Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2009_EP-09-1201 thru EP-09-1400_ - PS-09-1265

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?ar s and rlec'rc COmpcny er _n ?eccrc Special Facilities❑ (CP 107.er)❑ Existing(107.er)❑ F,_ GAS SERVICE RECORD r Agreemenl: N-r,i Nc 1037 3576 PM Order No.3066 0115 Leak No. Est. Name LCARDOZA Verbal ❑ Izcp Pit Na 3'21--E2—Block 1 Address:28839 ORANGE AVE, ESCALON Est. Phone No.347-5264 Written❑ Applicant/Tract NO, Y07—COPPER REPLACEMENT PROJECT Lot No. Date Issued: 3 17 09 By TMCE PROPOSE/EXISTING FACILITY Approx. Depth of Main Approx.Depth of Ex. Svc. Depth of Inst. Svc, Main Trench Occupied With: Inserted Trenched By ■ None Orr. Me'n ■ 2" HP PE ❑ Stl. ■ n Yes ❑ PVC❑ PE❑ Sll.❑ 1:1 Electric Se'v,ce❑ Size k Pressure CI ❑ Cu ❑ Casing: No C— Size ■PG&E phone ■ 9 Cl ❑ CU ❑ ❑ Tele ❑Applicant ❑ CAN On SOUTH_Side ORANGE AVE In Out 8' _ EJ Contractor EJ Other --- — PROPOSEU /EXISTING SERVICE LOCATION: JOB ORDER Service: Or NORTH Side ORANGE AVE, 2687' E/S ESCALON–RIVERBANK HWY Insert: Yes❑ No■ Casio Sae EJ NEW SERVICE E 5 ❑ STUB SERVICE " i S 7,_14— SlL❑ PE24060 PE34080 Aldyt–AD cu El PEs❑ PVC❑ Stl.❑ CU L1STUB COMPLETION L El BRANCH SERVICE R'sec Size3 4" x 1/2" Inside❑ Outside ■ Curb Valve: SVC Trench Occupied With REF. NO. Pre–Fob Non–Corrodible: Regular■ Short ❑ Long ❑ Metal❑PI. ❑None■ ❑ CURB METER Steel Encased–Plastic Insert ❑ Steel Riser ❑ Riser Valve: None■ Elec.❑ Phone ❑ ❑ MANIFOLD AY McDonald❑Mueller❑ CAN❑ Other ❑ CONVERT TO MAIN ■ REPLACEMENT No. of Outlets 1 _ Res. Meter(s) No, 1 Size DOMESTIC Reg. Size /Type: 3/4" _Orifice: 3/16" ❑ PARTIAL Comm. Meter(s) NQ._ Size Monitor Size/Type: Orifice: IN COMPLETE ❑ TRANSFER C/O Data 131' Ft 1Z2" CU In. Yr. Install 1948 Type: Stl.❑ PI.❑ CU ■ Reason: Leakage ❑ Other■ ❑ ALTER /INSPECTION Transfer From Main On Side In Out ❑ DEMOLITION Instructions and Cautions: REPLACE COPPER SERVICE WITH 1/2" PLASTIC, VENTING REQUIRED No. TRENCHED BY: PG&E APPLICANT INSTALLED BY: PG&E APPLICANT [-I CUT–OFF(C/0) BACKBONE ❑ ❑ BACKBONE 1:1 11 WORK AT MAIN El AT P/L WORK DONE: (Show corrections) _ ❑ OTHER COMPLETION ■ ❑ SVC COMP ■ ❑ to service and main data above) Ft. Main to End of Stub Electric UG in area YES❑ NO❑ DAZE STUB INSTALLED / / FOREMAN Ft. End of Stub to Riser TP HP SHP LP MANUFACTURER DD/MM/YY MANUFACTURED / / Total ft. MAOP PSIG/W.C. "" DATE COMPLETED FOREMAN Class Location: 1❑20 30 4❑ MANUFACTURER DD/MM/YY MANUFACTURED / /___ EFV Brand Type TEST DATA: (See Gas Standard A-34) Provide information for Posted By. ■Perfection F)Socket Fusion services off distribution systems (up to 60 PSIG MAOP) : WELDING INSPECTION ❑Other ■Permosert Ends PER PG&E GAS STD D-40 Specify STUB PSIG for Minutes COMPLETION PSIG for Minutes Date Flow Series – CTS(Inches) For services operating with an MAOP of above 60 PSIG, a'' iese c o ■400– 1/2" [11800 – 1" ❑1800 – 1" attach o copy of the Strength Test Pressure Report. El 800 – 1/2" El Other Speci/y FOLD CATHODIC PROTECTION: CPA No. GALVANIC CP SYSTEMS: LOCA111AG WARE CONNECTIONS: S'/C Wire Size ❑ Main under protection YES■ NO RISER E] RISER Reading_Date TERM. AT MAIN TERM. AT: RISER■ SVC El❑ — ❑ VALVE IN Bonded EJ Bonded Install cathodic protection(Per GS&S 0-16) El VALVE Reading—Dole ❑ SVC. ExistingEl New:❑ No. Installed El OTHER —Date OTHER Reading ❑Wrapped around Tee ■Stropped to Riser MAIN, ❑ ❑Nico–pressed wire at main EJ Terminated at curb valve Size _ Lb. Anode Type: MACE ZINC❑ Performed By. ❑N/A ❑N/A Sketch/Notes VENTING REQUIREDII I I I 28839 LLJU NI' �– 2H i W2"W HP STL-8' T. T. ORANGE AVE . NOTES: 1 . UTILIZE EXISTING METER LOCATION. f Q� 2. REPLACE EXISTING 1/2"CU WITH 1/2"PL. 3. INSTALL EFV AS SHOWN. 4. VENT REG AS REQUIRED PER STANDARDS.