Information
-
Tow number:
-
Address:
-
Link or flush:
-
Conducted on
-
Prepared by
-
Date/Time
-
Customer Address
-
Mud Map or take photo of whiteboard, either way must be extremely clear:
-
Link repair---- 03-02-01-01-na: identify and repair blockage at single location
-
How many blockages, must be less then 1200 deep and 2m from other blockage
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
-
10 photos: must have cable ties on repair once done and all with tow and address in them -from road with barrier up - clear photo of break -multiple clear photos of repair - photo from above hold to see depth -clear mud map showing house and pits labeled -x for blockage
-
Brief description of what was fixed and why:
-
Flush ----- 03-02-01-06-na: identify and repair a single pipe at a single location using non excavation techniques
-
How many flushes:
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
-
6 Photos: all photos to have tow and address -photo of pressure gauge -photo of hose inside link pipe -mud map showing where blockage is -photos of pit guards around pit and location of pit(show house etc in background)
-
Brief description of why it required flush, eg mud:
-
Contractor name
