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• • <br /> KENNEDY/JENKS CONSULTANTS <br /> UTILITY LOCATION & ACKNOWLEDGEMENT FORM <br /> Call 811 for Utility Locate at Least 48 Hours Prior to Work <br /> Project Location: <br /> Project Number: <br /> Project Name: <br /> Planned Start Date of Field Activities: <br /> Kennedy/Jenks Personnel: <br /> Private Utility Locator Name: <br /> 811 Contact Date and Time (48 hours before work begins): <br /> KJ One-Call Contractor ID#(varies by state) <br /> Ticket Number: <br /> Utility Clearance Information <br /> How Were Boring/Excavation Locations Cleared: <br /> Utilities Contacted Utility Contact Utility Contacted Marked <br /> by 811 Number bv Telephone in Field Other Describe <br /> Contact information verified by (K/J Staff): <br /> Scheduled On-Site Meeting Location (if applicable): <br /> Public Utility <br /> Private Utility Locator <br /> Use back of sheet to sketch of identified utilities and proposed boring/excavation locations OR attach figure. <br /> Include north arrow and structures if applicable. <br /> Notes: <br /> Mark all proposed borings and excavations with WHITE paint per APWA Utility Color Codes. <br /> Request locator to mark utilities as required by their standard operating procedures or at least within 25 feet of <br /> boring/excavation, whichever is greater, with paint/flags. <br /> Utility marks are valid for 14 calendar days and must be remarked if work continues beyond 14 days <br /> 1 <br />