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<br />Gauge Tap, Bypass, or other Pipe Pups not part of above
<br />Location
<br />Test Supervisor
<br />LAN ID
<br />Date
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<br />AVE (50'
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<br />-------1'_PL--------0
<br />2632, 2634, 2636
<br />3/4" STL 1961
<br />r 1" PL
<br />30'
<br />HP
<br />(T)
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<br />I
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<br />INSTALL:
<br />(1) 2" SF PL PURGE CAP (026015)
<br />(2) MARKER BALLS (374944)
<br />(1) PLASTIC DEAD END ETS
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<br />2601 UNITS 11-18
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<br />AN ID
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<br />Size
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<br />Duration
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<br />End
<br />Time
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<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 />*CAUTION*
<br />® MISSING AS-BUILTS 4877C
<br />[:]MAIN INSERTED SERVICE INSERTED
<br />[:]MISSING CRI TICAL MEASUREMENTS ON EXISTING FACILITES
<br />(CHECK ALL THAT APPLY)
<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 A13-1937)
<br />COMMONDORE HIGH SCHOOL
<br />Print Test Supervisor Name
<br />2601 UNITS 11-18
<br />(
<br />)
<br />AN ID
<br />6
<br />=
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<br />2615, 2617, 2619
<br />J YJ
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<br />Length
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<br />Description
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<br />Duration
<br />Start Time
<br />End
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<br />Test Pressure
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<br />Location
<br />Test Supervisor
<br />LAN ID
<br />Date
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<br />(psig)
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<br />(1) 1-1/4" REDWOOD PLUG (209036)
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<br />iy, REFERENCE ONLY
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<br />(1) 5# ZINC ANODE (569145)1
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<br />MATCHLINE B -
<br />SHEET 5
<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 />*CAUTION*
<br />® MISSING AS-BUILTS 4877C
<br />[:]MAIN INSERTED SERVICE INSERTED
<br />[:]MISSING CRI TICAL MEASUREMENTS ON EXISTING FACILITES
<br />(CHECK ALL THAT APPLY)
<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 A13-1937)
<br />COMMONDORE HIGH SCHOOL
<br />Print Test Supervisor Name
<br />Phone Number
<br />Date
<br />AN ID
<br />z
<br />Company Name (if third party)
<br />�
<br />Make, Range, and Serial No. of Pressure Gauge
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<br />WT(in,)/
<br />SDR
<br />Length
<br />(ft.)
<br />Description
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<br />Duration
<br />Start Time
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<br />Time
<br />Test Pressure
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<br />Test Supervisor
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<br />Date
<br />Duration
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<br />(psig)
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