L:\Departments\Engineering Standards\Engineering Standards - Autocad Drawings\Finallized Engineering Standards AutoCAD Drawings\VALVE RPT-7.7.doc
VALVE NUMBER:
CITY OF LEDUC Civic Centre, #1 Alexandra Park
Leduc, AB T9E 4C4
VALVE REPORT CADASTRAL:
VALVE LOCATION:
STREET:
AVENUE:
VALVE ALIGNMENT:
WATER MAIN HYDRANT LEAD SERVICE LEAD INFORMATION: ALIGNMENT: SIZE: mm TYPE: MAKE: VALVE INFORMATION: VALVE SIZE: mm TYPE: MAKE: MODEL: CLASS:
VALVE PURPOSE MAIN CONTROL GEARED: YES
HYDRANT CONTROL NO
SERVICE CONTROL OTHER
VALVE STATUS: OPEN CLOSE STOP OTHER
KEYWAY: CAST IRON
ENCASED IN P.V.C VALVE INSTALLATION DATE CONTRACTOR: DATE: IN SERVICE DATE: APPLICATION NO.: CONSULTANT: SIGNED: DATE: CATHODIC PROTECTION: ANODES: TYPE: SIZE: NO. OF ANODES:
LEAD WIRES: YES NO DATE OF INSTALLATION: REMARKS:
FIELD SKETCH PLEASE INCLUDE COUPLINGS, FITTINGS, CHAMBER, PROP. LINES, CURBLINE SIDEWALK, ETC.
L:\Departments\Engineering Standards\Engineering Standards - Autocad Drawings\Finallized Engineering Standards AutoCAD Drawings\HYDRANT RPT-7.8.doc
HYDRANT NUMBER:
CITY OF LEDUC Civic Centre, #1 Alexandra Park
Leduc, AB T9E 4C4
HYDRANT REPORT
CADASTRAL:
HYDRANT LOCATION:
STREET:
AVENUE:
HYDRANT ALIGNMENT:
WATER MAIN INFORMATION: ALIGNMENT: SIZE: mm TYPE: MAKE: HYDRANT INFORMATION: MAKE: D AND S COLOR
TYPE: COMP BARREL SIZE: 152 STEAMER: YES HOSE CONNECTIONS: 2
S.G. 184 NO 4
C.A.P. 203 PROTECTION POSTS: INSTALLED: HYDRANT LEAD INFORMATION:
CONTROL VALVE NUMBER: LEAD ALIGNMENT ____ LEAD SIZE: mm TYPE: MAKE: ____ CONTROL VALVE POSITION FROM HYDRANT: ____ CONNECTION POSITION FROM HYDRANT: ____
METHOD OF CONNECTION: TEE T.V.S. CATHODIC PROTECTION: ANODES: TYPE: SIZE: NO. OF ANODES:
LEAD WIRES: YES NO DATE OF INSTALLATION: CONTRACTOR: DATE: CONSULTANT: SIGNED: DATE: REMARKS:
FIELD SKETCH PLEASE INCLUDE COUPLINGS, FITTINGS, CHAMBER, PROP. LINES, CURBLINE SIDEWALK, ETC.