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Expense Job -Site Information (for non~estimated work) <br />PM #42549206 <br />Name &Lan ID:Bill Belaski wwb7 <br />Address:22576 N.3'd 5t <br />City or County name:Clements <br />CPA:2812-1 <br />CPA map attached?0 YES 0 NO <br />Description of work needed:Install2"32lb anodes ina 4x8.bell hole on a 2"steelgas main at <br />22576 N.3"'St. <br />." <br />Work Location Sketch <br />1.Provide dimension from"cross street 1 and cross street 2 <br />2..Dimensionshould reference asbackof walk,edgeof pavement or center line <br />3.Indicate North Arrow <br />EDGE OF PAVEMENT <br />.'." <br />22576 <br />II <br />1 <br />1 <br />1I<E-t-65'---3>J . <br />1 B'.1-:----1---14---- <br />N 3RDST <br />Excavation Location Sketch Requirements: