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

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c 71 Ong r-c'r'C '"r^aa'V G s .e Fezord - Special Facilities❑ ;;'F' 107.e0❑ Existing(1097.er)❑ n 5458 1 GAS SERVICE RECORD Agreement: Nr cif No 1037 3576 PM Order No 3066 0115 Leak No. _ Est. Name T.CARDOZA Ve bvl ❑ � No 3120_G6 Block 1 Address:22341 MCBRIDE AVE OftN-BktE E0(\ Est, Phone No.347-5264 Written❑ T .'Tinct Na-,e Y07-COPPER REPLACEMENT PROJECT Lot Na Date Issued: A 17 09 6y TMCE P;I EXISTING FACILITY: Approx. Depth of Main Approx. Depth of Ex. Svc. Depth of Inst. Svc. Main Trench Occupied With: Vain Inserted Trenched By. None — ® 2" HIP PE ❑ Stl 0 in Yes ❑ PVC❑ BE❑ Ski.❑❑� PG&E ❑ Electric Size&Pressure Casing Size Jenice❑ CI ❑ CU ❑ Casing: No CI ❑ CU ❑ ❑ Telephone ❑Applicant ❑ CATV OUTH_Slde COUNTY ROAD In Out 6' _ ❑Contractor ❑ Other EXISTNG SERVICE LOCATION. JOB ORDER n SOUTH Side PRIVATE ROAD, S/0 COUNTY RD, S/0 MCBRIDE AVE Insert: — — — Yes❑ No cashg s'rze ❑ NEW SERV CE ❑ STUB SERVICE ' �2 _ Stl.❑ PE2406 0 PE3408❑ Aldyf-A❑ Cu❑ PEs❑ PVC❑ Stl.❑ CU❑ EJ STUB COMPLETION xx ❑ BRANCH SERVICE 'Ler Size 314"-X_l Z2" Inside❑ Outside 0 Curb Valve: 7 REF. NO. SVC Trench Occupied With: '—Fob Non-Corrodible: Regular 0 Short ❑ Long ❑ Metal❑PI. [11 None 0 I ❑ CURB METER -Teel Encased-Plastic Insert ❑ Steel Riser ❑ Riser Volve: None 0 Elec.El Phone 11 ❑ MANIFOLD AY McDonold❑Mueller❑ CAN❑ Other ❑ CONVERT TO MAIN 0 REPLACEMENT IIo of Outlets 1 Res. Meter(s) No. 1 Size DOMESTIC Reg. Size/Type: 3/4 _Orifice: 3 16" ❑ PARTIAL Comm. Meters)Nps_ Size Monitor Size/Type: _Orifice: 0 COMPLETE ❑ TRANSFER C/ Loki 21'Ft. 1Z2" CU I,. Yr. Install 1947 Type: StL❑ PI.❑ CU 0 Reason: Leakage ❑ Other ❑ ALTER /INSPECTION 4cnser `ram --- Main On Side In Out I ❑ DEMOLITION nslr.ctions and Paullons REPLACE COPPER SERVICE WITH 1/2" PLASTIC No. TRI,NC4ED BY: PG&E APPLICANT INSTALLED BY: PG&E APPLICANT El CUT-OFF(C/O) [I AT MAIN [1 AT P/L 3A';KBONE ❑ ❑ BACKBONE ❑ ❑ WORK DONE: (Show corrections) ❑ OTHER :OMPiETION 0 ❑ SVC COMP 0 ❑ to service and main data above) ---- -- Electric UG in area: YES❑ NOD DATE STUB 'INSTALLED FOREMAN Ft. Main to End of ---/--/--- Ft. End of Stub to Riser TIP HP SHP LP !AA^IUFAC"URER DO/MM/YY MANUFACTURED_/ /_ Total ft MAOP PSIG/W.C. " DATE COMPLETED _-_ /__/-__ FOREMAN Class Location: 1❑20 3❑4❑ I.IANUFACTURER _DD/MM/YY MANUFACTURED / / EFV Brand Type .EST )AIA: (See Gas Standard A-34) Provide information for Posted By 0Perfection _1 Socket Fusion services off distribution systems (up to 60 PSIG MAOP) : WELDING INSPECTION ❑Other OPermosert Ends S UB PSIG for__ Minutes PER PG&E GAS STD D-40 sp-JI, CvMPI_ETION PSIG for Minutes Row Series - CTS(Inches) For sery-ces operoting with an MAOP of above 60 PSG, Date er: 400- 1/2" INSPECTOR 0 ❑800- 1" ❑1800- I- INSPECTOR a copy of the Strength Test Pressure Report. 0800 - `/2" ❑Other FOLD CA-H(1 DIC PROTECTION CPA No. GALVANIC CP SYSTEMS: LOCATING WIRE CONNECTIONS: SVC Wire Size TERM, AT MAIN Mc'r. order protection YES 0 NO ❑ RISER TERM. AT: RISER 0 SVC❑ S❑ VALVE ❑ RISER Reading_Date nsloll cathodic protection (Per GS&S 0-16) )` ❑ VALVE Reading—Date 0 Bonded ❑Bonded ❑ SVC. ❑ OTHER Reodin ❑Wrapped around Tee 0 Strapped Exrsting:❑ New:❑ No. Installed_ C1 MAIN g—Date PP gnat to Riser ❑Nico-pressed wire at main EJ Terminated a;curb valve Size Lb. Anode Type: MAGE] ZINC❑ Performed By. ❑N/A ❑N/A Sketch/Notes NOTES: 1 . UTILIZE EXISTING METER LOCATION. 2. REPLACE EXISTING 1/2"CU WITH 1/2"PL. 3. INSTALL EFV AS SHOWN. 4. VENT REG AS REQUIRED PER STANDARDS. T 2" HP STL-6' T. m ' I � I � Sl' N � I N � N I I 1602 I I I _ - L