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.