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Expense Job -Site Information (for non-estimated work) <br />PM #42493626 <br />Name &Lan 10:BillBelaski wwb7 <br />Address:22350 N Athearn!;St. <br />Cityor County name:Clements <br />CPA:2812-1 <br />CPAmap attached?0 YES 0 NO <br />Description of work needed:Install 2-321b anodes in.a 4x8 bell hole on 2"steel gas main approx ..75' <br />north of property line at 22350 N.Athearns St. <br />Work location Sketch <br />---------------------.~ <br />EDGE OF PAVEMENT <br />.IE;'15'-----71 . <br />22350 <br />8'----r-:....¥-~-------------, <br />ATHEARNS ST '. <br />Excavation Location Sketch Requirements: <br />1.Providedimensionfrom'crossstreet 1 and cross street 2 <br />2.Dimensionshould refere~ce as back of walk,edge of pavement or center line3.Indicate North Arrow