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R: , <br /> UTILITIES DEPARTMENT Date: 5/13/2015 Type of Work: <br /> 1NASTEWATER DIUISION. Originator: Sewer Repairs(57) Contractor Inspections(Si3) <br /> MAINTENANCE WORK ORDER Equipment/Location Name: sewer extensions(S3) Customer Complaints(St5) <br /> Type Work Order Number Ciean Llnes(S9) WWfP Operations(S2) <br /> S3 Los ChiCO'S Camera Llnes(S91) WNtTP Repairs(S2) <br /> LIS Maintenance(S51 -S562) Utility Locates(S70) <br /> Description of problem/work: �a�iy us cnecks(sso) Manholes(S71) <br /> US Malntenance{S51-5562) Equip O&M!Clean(S14) <br /> Install new service for grease trap addition at restaurant. nnownrveadeat LIS(S500) Miscellaneous(S100) <br /> MowlWeedeat WiNTP(S502) Water Division Work(S12) <br /> Tralning&Education(S101) Other Dept.Work(S122) <br /> Meetings 8 Administration{S001) <br /> Safety Meetings 8�Duties(S119) <br /> East Pasco Water Coalltlon Work(5222) <br /> Supervisor's Section: Priority: Craft: <br /> Approval to open: Initials Date �� �1 Emergency �tilities Dept <br /> Wastewater Supervisor � #2 Routine �- Other City Dept � <br /> or Foreman � ,y'�3 project � Contractor <br /> Worker's Section: <br /> Employee Name # Date Hours Description of what was done: <br /> Employee 1 @$25 Hr $ <br /> Employee 2@$25 Hr 8 V1lork yet to be completed. <br /> Employee 3 @$25 Hr $ <br /> Parts/supplies used: Equipment used: <br /> $s�� Description Quantity Description # Date Hours <br /> Tap Sad Tee Fernco 6"@$30 1 Excavator @$10a Hr 4 <br /> PVC 200 Pipe @$2.50 Ft 10 Box Blade @ S1oo Hr 2 ' <br /> Pickup 1 @$20 Hr 8 <br /> $55 Pickup 2 @$20 Hr 8 <br /> $920 <br /> , <br /> � <br /> TO�aI Equip.GOSt: $920.00 I certify that the work was accomplished <br /> Total Labor Cost: $sOQ.QO in accordance with FDEP Florida Admin. <br /> TOtal P&ItS COSts $55.00 Codes,Dept.Standards and to the best of ' <br /> TOtal W.O.COSt:��1,575,00 my abilities: Signature • <br /> Closeout: Supervisor to complete: `; <br /> Approvals to close work order Initlals Date Completed `� Routine WE HAVE AN UNLIMITEO <br /> Wastewater Supervisor or Foreman job New Installation OPPORTUNITY j <br /> Dfrector of Utilities was: � Rebulld/Repair TO IMPROVE THE QUALITY <br /> OF ANYTH�NG i <br /> `` /���y1 Q V�,��� q,lt00 C@� i <br /> Build:1.2 1�'`[�(�� � Return thls form to Thomas Shotts(or close-out and filing wFren�omplate. Sapt�2 <br /> ✓ <br /> �g�3) 2 Sa-- � � a a �; <br /> � �s �1� � � � <br />