HomeMy WebLinkAbout3680-7The
Gas
Compaar
Sempra'LnerW(x ro9ny
MAIN CON
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COPE:-P� LOT #.
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Isokitlon Area Affeoted Yes '
No U
?,Pressure District Affected Yes
No
43usthess Dlstr.lot Affected Yes O
No
;.Supply Lkle Affected Yes Q
No
I�-ocjOl4for Station -Affected Yes 0
No
;Volye(s) Required' ,�►� Yes 0.
No
CJ
'.. P. Revlewed By:
t v� F.
i
61,60w -i -ICK!"
i 14%,- 06"fee; IMA At
ut No
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LUX 10A4 10 -rt" (I
La. .
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^-^ PLAN FILE # BASE SKETCH CONSTFi. SKETCH MPL. SKETCH W.O. ! FiE:f;T '
BY:MCD 1-14-p4 DYs BY: O1 OF 02
PARCEL U16019
I" : 80'
FONTANA
tY; N
FEET
V) V) 40 0 40 80 120 160 200
El
PIPING LEAK TEST.:(MEDIUM)
TESTED ATS._,_„_„- P..S.I.
E]A I R G] N I TROGEN [:] OTHER _
FOR; HRS. AND/OR,..._.- MIN.
(GAS STANDARD..#184.0150)
SIGN: -___- DATES
PRINT NAME/TITLES
GAS HANDLING WAS REVIEWER AND PERFORMED'
AS PLANNED PER GAS STANDARD #184.06
*NOD YES.[]
as IF NO PLEASE GIVE EXPLANATION TO LEFT
SIGN: __� _ DATE:
PRINT NAME/T I TLE: __ .!
ANY CHANGES TO THE DESIGNED PIPE AND
COMPONENTS REQUIRES APPROVAL FROM
TECHNICAL SERVICES PLANNING.
IF CHANGES WERE MADE TO THE PLANS:
ENGINEER CONTACTEDI
DATES
FPA I PAs
DATE:
-
UPDATED TO R.E.R.:
SOIL TYPE GROUP RED YELLOW GREEN
ILA CITY ONLY)
BACKFILL -TYPE:
USED MECHANICAL., COMPACTIOM Yes NO[]
JOINT TRkNCH ( TYPICAL ).
Yes ❑ NO[]
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ndw
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Z.
---"TEL GAS
dc
CTR IC=
--� CATY ELE 0
TELEPHONE ❑
O-FPOWER T.V. CABLE 0
1 I OTHER=
l�—S-T-U-B S-U-MMMARY
ALL. STUBS ARE 2' UNLESS OTHERWISE POSTED _
SHORT SIDE STUBS
LONG SIDE• -STUBS
FT, INSIDE PROP. LINE'
?'I,1INS I3E LUT -.L INE '
THOMAS .GUIDE 574 E-2: _-...
CITY OF FONTANA
PRESS. DIST. NO.
DIST. PRESS./MAOP:
CLASS LOCATION 111 02 . � 04
I SO MAP NO. I'"
SUPPLY LINE NO.
SUPPLY LINE PRESS.
REGULATOR STATION 1.D.# / R.S.#_
VALVE(S) REQUIRED Yes Q No[]
PIPELINE MARKERS REQUIRED: Y040 NO[]
IF YES SHOW LOCATION
ENVIRONMENTAL
REQUEST FORM: Yes 0 No FA
E.C.S. ISSUESs. r -Yes 0 No[]
C. P. AREA NO. T
C.P. CONTACT:
PHONE NO.
THIS BLDG. OR AREA QUALIFIES.
-
FOR ANNUAL LEAK SURVEY: Yes o NOU
(POST LIMITS)
A PRE -JAB MEETING WILL.BE HELD WITH A GAS
COMPANY REPRESENTATIVE.PRIOR 1'O THE.START
OF ANY CONSTRUCTION. Yea(] No❑
REVIEWED BY PRINT NAME DATE
REG. ENG.
TECH. SUP.
L.A.A. ,
L.S.P.S. "
P.A./F. P. A. _
D.O.M./P.M.
F.O.S./F.S.
Underground Service Alert
fORI yo
oorp Co1I Two Working Days
13EFORE YOU . D I G
1--800.227--2600
Sea,4 Ticket #
PRO,}. # 63844 WR • $4 .1430934
EPOCH # IRER.#
CONSTRUCTION SKETCH
TOTAL FEET tNST'p DATE MOVED NOT ICE OF DATE MOVED COMPLETION
INSTALL MAIN WITH AT LEAST _ COVER BELOW _ TOTAL FEET RETIRED' TT JOB: OPER. DATE: OFF JOB: OATEN
COUNTY SAN BERNARDINO RETIREMENT REASOR- PERM IT ISSUED BY : PERMIT #:
DISTRICT FONTANA�_
TRACT # _ _ _ CREW FOREMAN
ATLAS # SBO 584-2*628-1.524YEAR C.P. INSTALLO:- rPLANNED BY: COMPANY
TAX COOS # K: YES L� NOE] --- '}'-" '� STAKED.......... O SOUTHERN CALIFORNIA GAS COMPANY FACILITY i [ `]
OPER. 20% OR OVER F—IS.p.Y.S. 1- _`,p�gvs STAKING REWIRED M _ EAST - - REGION
CATHODICALLY PROTECTED: YESC .1 Nil O AT LESS THAN 20% NO STAKES NEEDED C •W,0.,#_ WR #14311-0934 _ _ _,.. OST__,CEN,TE 4X_ _ _
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i 14%,- 06"fee; IMA At
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►ah�taJU'dpl �i$4'. Ot�D .
ttshllz�-0 Itt'. 0w,@
LUX 10A4 10 -rt" (I
La. .
U
^-^ PLAN FILE # BASE SKETCH CONSTFi. SKETCH MPL. SKETCH W.O. ! FiE:f;T '
BY:MCD 1-14-p4 DYs BY: O1 OF 02
PARCEL U16019
I" : 80'
FONTANA
tY; N
FEET
V) V) 40 0 40 80 120 160 200
El
PIPING LEAK TEST.:(MEDIUM)
TESTED ATS._,_„_„- P..S.I.
E]A I R G] N I TROGEN [:] OTHER _
FOR; HRS. AND/OR,..._.- MIN.
(GAS STANDARD..#184.0150)
SIGN: -___- DATES
PRINT NAME/TITLES
GAS HANDLING WAS REVIEWER AND PERFORMED'
AS PLANNED PER GAS STANDARD #184.06
*NOD YES.[]
as IF NO PLEASE GIVE EXPLANATION TO LEFT
SIGN: __� _ DATE:
PRINT NAME/T I TLE: __ .!
ANY CHANGES TO THE DESIGNED PIPE AND
COMPONENTS REQUIRES APPROVAL FROM
TECHNICAL SERVICES PLANNING.
IF CHANGES WERE MADE TO THE PLANS:
ENGINEER CONTACTEDI
DATES
FPA I PAs
DATE:
-
UPDATED TO R.E.R.:
SOIL TYPE GROUP RED YELLOW GREEN
ILA CITY ONLY)
BACKFILL -TYPE:
USED MECHANICAL., COMPACTIOM Yes NO[]
JOINT TRkNCH ( TYPICAL ).
Yes ❑ NO[]
o2t
ndw
•�.�
Z.
---"TEL GAS
dc
CTR IC=
--� CATY ELE 0
TELEPHONE ❑
O-FPOWER T.V. CABLE 0
1 I OTHER=
l�—S-T-U-B S-U-MMMARY
ALL. STUBS ARE 2' UNLESS OTHERWISE POSTED _
SHORT SIDE STUBS
LONG SIDE• -STUBS
FT, INSIDE PROP. LINE'
?'I,1INS I3E LUT -.L INE '
THOMAS .GUIDE 574 E-2: _-...
CITY OF FONTANA
PRESS. DIST. NO.
DIST. PRESS./MAOP:
CLASS LOCATION 111 02 . � 04
I SO MAP NO. I'"
SUPPLY LINE NO.
SUPPLY LINE PRESS.
REGULATOR STATION 1.D.# / R.S.#_
VALVE(S) REQUIRED Yes Q No[]
PIPELINE MARKERS REQUIRED: Y040 NO[]
IF YES SHOW LOCATION
ENVIRONMENTAL
REQUEST FORM: Yes 0 No FA
E.C.S. ISSUESs. r -Yes 0 No[]
C. P. AREA NO. T
C.P. CONTACT:
PHONE NO.
THIS BLDG. OR AREA QUALIFIES.
-
FOR ANNUAL LEAK SURVEY: Yes o NOU
(POST LIMITS)
A PRE -JAB MEETING WILL.BE HELD WITH A GAS
COMPANY REPRESENTATIVE.PRIOR 1'O THE.START
OF ANY CONSTRUCTION. Yea(] No❑
REVIEWED BY PRINT NAME DATE
REG. ENG.
TECH. SUP.
L.A.A. ,
L.S.P.S. "
P.A./F. P. A. _
D.O.M./P.M.
F.O.S./F.S.
Underground Service Alert
fORI yo
oorp Co1I Two Working Days
13EFORE YOU . D I G
1--800.227--2600
Sea,4 Ticket #
PRO,}. # 63844 WR • $4 .1430934
EPOCH # IRER.#
CONSTRUCTION SKETCH
TOTAL FEET tNST'p DATE MOVED NOT ICE OF DATE MOVED COMPLETION
INSTALL MAIN WITH AT LEAST _ COVER BELOW _ TOTAL FEET RETIRED' TT JOB: OPER. DATE: OFF JOB: OATEN
COUNTY SAN BERNARDINO RETIREMENT REASOR- PERM IT ISSUED BY : PERMIT #:
DISTRICT FONTANA�_
TRACT # _ _ _ CREW FOREMAN
ATLAS # SBO 584-2*628-1.524YEAR C.P. INSTALLO:- rPLANNED BY: COMPANY
TAX COOS # K: YES L� NOE] --- '}'-" '� STAKED.......... O SOUTHERN CALIFORNIA GAS COMPANY FACILITY i [ `]
OPER. 20% OR OVER F—IS.p.Y.S. 1- _`,p�gvs STAKING REWIRED M _ EAST - - REGION
CATHODICALLY PROTECTED: YESC .1 Nil O AT LESS THAN 20% NO STAKES NEEDED C •W,0.,#_ WR #14311-0934 _ _ _,.. OST__,CEN,TE 4X_ _ _