 AEON. 2" STL HP — 15' —1939 2" PL HP — 18' 4 ABDN. 2" STL HP — 15' —1936 4 <br />3/4" STL 1982 L 973'1 841' 7351 1 <br />RD I I I <br />o �I o m NI NI M, <br />INSTALL: <br />rn \1 rn rn \1 \1 rn <br />(1) 2" SF PL PURGE CAP (026015) <br />(2) MARKER BALLS (374944) <br />l- <br />(1) PLASTIC DEAD END ETS\, <br />\1N \1 \1 <br />IN N IN IN <br />jN N jN jN <br />w <br />3004—C2-1 w <br />HPC HPC <br />HP 0 HP - <br />-----Q,- <br />2 PL HP — 13 1 <br />1 529' t 5, <br />i INSTALL: <br />i (1) 5# ZINC ANODE (569145) <br />\1 rn <br />�I <br />Imo\ <br />\IN M <br />to <br />I� <br />1 <br />INSTALL 982' OF 2" PL HP MAIN <br />ABANDON 998' OF 2" STL HP MAIN <br />N <br />10' <br />146' <br />i <br />260' <br />316' <br />Cl - <br />498' <br />CD <br />595'1 <br />z <br />z <br />CD <br />1 <br />w <br />o <br />U <br />w <br />z <br />J <br />M I <br />J <br />a l <br />M I J <br />CD <br />¢ <br />U <br />C/-) <br />m <br />z <br />J <br />CnO <br />1 <br />CD <br />of <br />loo <br />lao <br />1 <br />� <br />z <br />Q <br />® <br />CD <br />o <br />R <br />� <br />o <br />U <br />Z <br />N W <br />N W <br />N W <br />1 <br />N W <br />N W <br />W I <br />\ <br />o w <br />\ <br />o w <br />\ <br />o w <br />\ <br />o w <br />\ <br />o w <br />I <br />1 <br />rn <br />N <br />rn <br />N <br />rn <br />N <br />rn <br />N <br />m <br />N <br />loo <br />IN <br />R <br />.v, <br />IUD <br />Im <br />lU� <br />11� <br />lU� <br />lU� <br />IM <br />I� <br />I� <br />IN <br />IN <br />Im <br />1°N° <br />Iw <br />NI <br />NI <br />NI o� <br />rn <br />�nl <br />�nl rn <br />rn <br />NI <br />rn <br />NI <br />"'� <br />� <br />� <br />M <br />N I <br />N I M <br />M <br />N I <br />M <br />N I <br />M <br />N 1 <br />M <br />N 1 <br />M <br />N 1 M <br />\I <br />\I <br />\I <br />\I <br />\1 <br />\1 <br />\1 <br />7' <br />i "I i w - w - w- <br />1" PL — 974' <br />- (EM) x 843' -r X -r -r x <br />I irk HPC HPC HP H HPC HP HPC H i HP <br />;:t= <br />HP�� HP HP HPC HP HP— HP HP7 <br />ygB2 EM ,I 4 AEON. 2" STL HP — 15' —1939 2" PL HP — 18' 4 ABDN. 2" STL HP — 15' —1936 4 <br />3/4" STL 1982 L 973'1 841' 7351 1 <br />RD I I I <br />o �I o m NI NI M, <br />INSTALL: <br />rn \1 rn rn \1 \1 rn <br />(1) 2" SF PL PURGE CAP (026015) <br />(2) MARKER BALLS (374944) <br />l- <br />(1) PLASTIC DEAD END ETS\, <br />\1N \1 \1 <br />IN N IN IN <br />jN N jN jN <br />w <br />3004—C2-1 w <br />HPC HPC <br />HP 0 HP - <br />-----Q,- <br />2 PL HP — 13 1 <br />1 529' t 5, <br />i INSTALL: <br />i (1) 5# ZINC ANODE (569145) <br />\1 rn <br />�I <br />Imo\ <br />\IN M <br />to <br />I� <br />1 <br />INSTALL 982' OF 2" PL HP MAIN <br />ABANDON 998' OF 2" STL HP MAIN <br />N <br />6 5 4 <br />I <br />N <br />I N� N U7 N O N <br />N „ O O <br />� N <br />' r W <br />I c� <br />LC -) <br />N <br />LC-) <br />W O <br />LC-) <br />z <br />o 3 0 N <br />I m N z M o INS <br />Q N L) <br />Ca] << VI d W Z d <br />I <br />w ' <br />— SD <br />z <br />HP� n (L <br />::5i7w <br />45' 1 <br />O w <br />CD Q <br />z_ of <br />CK o 'o <br />�1 J 0 O <br />I1 0 V <br />1� w V7 z O <br />00 <br />R z O <br />P Cn U z r7 <br />Li CD <br />v z <br />Q w <br />w n <br />Z <br />J <br />'U <br />m � <br />rn � <br />N <br />M ' O <br />d <br />N <br />248' <br />-4-1—HP HP� <br />BRISTOLTOL <br />AVE (40')1 <br />1 <br />I <br />3 2 <br />u <br />i <br />C <br />� <br />388'i <br />301' i 278' <br />i <br />z <br />D <br />Cl - 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