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Always indicate specific section on sketch if multiple values for material, method of installation, size, or year installed (if year is available) are applicable to a single service. Not intended to be inclusive of all possible symbols. This section is for reference only. Gas Line (New) ® Meter Anode Gas Line (Existing) ® Meter Manifold ® Electronic Marker Main . Material Service pipe Method of install per Service tee o TD-4461M: Trench, HDD, Pressure classification: High pressure (HP), splitting, dry bore, insert semi —high pressure (SHP ), low pressure * Pipe size LP , transmission pressure TP �', * Status: New or existing * Existing pipe: Year install Mother/branch service New cathodic protection (e.g. anode) v if available Abandoned pipe Electronic markers a 71denaterial zeFittings per TD-4461M ch (JT) Curb valve Excess flow valve Meter/manifold Pipe casing Regulating stations Involved in or within close proximity to work Meter guards Method of joint connection per TD-950OP-14—JAOI LAN ID* of qualified individual performing connection PG&E lnbe l ripe size Material Type: Main or service Status: New ar existing System status: Tied (T) or dead end (DE) Existing pipe: year installed if available Casing material Casing size * Joint trench NT) Reducer OR EFV —& Valve with Frame and Cover 'T r Service Tee —D OR Cap Pipe Size and Material (Casing Size and Material) Insert Name of nearest cross street as ruc ions for Abandonments: Name of street The following is the minimum information required North arrow when documenting abandonments on the GSR. Street address Dimension service tee to service end Dimension service tee to nearest cross street Casing length Abandoned pipe length Width of cross street Repairs: Dimension from service tee or riser and length of repair Partial replacement: Dimension from service lec or riser and length of installation Stub completion: Dimension from service tee of beer and length of installation Manifold or large meter. Dimension minimum distance required between structure and riser Lateral offset: Dimension from service tee or riser Valves and fittings: Dimension from service tee or riser Location of gas flow termination Installed assets related to abandonment (e.g. electronic markers, end caps, plugs) Abandoned pipe: Length, material, size Abandoned pipe: Year Installed, if available Date abandonment work was completed in accordance with TD-950OP-16 LAN ID and signature* or printed name of the qualified field representative performing required test(s) and/or inspection(s) LAN ID and signature or printed name* of the person in charge responsible for installing assets and performing work related to abandonment Excavation Agent: PG&E or Applicant Abandonment order reference * Abandoned non —pipe assets, if available: material, size.