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ASSET MANAGEMENT WORKSHEET. Date: 12/20/2010. System ID No.: System Name: Service Connections: 1. MONTHLY. *Enter information only in shaded cells.
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*Enter information only in shaded cells AVG RESERVE
Gravel Packed Well, 6" Depth: 0 25 0.00 0.00 0. Drilled Well, 6", steel casing Depth: 0 25 0.00 0.00 0. Drilled Well, 8", steel casing Depth: 0 25 0.00 0.00 0. Drilled Well, 12", steel casing Depth: 0 25 0.00 0.00 0. Wellhead Electrical Controls 0 25 0.00 0.00 0. Submersible Pump, 20 HP (1 standby spare) 0 7 0.00 0.00 0. Electric Pump, HP Submersible Pump, 2 HP 0 7 0.00 0.00 0. Submersible Pump, 7 HP 0 7 0.00 0.00 0. Booster Pump Station, 25 HP, complete 0 5 0.00 0.00 0. Booster Pump Station Electrical Controls 0 5 0.00 0.00 0. Pressure Tank Gallons: 0 10 0.00 0.00 0. Pressure Tank Gallons: 0 10 0.00 0.00 0. Storage Tank, Plastic Gallons: 0 10 0.00 0.00 0. Storage Tank, Other Gallons: 0 40 0.00 0.00 0. Storage Tank, Other Gallons: 0 40 0.00 0.00 0. Storage Tank, Steel Gallons: 0 50 0.00 0.00 0. Storage Tank, Steel Gallons: 0 50 0.00 0.00 0. Storage Tank, Steel Gallons: 0 50 0.00 0.00 0. Storage Tank, Concrete Gallons: 0 80 0.00 0.00 0. Master Meter, 2" 0 10 0.00 0.00 0. Master Meter, 3" 0 10 0.00 0.00 0. Master Meter, 4" 0 10 0.00 0.00 0. Hypochlorinator w/ Tank & Pump, Complete 0 10 0.00 0.00 0. Pipe w/ sand bedding, 1" (Enter linear feet for quantity) 0 50 0.00 0.00 0. Pipe w/ sand bedding, 2" (Enter linear feet for quantity) 0 50 0.00 0.00 0. Pipe w/ sand bedding, 3" (Enter linear feet for quantity) 0 50 0.00 0.00 0. Pipe w/ sand bedding, 4" (Enter linear feet for quantity) 0 50 0.00 0.00 0. Pipe w/ sand bedding, 6" (Enter linear feet for quantity) 0 50 0.00 0.00 0. Standpipe Hydrant, 1-1/2" 0 20 0.00 0.00 0. Standpipe Hydrant, 2-1/2" 0 20 0.00 0.00 0. Customer Meter w/ Box & Shutoff, Complete 0 20 0.00 0.00 0. Distribution Valve, 2" 0 10 0.00 0.00 0. Distribution Valve, 3" 0 10 0.00 0.00 0. Distribution Valve, 4" 0 20 0.00 0.00 0. Distribution Valve, 6" 0 20 0.00 0.00 0. Air & Vacuum Relief Valve, Typical 0 20 0.00 0.00 0.
TOTALS: $0.00^ $0.00^ $0.00^ $0. Report Prepared by (Title): ______________________________________________________ Date: ____________________ NOTE: Installed costs are averages, and include all materials and contracted labor and equipment.
Comprehensive Report Reviewed Sanitary Survey Reviewed Enforcement Action Reviewed
Date of CR Date of SS Date of EA