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

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Pac�rc ':as and Elect^c 7cmoaev Gas Servire Record Special Facilities r- (!'F' 10%er)❑ Existing(107.er)❑ Form =54x8-1 GAS SERVICE RECORD — Agreement: Noti`.No. 1037 3576 PM Order No.3066 0115 Leak No. Est. None LCARDOZA Verbal ❑ flag Flit rlo-3121-E2 Block 1 Address:26766 ORANGE AVE, ESCALON Fst. Phone No.347-5264 Written❑ rppicc,tjTraci Name_ Y07-COPPER REPLACEMENT PROJECT Lot No. - 3ale'ssued: LI 09 By. TMCE IRCPOSED /EXISTING FACILITY: Approx. Depth of Main Approx, Depth of Ex. Svc. Depth of Inst. Svc. Main Trench Occupied With: Inserted Trenched By None 0!F Main 2" HP PE ❑ Stl. in Yes ❑ PVC❑ PE❑ Sll.❑ ❑ Electric Slee&Pressure Casin Six' PG&E Service[ CI ❑ CU ❑ Casing: No 9 CI ❑ CU ❑ ❑ Telephone L--- ❑Applicant ❑ CAN nn SOUTH Side ORANGE AVE In Out 8' _ ❑Contractor ❑ Other IRO'OSED /EXISTING SERVICE LOCATION. - JOB ORDER service On SOUTH Side ORANGE AVE, 2405' E/S ESCALON-RIVERBANK HWY Insert: Yes❑ No 0 Cash sae ❑ NEW SERVICE 9 ❑ STUB SERVICE " Sze_.1 2 Stl.❑ PE2406 PE3408❑ Aldyi-A❑ CU❑ pEs❑ PVC❑ Sil.❑ CU❑ ❑ STUB COMPLETION ❑ BRANCH SERVICE Riser: Size3 4° x 1 r Inside❑ Outside 0 Curb Valve: REF. NO. SVC Trench Occupied With: Pre-Fab Non-Corrodible: Regular N Short EJ Long EJ Metal❑PI. ❑None EI [I CURB METER Steel Encased-Plastic Insert ❑ Steel Riser El Riser Valve: None 0 Elec.❑ Phone ❑ ; F-1 MANIFOLD AY McDonald❑Mueller❑I CAN❑ Other ❑ CONVERT TO MAIN ■ REPLACEMENT He. of Outlets _ 1 Res. Meter(s) No. 1 Size DOMESTIC Reg. Size/Type: 3/4" _Orifice: 3/16" ❑ PARTIAL Comm. Meter(s) Na ■ COMPLETE Size Monitor Size/T}pe: _Orifice: C/C Data 74' Ft, 1Z2" CU In. Yr. Install 1946 ❑ TRANSFER Type: Stl.❑ PI.❑ CU � Reason: Leakage ❑ Other� EJ ALTER /INSPECTION -ransfer From Main On Side In _Out ElDEMOLITION Instructions and Cautions: REPLACE COPPER SERVICE WITH 1/2" PLASTIC, VENTING REQUIRED No. WRENCHED BY PG&E APPLICANT INSTALLED BY: PG&E APPLICANT ❑ CUT-OFF(C/O) ❑ AT MAIN ❑ AT PA BACKBONE ❑ ❑ BACKBONE ❑ ❑ WORK DONE: (Show corrections) ❑ OTHER COMPLETION O ❑ SVC COMP ❑ to service and main data above) Ft. Main to End of Stub Electric UG in area: YES❑ NO EJ DATE 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: I❑20 3❑4❑ MANUFACTURER DD/MM/YY MANUFACTURED---/ /___ EFV Brand Type TEST DATA: (See Gas Standard A-34)Provide information for Posted By. �Perfecfion ❑Socket Fusion services off distribution systems(up to 60 PSIG MAOP) : WELDING INSPECTION [-1 Other OPermosert Ends STUB PSIG for Minutes PER PG&E GAS STD D-40 SP-6, COMPLETION PSIG for MinutesDote Flow Series - CTS(Inches) '.: For services operating with an MAOP of above 60 PSIG, iesrcroR — X400 - 1/2" ❑800- 1" F1 1800 - 1' attcch a copy of the Strength Test Pressure Report. 0800 - 1/2" ❑Other — __ SPecily FOLD CATHODIC PROTECTION: CPA No. GALVANIC CP SYSTEMS: LOCATING WERE CONNECTONS: SVC Wire Size Main under protection YES N NO ❑ ❑ RISER TERM. AT MAIN TERM AT: RISER 0 SVC❑ P ❑ RISER Reading_Date ❑ VALVE 0 Bonded ❑Bonded Install cathodic protection (Per GS&S 0-16) ❑ VALVE Reading—Date Existing: ❑ SVC. ❑ OTHER Reading ❑Wrapped around Tee Strapped❑ New:❑ No. Installed ❑ MAIN —Date PP pp d to Riser El 8 Nico-pressed wire of main E)Terminated at curb valve Size: Lb. Anode Type: MAGE] ZINC❑ Performedy ❑N/A ❑N/A Sketch Notes NOTES: 1 . UTILIZE EXISTING METER LOCATION. j 2. REPLACE EXISTING 1/2"CU WITH 1/2"PL. 3. INSTALL EFV AS SHOWN. 4. VENT REG AS REQUIRED PER STANDARDS. i `Q W2"W HP STL-8' (� T T. ORANGE AVE 2405• — ;---------- --- m VENTING REQUIRED I U I I 28766 a � I I