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Home My WebLink AboutWORK ORDER - 23-00207 - Gas ServiceIA = If Applicable SERVICE LINE NO. + PIPE DISTRICT PREMISE ID SPID RATE CLASS POTENTIAL BORE SERVICE TYPE MAIN SIZE / TYPE INSTALL DATE MATL MATL MATL Y = PE / Plexco DL = PE / Duraline A = Aldyl A S = Steel MATL MATL JDE WORK ORDER NO. COMMENTS: For Intermountain Gas Use Only for the installation, maintenance, or removal of their materials and equipment. I AGREE TO: 1. Reimburse Intermountain Gas$ 2. Prepay service line costs of: $ authorized as per the approved Tariff with the Idaho Public Utilities Comission. EQUIPMENT: X IRR STUB STUB EXT. NEW SERVICE RE-ACTIVATE BRANCH I, METER SIZE MAIN PRESS. MANIFOLD EFV / SIZE REPLACEMENT INSERTION ABANDON RELO ABAN. STUB SIZE SIZE SIZE SIZE SIZE INSTALL ASSIGNED TO: KV Const. INTERMOUNTAIN GAS COMPANY SERVICE AND FACILITIES AGREEMENT MAIN MAOP NO. METERS PROJECT NO. SERVICE ADDRESS LOT EST BILLING PRESS. EMP NO. RATE DESC. THERMS RS BLDG TYPE BUILDER NO. THRMS COM 0 BLOCK EST. SERV FTG SRVC OP. PRESS. ORIGINAL INSTALL DATE TOTAL ORIGINAL LENGTH TOTAL ORGINAL LENGTH ABANDONED LENGTH SUB-TOTAL INSTALLED LENGTH INSTALLED LENGTH TOTAL LENGTH 540081 WELDER SUBDIVISION NAME 52525252 EST DELIVERY PRESS. , which is the difference between the on-property average cost of service installation and the investsment allowance SRVC MAOP SERVICE LINE WORK ORDER APPLICATION DATE CLS NO: for the service line if the equipment checked below is not operating within 6 months from install date. PREV ENERGY SQ FT. MKT SEGMENT LGTH ON PROP TOTAL INPUT CPT / PRESSURE CLASS FUSER EXISTING LINE EXPOSURE EXT. CORROSION SERVICE DEPTH STORES TICKET NO. CONTACT NAME: GOOD FAIR POOR NOT EXPOSED / METER LOCATION UNIVERSAL INVOICE UTG WALL THICKNESS SERVICE ROUTE CITY NAME PIPE COATING EXISTING COATING (IA) SUB-INVENTORY grant Intermountain Gas Company access to my property, located at QNTY CONTRACTOR INVOICE GOOD FAIR POOR PLASTIC NOT EXPOSED CROSS STREET WEATHER PROTECTION EQUIPMENT Frcd Air Furn Water Heater Space Heater Fireplace Range UTG SERIAL NO./EXP. DATE SERVICE CYCLE PREPARED BY: sfine INT. CORROSION MAIN DEPTH PAVING TICKET NO. BTU IN / HR FIELD OPS COORDINATOR GOOD FAIR POOR NOT EXPOSED STATE ID WEATHER PROTECTION COMMENTS LEAK SURVEY / POSTAL CODE CONTACT NUMBER: QNTY PERMIT INFORMATION PERMIT NO LINE LOCATE NUMBERS.: EASEMENT NUMBERS Grill Clothes Dryer Fire Pit Pool Heater See Comments MANAGER PRE-APPROVAL EQUIPMENT ID ISOLATION DISTRICT COUNTY UTG PERFORMED BY MANAGER FINAL REVIEW Service Line # APPROVING AUTHORITY GIS POSTED BTU IN / HR IN CITY? 512-A Legacy Long (Rev. 4/23) JDE WORK ORDER NO: MATERIALS DESCRIPTION STEEL PIPE TEE - AP ELL STOP MATERIALS DESCRIPTION METER BAR PLASTIC PIPE RISER CAP TEE TEE - SPT ELL COUPLING TRANS - FTG. EFV Construction Notes: SIZE SIZE TYPE TYPE PART / ITEM NO. PART / ITEM NO. MIN. DEPTH OF COVER (in.): QUANTITY USED QUANTITY USED QUANTITY INSTALLED QUANTITY INSTALLED IGC PRESSURE TEST Gauge Serial No./Exp. Date Length & Diameter Tested Test Pressure/Duration Time On/Off Tested By/Date MIN. DISTANCE FROM OTHER UTILITIES (in.): JOINT TRENCH: YES NO SEWER LOCATE INFORMATION(BORE ONLY) LOT NUMBER BORE: COMPLETE FORM 23018 ELECTRONIC LOCATE POST CAMERA INSTALL FOC APPROVAL Pass YES Fail See attached for other materials tested ft By: By: By: / / / / / NO IA = If Applicable SERVICE LINE NO. + PIPE DISTRICT PREMISE ID SPID RATE CLASS RS POTENTIAL BORE SERVICE TYPE MAIN SIZE / TYPE INSTALL DATE MATL MATL MATL Y = PE / Plexco DL = PE / Duraline A = Aldyl A S = Steel MATL MATL JDE WORK ORDER NO. COMMENTS: For Intermountain Gas Use Only I, for the installation, maintenance, or removal of their materials and equipment. I AGREE TO: 1. Reimburse Intermountain Gas$ 2. Prepay service line costs of: $ authorized as per the approved Tariff with the Idaho Public Utilities Comission. EQUIPMENT: X IRR STUB STUB EXT. NEW SERVICE RE-ACTIVATE BRANCH Customer Signature METER SIZE MANIFOLD EFV / SIZE REPLACEMENT INSERTION ABANDON RELO ABAN. STUB MAIN PRESS. SIZE SIZE SIZE SIZE SIZE INSTALL ASSIGNED TO: INTERMOUNTAIN GAS COMPANY SERVICE AND FACILITIES AGREEMENT NO. METERS PROJECT NO. SERVICE ADDRESS LOT EST BILLING PRESS. EMP NO. RATE DESC. THERMS BLDG TYPE BUILDER NO. COM THMS MAIN MAOP 0 BLOCK EST. SERV FTG ORIGINAL INSTALL DATE TOTAL ORIGINAL LENGTH TOTAL ORGINAL LENGTH ABANDONED LENGTH SUB-TOTAL INSTALLED LENGTH INSTALLED LENGTH TOTAL LENGTH SERVICE OP. PRESS. SUBDIVISION NAME WELDER 52525252 EST DELIVERY PRESS. , which is the difference between the on-property average cost of service installation and the investsment allowance SERVICE LINE WORK ORDER APPLICATION DATE CLS NO: for the service line if the equipment checked below is not operating within 6 months from install date. PREV ENERGY SQ FT. MKT SEGMENT LGTH ON PROP TOTAL INPUT CPT / SERVICE MAOP FUSER EXISTING LINE EXPOSURE EXT. CORROSION SERVICE DEPTH STORES TICKET NO. CONTACT NAME: NO CORROSION SLIGHT PITTING GENERAL PITTING PLASTIC NOT EXPOSED / METER LOCATION TEST PRESS. / DURATION UNIVERSAL INVOICE Date grant Intermountain Gas Company access to my property, located at SERVICE ROUTE CITY NAME / PIPE COATING EXISTING COATING (IA) SUB-INVENTORY QNTY 1 1 1 1 1 CONTRACTOR INVOICE GOOD FAIR BAD PLASTIC NOT EXPOSED CROSS STREET WEATHER PROTECTION EQUIPMENT Frcd Air Furn Water Heater Space Heater Fireplace Range SERVICE PRESS. (2-IA) SERVICE CYCLE PREPARED BY: INT. CORROSION Us MAIN DEPTH PAVING TICKET NO. BTU IN / HR FIELD OPS COORDINATOR NO CORROSION SLIGHT PITTING GENERAL PITTING PLASTIC NOT EXPOSED STATE ID WEATHER PROTECTION COMMENTS LEAK SURVEY SERVICE MAOP (2-IA) POSTAL CODE CONTACT NUMBER: QNTY 1 1 1 1 1 PERMIT INFORMATION PERMIT NO LINE LOCATE NUMBERS.: EASEMENT NUMBERS Phone Grill Clothes Dryer gas log See Comments MANAGER PRE-APPROVAL EQUIPMENT ID ISOLATION DISTRICT COUNTY MANAGER FINAL REVIEW TEST PRESS. / DURATION (2-IA) Service Line # APPROVING AUTHORITY / GIS POSTED BTU IN / HR IN CITY? 512-A Long (Rev. 09/20) JDE WORK ORDER NO: MATERIALS DESCRIPTION STEEL PIPE TEE - AP ELL STOP MATERIALS DESCRIPTION METER BAR PLASTIC PIPE RISER CAP TEE TEE - SPT ELL COUPLING TRANS - FTG. EFV Construction Notes: SIZE SIZE TYPE TYPE PART / ITEM NO. PART / ITEM NO. QUANTITY USED QUANTITY USED QUANTITY INSTALLED QUANTITY INSTALLED JOINT TRENCH: YES NO SEWER LOCATE INFORMATION(BORE ONLY) LOT NUMBER BORE: ELECTRONIC LOCATE POST CAMERA INSTALL FOC APPROVAL COMPLETE FORM 860 - REF PROCEDURE 3208 YES ft By: By: By: NO IA = If Applicable SERVICE LINE NO. + PIPE DISTRICT PREMISE ID SPID RATE CLASS GS POTENTIAL BORE No SERVICE TYPE X MAIN SIZE / TYPE 2"Y INSTALL DATE MATL MATL MATL Y = PE / Plexco DL = PE / Duraline A = Aldyl A S = Steel MATL MATL JDE WORK ORDER NO. COMMENTS: Building faces South; Meter loc on East/Right side approx. 45ft from corner - approx. 5ft from power - used 320 Profit St. for comparable therms 4-mtr manifold for Units 1101, 1102, 1103, 1104; Each unit has 1 Unit Heater @ 100,000 BTUs and 764 therms and is 2700 SQ Ft; 250s on 2psi Jason S. marked meter location in Oct 2022 and spoke to Trevor - he confirmed that meter loc would be more than 3ft from power and not under windows 4-meter manifold can either be stacked or center support ***Received signed agreement 4/25/2023 from Trevor*** For Intermountain Gas Use Only I, 309 Profit St # 1101-1104 Intermountains cost of installation is: I AGREE TO: 1. Reimburse Intermountain Gas 2. Prepay service line costs of: EQUIPMENT: X IRR STUB STUB EXT. NEW SERVICE RE-ACTIVATE BRANCH Ultimate Steel Erection 1451.6 Customer Signature METER SIZE 250 MAIN PRESS. 55 MANIFOLD Yes HVAC: Wiemer Heating EFV / SIZE 700 (3/4") REPLACEMENT INSERTION ABANDON RELO ABAN. STUB SIZE SIZE SIZE SIZE SIZE INSTALL ASSIGNED TO: KV Const. as per the approved Tariff with the Idaho Public Utilities Comission. 3/4" INTERMOUNTAIN GAS COMPANY SERVICE AND FACILITIES AGREEMENT MAIN MAOP 60 NO. METERS 4 PROJECT NO. 773-0532 SERVICE ADDRESS 309 Profit St # 1101-1104 LOT 3 EST BILLING PRESS. EMP NO. RATE DESC. THERMS RS BLDG TYPE BUILDER NO. THRMS COM 1394.91 0 BLOCK 2 EST. SERV FTG 99 SRVC OP. PRESS. 55 ORIGINAL INSTALL DATE TOTAL ORIGINAL LENGTH TOTAL ORGINAL LENGTH ABANDONED LENGTH SUB-TOTAL INSTALLED LENGTH INSTALLED LENGTH TOTAL LENGTH 1394.91 540081 Small Comm. Multiple 3056 WELDER SUBDIVISION NAME Rexburg Bus. Park 52525252 EST DELIVERY PRESS. 2# for it's invested amount if the equipment listed below is not operating within 6 months from the install date. , which is the difference between the cost of installation defined above and the allowance of SRVC MAOP 60 SERVICE LINE WORK ORDER APPLICATION DATE 10 CLS NO: PREV ENERGY SQ FT. MKT SEGMENT LGTH ON PROP TOTAL INPUT CPT This project is a customer provided trench.: / 24 PRESSURE CLASS FUSER EXISTING LINE EXPOSURE EXT. CORROSION SERVICE DEPTH STORES TICKET NO. CONTACT NAME: GOOD FAIR POOR NOT EXPOSED / METER LOCATION Right No Primary 10800 New Sp Heat 99 400000 No 2022 Ultimate Steel/Trevor Poulsen UNIVERSAL INVOICE Date UTG WALL THICKNESS request a new natural gas service line to be installed at my property located at SERVICE ROUTE CITY NAME Rexburg PIPE COATING EXISTING COATING (IA) SUB-INVENTORY Rexburg QNTY CONTRACTOR INVOICE GOOD FAIR POOR PLASTIC NOT EXPOSED CROSS STREET Stocks Ave WEATHER PROTECTION No EQUIPMENT Frcd Air Furn Water Heater Space Heater Fireplace Range UTG SERIAL NO./EXP. DATE No SERVICE CYCLE PREPARED BY: tt sfine INT. CORROSION MAIN DEPTH PAVING TICKET NO. BTU IN / HR 4 FIELD OPS COORDINATOR GOOD FAIR POOR NOT EXPOSED Unit Heater STATE ID WEATHER PROTECTION COMMENTS Gable LEAK SURVEY / POSTAL CODE 83440 CONTACT NUMBER: QNTY 4 PERMIT INFORMATION PERMIT NO LINE LOCATE NUMBERS.: EASEMENT NUMBERS ID 208-390-6705 Phone Clothes Dryer Grill Unit Heater Other (see comments) MANAGER PRE-APPROVAL EQUIPMENT ISOLATION DISTRICT COUNTY Madison UTG PERFORMED BY MANAGER FINAL REVIEW 208-390-6705 Service Line # APPROVING AUTHORITY 83440 GIS POSTED 100000 BTU IN / HR IN CITY? Yes 512-A Long (Rev. 4/23) JDE WORK ORDER NO: MATERIALS DESCRIPTION STEEL PIPE TEE - AP ELL STOP MATERIALS DESCRIPTION METER BAR PLASTIC PIPE RISER CAP TEE TEE - SPT ELL COUPLING TRANS - FTG. EFV Construction Notes: SIZE SIZE 3/4" 3/4" TYPE TYPE 775 PART / ITEM NO. PART / ITEM NO. MIN. DEPTH OF COVER (in.): QUANTITY USED QUANTITY USED QUANTITY INSTALLED QUANTITY INSTALLED IGC PRESSURE TEST Gauge Serial No./Exp. Date Length & Diameter Tested Test Pressure/Duration Time On/Off Tested By/Date MIN. DISTANCE FROM OTHER UTILITIES (in.): JOINT TRENCH: YES NO SEWER LOCATE INFORMATION(BORE ONLY) COMPLETE FORM 23018 LOT NUMBER BORE: ELECTRONIC LOCATE POST CAMERA INSTALL FOC APPROVAL Pass YES Fail See attached for other materials tested ft By: By: By: / / / / / NO 320 Profit St - Rexburg 2/27/2023 01-25-2023 12-27-2022 11-28-2022 10-24-2022 09-27-2022 08-26-2022 07-28-2022 06-24-2022 05-25-2022 04-26-2022 03-28-2022 02-25-2022 01-25-2022 12-27-2021 11-23-2021 10-25-2021 09-27-2021 08-26-2021 07-27-2021 06-25-2021 05-26-2021 04-26-2021 03-29-2021 03-27-2023 02-27-2023 01-25-2023 12-27-2022 11-28-2022 10-24-2022 09-27-2022 08-26-2022 07-28-2022 06-24-2022 05-25-2022 04-26-2022 03-28-2022 02-25-2022 01-25-2022 12-27-2021 11-23-2021 10-25-2021 09-27-2021 08-26-2021 07-27-2021 06-25-2021 05-26-2021 04-26-2021 28 33 29 29 35 27 32 29 34 30 29 29 31 31 29 34 29 28 32 30 32 30 30 28 Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen Frozen 406.56 527.3 352.63 388.77 397.8 132.8 73.07 22.89 29.68 55.82 106.2 169.48 240.03 336.87 304.58 287.26 179.63 130.31 49.2 24.22 13.67 26.44 84.16 149.41 406.56 527.3 352.63 388.77 397.8 132.8 73.07 22.89 29.68 55.82 106.2 169.48 240.03 336.87 304.58 287.26 179.63 130.31 49.2 24.22 13.67 26.44 84.16 149.41 Therms Therms Therms Therms Therms Therms Therms Therms Therms Therms Therms Therms Therms Therms Therms Therms Therms Therms Therms Therms Therms Therms Therms Therms 439 591 449 497 509 158 80 17 32 74 155 259 377 539 485 456 276 196 71 26 7 30 134 254 6111 3055.5 15.68 17.91 15.48 17.14 14.54 5.85 2.5 0.59 0.94 2.47 5.34 8.93 12.16 17.39 16.72 13.41 9.52 7 2.22 0.87 0.22 1 4.47 9.07 Total 2 year consumption Averagle 2 year consumption For Intermountain Gas Use Only I, 309 Profit St # 1101-1104 Intermountains cost of installation is: I AGREE TO: 1. Reimburse Intermountain Gas $ 2. Prepay service line costs of: $ $ EQUIPMENT: X Ultimate Steel Erection 1451.6 Customer Signature as per the approved Tariff with the Idaho Public Utilities Comission. INTERMOUNTAIN GAS COMPANY SERVICE AND FACILITIES AGREEMENT 1394.91 0 $ 1394.91 for it's invested amount if the equipment listed below is not operating within 6 months from the install date. , which is the difference between the cost of installation defined above and the allowance of This project is a customer provided trench.: Date request a new natural gas service line to be installed at my property located at Rexburg No 4 Unit Heater ID 208-390-6705 Phone Service Line # 83440 IA = If Applicable SERVICE LINE NO. + PIPE DISTRICT PREMISE ID SPID RATE CLASS POTENTIAL BORE SERVICE TYPE MAIN SIZE / TYPE INSTALL DATE MATL MATL MATL Y = PE / Plexco DL = PE / Duraline A = Aldyl A S = Steel MATL MATL JDE WORK ORDER NO. COMMENTS: IRR STUB STUB EXT. NEW SERVICE RE-ACTIVATE BRANCH METER SIZE MAIN PRESS. MANIFOLD EFV / SIZE REPLACEMENT INSERTION ABANDON RELO ABAN. STUB SIZE SIZE SIZE SIZE SIZE INSTALL ASSIGNED TO: KV Const. MAIN MAOP NO. METERS PROJECT NO. SERVICE ADDRESS LOT EST BILLING PRESS. EMP NO. RATE DESC. THERMS RS BLDG TYPE BUILDER NO. THRMS COM BLOCK EST. SERV FTG SRVC OP. PRESS. ORIGINAL INSTALL DATE TOTAL ORIGINAL LENGTH TOTAL ORGINAL LENGTH ABANDONED LENGTH SUB-TOTAL INSTALLED LENGTH INSTALLED LENGTH TOTAL LENGTH 540081 WELDER SUBDIVISION NAME 52525252 EST DELIVERY PRESS. SRVC MAOP SERVICE LINE WORK ORDER APPLICATION DATE CLS NO: PREV ENERGY SQ FT. MKT SEGMENT LGTH ON PROP TOTAL INPUT CPT / PRESSURE CLASS FUSER EXISTING LINE EXPOSURE EXT. CORROSION SERVICE DEPTH STORES TICKET NO. CONTACT NAME: GOOD FAIR POOR NOT EXPOSED / METER LOCATION UNIVERSAL INVOICE UTG WALL THICKNESS SERVICE ROUTE CITY NAME PIPE COATING EXISTING COATING (IA) SUB-INVENTORY QNTY CONTRACTOR INVOICE GOOD FAIR POOR PLASTIC NOT EXPOSED CROSS STREET WEATHER PROTECTION EQUIPMENT Frcd Air Furn Water Heater Space Heater Fireplace Range UTG SERIAL NO./EXP. DATE SERVICE CYCLE PREPARED BY: sfine INT. CORROSION MAIN DEPTH PAVING TICKET NO. BTU IN / HR FIELD OPS COORDINATOR GOOD FAIR POOR NOT EXPOSED STATE ID WEATHER PROTECTION COMMENTS LEAK SURVEY / POSTAL CODE CONTACT NUMBER: QNTY PERMIT INFORMATION PERMIT NO LINE LOCATE NUMBERS.: EASEMENT NUMBERS Clothes Dryer Grill Other (see comments) MANAGER PRE-APPROVAL EQUIPMENT ISOLATION DISTRICT COUNTY UTG PERFORMED BY MANAGER FINAL REVIEW APPROVING AUTHORITY GIS POSTED BTU IN / HR IN CITY? 512-A Long (Rev. 4/23) JDE WORK ORDER NO: MATERIALS DESCRIPTION STEEL PIPE TEE - AP ELL STOP MATERIALS DESCRIPTION METER BAR PLASTIC PIPE RISER CAP TEE TEE - SPT ELL COUPLING TRANS - FTG. EFV Construction Notes: SIZE SIZE TYPE TYPE PART / ITEM NO. PART / ITEM NO. MIN. DEPTH OF COVER (in.): QUANTITY USED QUANTITY USED QUANTITY INSTALLED QUANTITY INSTALLED IGC PRESSURE TEST Gauge Serial No./Exp. Date Length & Diameter Tested Test Pressure/Duration Time On/Off Tested By/Date MIN. DISTANCE FROM OTHER UTILITIES (in.): JOINT TRENCH: YES NO SEWER LOCATE INFORMATION(BORE ONLY) LOT NUMBER BORE: COMPLETE FORM 23018 ELECTRONIC LOCATE POST CAMERA INSTALL FOC APPROVAL Pass YES Fail See attached for other materials tested ft By: By: By: / / / / / NO IA = If Applicable SERVICE LINE NO. + PIPE DISTRICT PREMISE ID SPID RATE CLASS POTENTIAL BORE SERVICE TYPE MAIN SIZE / TYPE INSTALL DATE COMMENTS: CONTACT NAME: MATL MATL MATL Y = PE / Plexco DL = PE / Duraline A = Aldyl A S = Steel MATL MATL JDE ACCOUNT NO. MATERIALS DESCRIPTION STEEL PIPE TEE - AP ELL STOP MATERIALS DESCRIPTION MTR. BAR PLASTIC PIPE RISER CAP TEE TEE - SPT ELL COUPLING TRANS - FTG. EFV Sewer Locate(s): BORE ONLY Construction Notes: IRR STUB STUB EXT. NEW SERVICE RE-ACTIVATE BRANCH SIZE SIZE METER SIZE MANIFOLD (Circle) Electronic Locate BY:______________________/ Post Install Camera , By:_____________________/ FOC Approval, By:________________________ EFV / SIZE REPLACEMENT INSERTION ABANDON RELO ABAN. STUB MAIN PRESS. SIZE SIZE SIZE SIZE SIZE TYPE TYPE INSTALL ASSIGNED TO: PART NO. PART / ITEM NO. NO. METERS PROJECT NO. SERVICE ADDRESS LOT EST BILLING PRESS. EMP NO. RATE DESC. THERMS RS BLDG TYPE BUILDER NO. THRMS COM MAIN MAOP BLOCK EST. SERV FTG ORIGINAL INSTALL DATE TOTAL ORIGINAL LENGTH TOTAL ORGINAL LENGTH ABANDONED LENGTH SUB-TOTAL INSTALLED LENGTH INSTALLED LENGTH TOTAL LENGTH QUANTITY USED QUANTITY USED SERVICE OP. PRESS. SUBDIVISION NAME WELDER EST DELIVERY PRESS. QUANTITY INSTALLED QUANTITY INSTALLED SERVICE LINE WORK ORDER APPLICATION DATE CLS NO: PREV ENERGY SQ FT. MKT SEGMENT LGTH ON PROP TOTAL INPUT CPT / SERVICE MAOP FUSER LOT NUMBER / METER LOCATION Joint Trench: Yes No TEST PRESS. / DURATION CITY NAME UNIVERSAL INVOICE SERVICE ROUTE / QNTY CONTRACTOR INVOICE CROSS STREET WEATHER PROTECTION EQUIPMENT Frcd Air Furn Water Heater Space Heater Fireplace Range SERVICE PRESS. (2-IA) SERVICE CYCLE PREPARED BY: DOCUMENT NO. (EASEMENT) BTU IN / HR EXISTING LINE EXPOSURE EXT. CORROSION SERVICE DEPTH STORES TICKET NO. FIELD OPS COORDINATOR NO CORROSION SLIGHT PITTING GENERAL PITTING PLASTIC NOT EXPOSED STATE ID WEATHER PROTECTION COMMENTS LEAK SURVEY SERVICE MAOP (2-IA) POSTAL CODE Bore: QNTY PIPE COATING EXISTING COATING (IA) SUB-INVENTORY Clothes Dryer Grill Other (comments) Yes MANAGER PRE-APPROVAL EQUIPMENT GOOD FAIR BAD PLASTIC NOT EXPOSED ISOLATION DISTRICT COUNTY MANAGER FINAL REVIEW LINE LOCATE NO.: TEST PRESS. / DURATION (2-IA) INT. CORROSION MAIN DEPTH PAVING TICKET NO. / ft NO CORROSION SLIGHT PITTING GENERAL PITTING PLASTIC NOT EXPOSED GIS POSTED BTU IN / HR IN CITY? No 512-A Short (Rev. 09/20) Qty 0 0 0 0 0 0 0 4 0 0 Therm Factor Investment Factor Investment Factor Sq. Ft Equipment Frcd Air Furn Water Heater Space Heater Fireplace Range Dryer Grill Unit Heater 0 Other (see comments) Customer is Providing the Trench Size LGTH ON PROP (property footage) SL (Cost per foot) use when CPT is No CPT Cost/foot Variable Cost. use when CPT is YES (LGTH ON PROP * CPT Cost/foot) Fixed Cost. CPT Coordin Fee use when CPT is YES (variable + fixed cost) answer for the tab: 'Legacy_11x17" Customer is Providing the Trench Size 1.Calculated cost for SL Allowance Res Allowance Com 0.234 0.634 0.475 Stand alone 11 x 17 10800 Allowance 240 50 23 28 15 Total No 3/4" 99 14.09 1394.91 7.4 732.6 509.63 1242.23 No 0 1451.6 Residential Commercial Therms 0 0 0 0 0 0 0 0 9.62 952.38 908.78 1861.16 3/4" Input 0 0 0 0 0 0 0 400000 0 0 400000 0 0 0 0 1394.91 Qty 0 0 0 0 0 0 0 0 0 0 Short_Blank Data Sq. Ft Equipment Frcd Air Furn Water Heater Space Heater Fireplace Range Dryer Grill 0 0 Other (comments) 0 Allowance 240 50 23 28 15 Total Therms 0 0 0 0 0 0 0 0 Input 0 0 0 0 0 0 0 0 0 0 0 Qty 0 0 0 0 0 0 0 0 0 0 Customer is Providing the Trench Size LGTH ON PROP (property footage) SL (Cost per foot) use when CPT is No CPT Cost/foot Variable Cost. use when CPT is YES (LGTH ON PROP * CPT Cost/foot) Fixed Cost. CPT Coordin Fee use when CPT is YES (variable + fixed cost) answer for the tab: 'Legacy_11x17" Customer is Providing the Trench Size 1.Calculated cost for SL Legacy 11x17 Data Sq. Ft Equipment Frcd Air Furn Water Heater Space Heater Fireplace Range Dryer Grill 0 0 0 Legacy 0 0 0 14.09 0 3/4" 7.4 0 509.63 509.63 0 0 Allowance 240 50 23 28 15 Total 2" 9.62 0 908.78 908.78 0 Therms 0 0 0 0 0 0 0 0 0 Input 0 0 0 0 0 0 0 0 0 0 0 Qty 0 0 0 0 0 0 0 0 0 11 x 17 Sq FT Equipment Frcd Air Furn Water Heater Space Heater Fireplace Range Dryer Grill 0 0 Other (see comments) CPT Size On Prop SL Cost Use when No CPT Cost/ft Varaible Cost Fixed CostCPT Use CPT=Y CPT? size Calc SL Cost 0 Allowance 240 50 23 28 15 Total 0 0 0 14.09 0 3/4" 7.4 0 509.63 509.63 0 Therms 0 0 0 0 0 0 0 0 2" 9.62 0 908.78 908.78 0 Input 0 0 0 0 0 0 0 0 0 0 0 0 3003728 3002937 3003357 3002330 Customer Provided Trench Materials Fixed Cost - 3/4" Service Eliminator 2x3/4" Con-Stab Coupling EFV 1800 CFH Riser 3/4"x3/4" Stores loading Material OH Loaded Fixed Material Fixed labor Coordination Fee Construction OH Loaded Fixed Labor Total Fixed Cost 3/4" CPT Cost 54.03 11.49 13.6 91.42 0.15 Material Sub 0.09 0.09 Qty 1 3 1 1 Total 54.03 34.47 13.6 91.42 193.52 29.028 222.548 20.0293 242.5773 245 22.05 267.05 509.63 CPT Calculation 3/4 On Prop Var Cost Fx Cost Total Cost Std Cost Diff. Variable Cost- 3/4" service 3002441 3003830 Variable Labor/install Construction OH Total Variable cost 3/4" 77 569.8 509.63 1079.43 1084.93 -5.5 wire 3/4" Pipe Stores Loading Materials Sub Material OH Total Variable Pipe Cost 14.0185714285714 (-) is savings + is not 0.15 0.09 0.09 0.17 0.52 0.1035 0.7935 0.071415 0.864915 6 0.54 6.54 7.4 14.09 Cost per foot = Ops Update =Acct Update = Enter to PCE Western Region DASCO Variable Cost per foot Fixed Cost Service Tie in Service length Cost Std Cost OH OH Savings 7.5 0.675 8.175 126 11.34 137.34 77 714.84 1084.93 -370.09 897.135 9.2836 8.9713 3001969 3002018 3002570 3002001 Customer Provided Trench Materials Fixed Cost - 2" Service Eliminator 2x2" Tee Met Fit 2" Coupling EFV 5500 CFH Riser 2" Stores loading Material OH Loaded Fixed Material Fixed labor Coordination Fee Construction OH Loaded Fixed Labor Total Fixed Cost 2"CPT Eliminator 2x3/4" Con-Stab Coupling 3/4" Pipe EFV 1200 CFH Riser 3/4"x3/4" 200' service line Eliminator 2x3/4" Con-Stab Coupling 3/4" Pipe EFV 1200 CFH Riser 3/4"x3/4" 300' service line Cost 138.85 46.34 73.38 160.7 0.15 Material Sub 0.09 0.09 40.82 8.47 0.43 12.02 65.45 40.82 8.47 0.43 12.02 65.45 Qty 1 3 1 1 1 3 200 1 1 1 3 300 1 1 Total 138.85 139.02 73.38 160.7 511.95 76.7925 588.7425 52.9868 641.7293 245 22.05 267.05 908.78 40.82 25.41 86 12.02 65.45 229.7 40.82 25.41 129 12.02 65.45 272.7 CPT Calculation 2" On Prop VC FC Total Cost Std Cost Savings Variable Cost-2" service 3002441 3003885 Variable Labor/Install Construction OH Total Variable cost 3/4" 225 2164.5 908.78 3073.28 3073.5 -0.22 Wire 2" Pipe Stores Loading Materials Sub Material OH Total Variable Pipe Cost Install 0.15 0.09 0.09 0.17 1.42 0.2385 1.8285 0.164565 1.993065 7 0.63 7.63 9.62 13.66 Std Cost per foot = Ops Update =Acct Update = Enter to PCE EFV Sizes NONE 400/450 (1/2") 775/800 (1/2") 300/400 (3/4") 700 (3/4") 1100/1200 (3/4") 1800 (3/4") 2600 (3/4") 1100 (1") 2600 (1") 1800 (2") 2600 (2") 5500 ( 2" ) 10000 (2") VALVE HPSS Bore Yes No Unknown MANIFOLD # 2 3 4 5 6 7 8 9 10 11 12 CPT Yes No Rate Description Residential Small Comm. Large Comm. Industrial Irrigation Company CNG Rate Description Residential Small Comm. Large Comm. Irrigation Company CNG Rate Class RS GS CNG LV IS-R IS-C T-3 T-4 RS/IS-R GS/IS-C Pump Gas Light Inc. Fee Previous Energy Electric Propane No Primary Wood Coal Oil Market Segment Ex. Multi Ex. Sp Heat Mfrd House New Multi Use New Sp Heat Other X-Account Dwelling Description Residential Commercial Other X Building Type Single Multiple Master Meter Meter location Back Front Left Right Roof Remote Comments Assigned To Dasco Track IGC KV Const. Eureka Pipe Type Y DL A S T Pipe Size 1/2" 3/4" 1" 2" 4" 6" 8"