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S E R V ICE, 0 R D E R
JOB DATE: 4/22/2008 9:00 AM SERVICE ORDER #: 000862
JOB CODE: lhF -INFORMATION W/ MTR JOB ACTION: METER INFO
ISSUED BY: maolson
REQUESTED BY: MERCHANT, THOMAS
LOCATION:
16705 BAY AVE SW
2-00132-00 MERCHANT, THOMAS
ACCT NO#:
SERVICE
NEW CURRENT
ACTION STATU METER #
LAST READ
READING
WATER INFO
METER LOCATION:
N/A 58955211
494840
MTU/MXU: 530117
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COMMENTS: PH -952-447-7121
PH1-
ORDER NOTES: NEW METER # 84102277 WAS INSTALLED HERE ON 4/12/08 AND WE
NEED TO GO BACK OUT TO PROGRAM THAT INTO THE PSION/HEXAGRAM
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COMPLETION NOTES:
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COMPLETION DATE:
WORKED BY:
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APPROVED BY:
Meter Removed
Meter Installed
Serial #
Size
Serial #_
Size
Type
Type
Port 1 _ Reading
Port 2 _ Reading
MTU #
Port 1 _ Reading
Port 2 _ Reading
MTU #
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Date:
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INCIDENT REpORT
Time of Call: J 0 ~ CO
Time at Scene: I',' 3Ci
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Name/Address/Site: '-r;, (Y"'\
I (0705" ~;-) Y A \/e... ~, W ·
Employee: _lY\~
Others Called In: ~T
Equipment Used:
Reasonfor call out: Y'Y\L+ -f.lf' (' /h?n.f(~ 0 v-\-C L(l\,.,J v.J ~-ter prL.tS(ore- J
Describe incident in detail (including time line, damage, what was done to correct the problem & what could
be done to preventfuture problems): C .h-z,nl~o. <J,,~ ~e.~
''r),C;~ ~e7.J"r-.j- ~
t\)e..W $G~.-t*- ~41 0 ~~ Th
OJ~ St'./J; 58'\S~;).rI
r0e- p+u n€
sy nS 0<;
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Gol\ -to
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Signed:
Date:
Attach:
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Lf J iL-J /01,
. 1. I M~p of site including utility involved
2. Dispatch incident report from Police Department Dispatch
Put additional comments on back
S:\Admin\forms and templates\General to all\Incident Report.doc
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BAY AVE SW, 16705
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ON
13200
ACCOUNT #
J
ADDRESS
"A15RCHANT, THeMAb
OLD METER
NEW METER
~L; U ,,",4 /
Ser. No. 5<0 q t) 5)JJ
Ser. No.
1J ,tl
Digits
Reading~~7~~S:S X
Reg.No.
Size
MIU Ser. No.
00530 I 17
MIU Phone#
Bldg. Type:
Port 1
RPZ Installed Yes
No
RPZ Ser. No.
(j)
2
Ground Yes _ NO.x-
'~ Type
Lead_ copper^ Iron Pipe_
Service Size
Comments:
Please keep this receipt for your records. The final reading from your old water meter
will be used in determining your next regular bill.
If you have any questions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIR'E IN PLACE.
QCCWPANTS SIGNATlJRE ,'i) I }M;; /r) iJlj,(~{t
DATE "\, -q - ~() (J J.. PHONE Lj Lj 1-; / ).j
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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