HomeMy WebLinkAboutDISTRIBUTION LINE REPORT - 21-00460 - E 7TH N AND N 2ND E - MAIN REPLACEMENT
4/20/2021
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DISTRIBUTION LINE REPORT
INTERMOUNTAIN GAS COMPANY
COMMON TRENCH UTILITIES
INVOICE NO.
MATERIAL
SUB. DIV.
ACCT CODE
DATE 207 CHECKED
EST
USED
STOCK CODE
INSTALLED
DESCRIPTION
LOT/ BATCH
CONSTUCTION NOTES
MAIN TYPE
MATERIAL NUMBER
1-ALDYL-A
2-PHILLIPS
3-PLEXCO
4-STEEL
5-UPONOR
LINE EXPOSURE (EXTERNAL)
TOWN NO.
PROJ NO.
TOWN NAME
COMMON TRENCH
MAIN DEPTH
5. PLASTIC
1. GOOD
2. FAIR
3. BAD
IGC DOC#
WELDER
FUSER
INST BY
STORES REQ
PAV TKT
DWR#
LINE LOC#
APPROVED BY
INSPECTED BY
DATE
(INTERNAL)
GAS
POWER
PHONE
CABLE
AT
TOTAL
PREPARED BY:
DATE:
M.A.O.P.
PDR#
OP PRESS
1. NO CORROSION (PITTING)</t>
2. SLIGHT PITTING</t>
3. GENERAL PITTING</t>
5. PLASTIC</t>
11-INSTALL LARGE METER/REG</t>
12-ABAND LARGE MTR/REG</t>
14-INSTALL FENCE, BLDG, ETC</t>
15-CATHODIC PROTECTION</t>
OUT CITY
STATE HWY PERMIT REQUIRED:
YES
NO
PERMIT NO:
IN CITY
PRESSURE TEST INFORMATION
UNIT
ACTUAL TEST PRESSURE/DURATION:
DISTRIBUTION LINE REPORT
Page
of
Project
PRESSURE TEST MEDIUM (Air, Gas, Nitrogen, Water):
COATING TYPE
3- FUSION BOND EPOXY </
2- EXTRUDE COAT </
1-COAL TAR</
A. PIPE______ <
B. COATING______</
10-CANCEL</t>
7- ABANDONMENT</t></
4-NEW MAIN</t></
1-IRRIGATION</t></
_______________
1. NO CORROSION (PITTING)</t
2. SLIGHT PITTING</t
3. GENERAL PITTING</t
5. PLASTIC</t
C. PIPE _______<
_________psig / ____________min
HDD complete form 860</
SEWER LOCATE INFORMATION(BORE ONLY)
LOCATED / EA APPROVED BY:
ELECTRONIC LOCATE POST INSTALLATION CAMERA EA APPROVAL
4. NOT EXPOSED</t>
4. NOT EXPOSED
4. NOT EXPOSED</t
BORE:
4-FIELD WRAP</
5-PAINT</
6-PLASTIC</
7-NOT EXPOSED</
8-TWO PART EPOXY</
9-OTHER</
ISOLATION DISTRICT
6-DURALINE
INSTALL DATE
Min. Distance from Utilities (in.)
FOR ABANDONMENT ONLY
WAS THE PIPE PURGED?
FORM 319 (10-2019)
XXX
False
4
773
Rexbrug
55
60
J.Robinson
N 2nd E Pressure Betterment
EST CONST DATE 7/6/21
XXXXX
773-0839
WO# 287284
14-5
1645
4" Plastic
4-2
Tracer wire #14
1
4-1
2" EF Coupling
4-3
4" EF Coupling
12
5-5
4" 90 Deg Weld ell
6
14-61
4" FBE .188 X52 Steel pipe
3
19-24
4" Polly Valve
21-22
4" Transition Fitting
34-8
2"x4" BF Reducer
2
35-5
4" BF 90 deg Ell
38-5
4" BF Inline tee
8-7
2"x4" Weld reducer
YES
N/A