HomeMy WebLinkAboutN2017-0403c y�'W4y� 9 0Civic City
icCenter
Dport Beach rive, NewportBach, CA 92660 III II III IIIII IIIII IIIII I'�I I IIIII IIIII II IIII II
Permit Counter Phone (949)644-3311
Online Inspection Request- www.newportbeachca.gov/Online
Services
Permit No: N2017-0403�
Project No
Inspection Requests Phone (949)644-3255
Job Address : 2401 BLACKTHORN ST NB Thomas:Guide: 889E4
Description: Pothole to repair damaged CATV conduit. Pavement restoration per City Standards.
Parcel # :
4400-440-1 -
Legal Desc :
N TR 4893 LOT 78
Owner:
KRUSEJOHNW
Phone:
0
Address:
Applicant:
CHARTER COMMUNICATIONS
Phone:
714-681-3554 [
Address:
7142 CHAPMAN AVENUE
GARDEN GROVE, CA 92841
Special Cond. :
SCANNED
ID 1 COMPUTEDContractor:
CABLE COM OF CALIFORNIA, INC.
Phone:
714-666-2400
Address:
1251 N.JEFFERSON STREET
ANAHEIM, CA
Contractor State
Lic: 826295
License Expire:
07 31, 2019
Business License: BT30033430
Business Expire:
10 31, 2017
Workers' Compensation
Insurance - -
Carrier:
LM INSURANCE
Policy No:
WA563DO04260037
W. C. Expire:
07 31, 2018
Permit Processing Fee :
$241.00
Sewer Connection:
$0.00
Agreement Fee:
$0.00
4TT Box Cover:
$0.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Inspection Fee :
$165.00
Water Meter Connection :
$0.00
Refundable Deposit:
$0.00
Total Water Meter Box:
$0.00
Street Tree Fee :
$0.00
Adjustment:
$0.00
Processed By:
Utilities Approval
Traffic Approval :
General Services Approval:
Date
Date
Date
Date
Total Fee $406.00
Paid: $406.00
Balance: $0.00
Receipt No:
OZO6
Other Department :
Date :
_/
/
Permit Denied
Date:
_/_/_
Issued Permit :
Date :
L/[)
/ [ I
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
1. Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor. A licensed
contractor must provide a "Letter of Authorization' to allow another party to pull a permit. An approved copy of the
permit and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuance of
a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days
after dale of issuance.
2. The Permittee agrees to defend, indemnify and hold the City, its authorized agent, officers, representatives and
employees harmless from any responsibility, liability, suit or action of any description arising out of any accident, loss
or damage to persons or property occurring as a result of work undertaken under this permit.
3. All work shall be done in accordance with the approved plans, Standard Special Provisions and Standard Drawings
of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances.
4. Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall
be corrected within two weeks after notification to the satisfaction of the Public Works Director.
5. A valid State licensed contractor must perform all construction within the public right-of-way, unless waived by the
Public Works Director. A valid State Contractor License Class A can perform any work in the public right-of-way. For
construction or connection to water lines a valid State Contractor License Class C-34 is required. For construction or
connection to sewer lines a valid State Contractor License Class C-42 is required.
6. All trenching and/or resurfacing shall conform to City Standard 105-L for parkway/roadway and City Standard 140-L,
in the alley, where a minimum half -alley width resurfacing shall be provided, unless otherwise directed by the Public
Works Dept. Contractors shall obtain permits to perform excavation or trench work from the California Division of
Industrial Safety prior to commencing underground construction as required by State law. Walls and faces of all
excavations over 5 feet in depth shall be protected by a shoring system, sloping of the ground, or other equivalent
means. Trenches less than 5 feet in depth shall be guarded when hazardous ground movement may be expected.
7. The Public Works Department Inspectors must inspect all work in the Public right-of-way. Forms and subgrade must
be inspected and approved before concrete is ordered/poured. Sewer, pipelines, and subgrade construction must be
inspected and approved before backfilling, or applicant may be required to excavate site. Separate Utilities
Department or General Services Department inspections may be required depending on scope of work performed.
8. All trench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed
over or within 5 feet of any City utilities, unless approved by the Public Works Department. Locate and pothole
existing City -owned utilities (ie: water, sewer, or street lighting conduits) to verify locations. Maintain a one -foot
clearance over or under existing City -owned utilities. Sewer cleanouts require VCP or PVC SDR35 be used with a
41T box over the riser.
9. Property lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All
signs, flags, lights and other warning and safely devices shall conform to the requirements of the current "Manual of
Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways', issued by the
California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10.00
per barricade per day, with a minimum charge of $35.00. It is the responsibility of the applicant to place barricades to
protect the general public. Access to fire hydrants must be maintained at all times.
10. Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day
weekend, summer between June 15 and September 15, and during the holiday season from December 19 to
January 1, unless approved by the Public Works Department.
11. Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to
acquire a Temporary Street Closure Permit from -the Public Works Department. Access for fire, police and
emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control
Handbook (WATCH). No nighttime traffic lane closures, unless prior approval has been granted. Any lane(s) closure
on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday), unless approved by
the Public Works Department. Any work affecting the State Highway's traffic or within the State Highway right-of-way
Will require a Caltrans Permit. All vehicles shall be lawfully parked.
12. This permit does not authorize the closure of sidewalks, streets, or alleys for construction access, storage of
materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure.
13. Applicant must notify USA at 1-800-227-2600 2 days before starting any underground construction. Applicant
must notify all affected residents 24 hours in advance of restricted access and any inconveniences.
14. Refuse or unused materials shall be removed within 24 hours after completion of the work. If not removed, the City
may remove and bill the applicant. Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066
for the collection schedule so service is not interrupted. To place a dumpster or materials in the public right-of-way, a
Temporary Street Closure Permit must be obtained from the Public Works Department.
usyq,A I'C I I EIS; ONTRACTOR
of'Anyr vatio ai0fl0-42-? 133
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)
Ycertify that I have a Certificate of consent to self-insur Certificate of Worker's
Compensation Insurance, or a Certified Copy th
Date: It Signature: _,�'
e
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
I certify that in the performance of the work under this permit, I shall not employ
any person so as to become subject to California Worker's Compensation Laws. If,
after signing this certificate I become subject to the Worker's Compensation
provisions of the State Labor Code, I must comply with the provisions of Section
3700 or this permit shall be deemed revoked.
Date: Signature:
CONTRACTOR LICENSE EXEMPTION
As the Owner of the benefiting property, I certify I am personally performing all
work in the Public Right -of -Way.
Date: Signature:
HOLD HARMLESS STATEMENT
I understand that I am locating minor encroachments within the City Right-of-
Way/Easement. As property owner it is my responsibility to maintain the
encroachments. I will be responsible for replacing the improvements if the City
removes them for maintenance of utilities or other public need. I shall indemnify
and hold the City harmless for any liability associated with the minor
encroachments.
Date: Signature:
1 hour notice for Encroachment Permit Insp c ion is required by calling
ublic Works at 949-644-3311.
15. Any above ground utility facilities will require documen ed approval from the adjacent
affected property owneds).
16. Homeowner, contractors, and subcontracotrs may each be liable for violations of Water
Quality Laws. Best Management Practices will be enforced. It is against the law to
discharge construction debris into the gutter and storm drain. Felony violations of Water
Quality Laws are punishable by fines up to $25,000 and/or up to three years in State
prison plus the full cost to clean up an illegal discharge or spill.
17. If a refundable deposit was paid, applicant must submit a Soils Compaction
Certificate or Evidence of a Slurried Backfill and request a final inspection from the.
Public Works Department. Monies may be held for six months after final inspection
before a refund will be processed.
18. No trees in the public right-of-way shall be planted, removed, trimmed, or relocated
without approval from the General Services Department.
19. All work in the public right-of-way must meet the approval of the Public Works
Department or corrections will be required (i.e. removals, exposing connections,
etc.). Additional inspection fees may be required.
20. Permit is for standard materials in the public right-of-way only, unless previously
approved by Public Works and an Encroachment Agreement has been processed.
21. Permit is valid for "description' of work noted on nt only. Additional work
performed may require issuance of a separate permit nd *,additional fees.
FESAI
f H °k L
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n � "y}E f sv .Y+ms i2r .v tr � a i x ar }n � y{ s' v}y � t� i'�
q � (l•
�ff? y:�
All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS:
PERMIT
l 3lockklnisr n Si-,7
N2017- 0�103
2.40
NUMBER:
A PLICA T:
ble0.
Permit Processing Fee:
Qtv.
Inspection Fee:
Q
Public Works Only
$241.00 I I
Public Works Field Inspection
$165.00 0
Other Department
$275.00
Utilities Field Inspection
$121.00
General Services Inspection
$165.00
Agreement Fee:
Water Quality/Artificial Turf Inspection
$108.00
Preparation of ReporUAgreement
$817.00
Document Recordation Fee
$192.00
Refundable Deposit:
TBD
Monitoring Wells
$502.00
Improvements
TBD
Street/Alley/Walk Closure:
$65.000
Newspaper Rack inspection
$108.00
Traffic Control Plan Check
8-1/2" x 11"
$65.00=
Sewer Connection Fee
$250.00
24" x 36"
$143.00
4TT Box & Cover
$64.00
Additional
I THE FOLLOWING ITEMSRE APPROVAL FROM THE Revenue Division -
t REVENUE DIVISION
PRIOR TO -PAYMENT OF FEES Approval:
R,TCr
�
1
Qty.
Qty.
(Water Meter:
Installation Charge $528.00" 'I
13/4" Meter
$50.25
Water Meter Boxes:
II" Meter
$121.50
For Parkway & Sidewalk Area (Box + Cover= Cast 1
11 1/2" Meter
$285.00
1" Meter: 13.00 + 37.00 $50.00�
11 1/2" Turbine Meter
$700.00
2: Meter: 27.00 + 61.25 $88 25
1
12" Meter
$425.00
12" Turbine Meter
13" Meter
$845,00
$3,310.00
For Traffic & Alley Areas (Box +Cover = Cost)
1" Meter: 13.00 + 38.00 $51 00 1
14" Meter
$4,730.00
2" Meter: 27.00 + 162.00 $189.00P!
Certificate of Compliance Fee (+100% of hrly over 3 hrs)
$288.00
5200-5029
Development Services Fee (Plan check hourly)
$155.00
5200-5015
Final Tract Map Checking Fee
$2,488.00
5200-5026
Final Parcel Map Checking Fee - Moderate
$2,488.00
5200-5027
Lot Line Adjustment Fee
$1,079.00
5200-5028
Park Dedication Fee Zone _
TBD
405-470_
Street Easement/Vacation Fee (+100% of hrly over 4 hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBD
030-2284
Engineering Tech:
Total Amount Due:
For Finance Use only
Permit Specialist
Receipt No.
flusers/pbw/sharedlencmach/mastemlep front and back masteml
Rev. 1/5/2017
epfeesheetbs-revised 1021/2016
' Almendralo, Rodi
From:
Noble, Brian <brian.noble@cablecomllc.net>
Sent:
Thursday, August 03, 2017 7:16 AM
To:
Almendralo, Rodi
Subject:
2401 Blackthorn St, Newport Beach Permit Request
Attachments:
2401 Blackthorn St, Newport Beach SOWjpg
Good morning Rodi,
I need to get a permit to open up the street and fix a damage conduit in the SOW i am sending over I think
the tree is damaging the conduit system.
Brian Noble
Field Supervisor
CableCom of California, Inc
1251 N Jefferson St.
Anaheim Ca. 92807
Cell: 714-681-3554
Phone:714 666 2400 Ext. 240
Fax:
Email: brian.noble@cablecomllc.net
This email, and any documents which may accompany it contain information which is intended for use only by the
individual to whom it is addressed, and may contain information that is privileged, confidential and/or exempt from
disclosure under applicable law. If the reader of this message is not the intended recipient any review, disclosure,
dissemination, distribution, copying or other use of this message or its substance is strictly prohibited. If you have
received this message in error, please contact me immediately to arrange for return or destruction. Thank you.
This email message, and any documents which may accompany it, contain information which is intended for use only by the intended
recipient(s), and may contain information that is privileged and/or confidential. If you are not the intended recipient of this message
you are hereby notified that any review, disclosure, dissemination, distribution, copy or other use of this message or its attachments is
strictly prohibited. If you have received this message in error, please notify the sender by reply email, delete the email from your
computer and destroy all copies of the communication and any attachments.
W101-1- 01+03
6/14/2017 City of Newport Beach Page 5 of 5
6:34:26AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 08/14/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 2401 BLACKTHORN ST
A/PID Information:
Activity : N2017-0403
SubType:
Status : APPROVED
OWNER: KRUSE JOHN W Phone: 0
APPLICANT: CHARTER COMMUNICATIONS Phone : 714-681-3554
Description : Pothole to repair damaged CATV conduit. Pavement restoration per City Standards.
Requested Inspection(s)
Item: 10050 EXCAVATION- PW
Requested Time: 8/14/2017 12:00:00AM Requestor: WEBUSER
714-448-7472
Entered By: WEBUSER
Comments: ANY -Asphalt pot hole fix conduit
Assigned to: zzzzzzzzuz` I
Inspector: i Date: r I g 17 Time: b l 5� A PM
Comments: l iAAk6i bb-0-1J IE - <�L i-4,F-D' `h -I ITIA
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc
8/16/2017 City of Newport Beach Page 3 of 11
4:30:34PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 08/17/2017
Inspection Type: ENCROACH
'd Inspection Area: PW
Site Address : 2401 BLACKTHORN ST
SubType:
Status: APPROVED
OWNER: KRUSE JOHN W Phone: 0
APPLICANT: CHARTER COMMUNICATIONS Phone : 714-681-3554
)escriotion : Pothole to repair damaged CATV conduit. Pavement restoration per City Standards.
Item: 10050 EXCAVATION- PW
Requested Time: 8/17/2017 12:00:OOAM Requestor: WEBUSER
714-448-7472
Entered By: WEBUSER
Comments: ANY -Asphalt pot hole fix conduit
Assigned to: zzzzzzzzzzz'
Inspector: Date: W 1-7 Time: AM PM
Comments:
file
F:\Users\PB W\SharedlENCROACH\MASTERS\FORMS\InsaectorSheet.doc
REPT131 Run Id: 4018
Vulcan
Materials Company
Calmat Co.
SANTA ANA HMA
1401 E WARNER AVENUE
Shipping Location: SANTA ANA, CA 92705
714-546-0622
Danger
Read important health information on reverse.
Peligro
Lease la informacitin importante pare la salud an el reverso.
RECEIVED BY: WEIGHMASTER:
X RYAN SHADE
DATE:
8/24/2017
TIME:
9:42AM
PLANT: '
4948-221 SANTA ANA HMA
TICKET NO:
19005834
WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was Welgfi7� ored, ieasu
or counted by a welghmaster, whose signature is on this certificate, who is a recognised authority of accuracy, as
prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions
Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture.
We make deliveries Inside the out line at the customers risk only and accept no responsibility ermsoeveriord amage rasuding lrom such aellvenes
ALL SALES AND DELIVERS MADE SUBJECT TO SELLER'S GENERAL TERMS AND CONDMONS.
AS CARRIERENCED BY SHALL BE RI SPONSIkURE E FORENOi�RNGFSELLLLERELLER'S FACUTY CARRIER WHEN ANY TRACK OR TRAILERRHASEDGES THAT CARRIER BEEN OVERLOADED SOSAS TOLRENDERRIT TBLE OUT OFRTHE ACCURACY OF COMPLIAN[ WITH ANYIS VEHICLE'S APPLICABLE WFGEWEIGHT HT LIMITS. OLTHEEIGHTS AND GROSS MAXIMUM EXTENT ALLOWED
BY LAW, CARRIER SHALL INDEMNIFY SELLER FOR ANY LOSS CAUSED BY OVERLOADING.
TRUCK TARE AND GROSS WEIGHTS ARE DETERMINED WITH THE DRIVER IN THE VEHICLE.
CUSTOMER: 213975
CK#:
CUSTOMER PURCHASE ORDER:
GOVT CONTRACT.
CABLECOM LLC
15061
ORDER: FOB SANTA ANA*
ZONEJMILES:
32369 FOB
SANTA ANA
DESTINATION:
FOB SANTA ANA*
PICKED UP OR DELIVERED:
BLACKTHORN
FOB 2401 BLACKTHORN
NEWPORT BEACH
PICKED UP
PRODUCT: 300807
COMMENTS:
203 3C3 PG64-10
TRUCK NO.:
CBL LICENSE: 63776J1
CARRIER: WQ89 VEHICLE TYPE:
76A
TRAILER I ID:
CUSTOMER PICKED UP OUST-UNCL
TRAILER 2 ID:
TARE DATE: 012412017 TARE EXPIRES: 09/01/2017
GROSS LETS
TARE LEIS Iseele 0)
NET LBS
•
• aLOADS TODAY
FREIGHT TYPE A AXLES 0
21,040
17,060
3,980
1.99`
1.9 ;;;'; 1
GROSS LGL WIT 26,000
GROSS kg
TARE kg
NET kg
NET AVID
Mg TODW',)rt "ARRIVE JOB TART UNLOAD FINISH UNLOAD
CASH SALE ONLY
MATERIAL
HAUL
aver
as a
JOB TIME
DELAY TIME
PER TON
TOTAL
Tax
.{Z1
\\wcn4948xv Sly. SNApex\MPORTNv CrxienrCHLETTER.Re$TANDING/ HAUL TIME APPROVAL f;..,'(,
VMC-1850,02P1 Rev. 06115 �, yz v� it
f
r
Mezcla de Pavimentacion de Asfalto
Asphalt Paving Mix
DANGER
May cause cancer (Inhalation)
Suspected of damaging the unborn child
May causes damage to organs 44>
(lung/respiratory system, adrenals, bone
marrow, liver, lymph nodes, kidney,
stomach, and thymus) through
prolonged or repeated exposure
Prevention
• Obtain special instructions before use. Do not handle
until all safety precautions have been read and
understood.
• Do not breathe dust, fume, or vapors. Use only outdoors
or in a well ventilated area.
• Avoid contact during pregnancy and while nursing.
• Wash hands thoroughly after handling.
• Do not eat, drink or smoke when using this product.
• Wear protective gloves, protective clothing, eye
protection, and face protection.
Response
PELIGRO
Puede causer cancer (Inhalaci6n)
Sospecha de danar el feto
Puede causer dano a 6rganos (pulmones/sistema
respiratorio, glandulas suprarrenales, m6dula 6sea,
higado, ganglios linfaticos, rinon, est6mago y timo) a
travels de la exposici6n prolongada o repetida
Prevencion
• Obtenga instrucciones especiales antes del uso. No
maneje haste qua haya leido y entendido todas las
precauciones de seguridad.
• No respire polvo, humo o vapores. User unicamente al
afire libre o an 6reas bien ventiladas.
• Evite el contacto durante el embarazo y la lactancia.
• Lavese bien las manos despu6s del manejo.
• No comer, baba ni fume cuando utilize este producto
• Use guantes de protecci6n, rope de protecci6n, gafas de
seguridad y protecci6n pare la care.
Respuesta
• Si expuestos o preocupados: Consiga consejo/atenci6n
• If exposed or concerned: Get medical advice/attention. m6dico.
• Get medical advice/attention if you feel unwell. • Lave Is ropa contaminada antes de reutilizar.
• Wash contaminated clothing before reuse.
Storage
• Store locked up.
Disposal
• Dispose of contents/container in accordance with all
local, regional, national, and international regulations.
Heated materials can cause thermal burns. Fumes from
heated asphalt may be irritating to the eye, nose, and
throat.
Crystalline silica is known to the State of California to cause
cancer.
Read the Safety Data Sheet (SDS) before handling this
product to determine the appropriate ventilation or respiratory
protection necessary to safeguard your health. The risk of
silicosis or lung cancer depends upon the duration and levels
of silica exposure in the workplace.
SDS can be obtained at
www.vulcanmaterials.com or by calling
1-866-401-5424.
Almacenamiento
• Almacenar bloqueado.
Eliminaci6n
• Deseche el contenido/contenedor de acuerdo con todos
los reglamentos locales, regionales, nacionales e
internacionales.
Material caliente puede causer quemaduras t6rmicas. Los
vapores del asfalto calentado pueden ser irritantes pare
los ojos, la nariz y la garganta.
Estado de California reconoce que la silice cristalina causa
cancer.
Lea la Hoja de Ficha de Datos de Seguridad (SDS) antes
de tener contacto con este producto pare determiner la
ventilaci6n apropiada o la protecci6n respiratoria necesari
pare proteger su salud. El riesgo de Is silicosis o del cancer
pulmonar depends de la duraci6n y de los niveles de
exposici6n a la slice en el lugar de trabajo.
Puede obtener un SDS an
www.vulcanmaterials.com o llamando al
1-866.401-5424.
8/23/2017 City of Newport Beach Page 18 of 18
4:30:38PM INSP150 - Daily Inspection Request Report
Requested Inspection Date :
08/24/2017
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
2401 BLACKTHORN ST
Activity :
N2017-0403
SubType :
Status:
APPROVED
OWNER: KRUSE JOHN W Phone : o
APPLICANT: CHARTER COMMUNICATIONS Phone : 714-681-3554
)escription : Pothole to repair damaged CAN conduit. Pavement restoration per City Standards.
Item: 10020 PERMANENT PAVING- PW
Requested Time: 8/24/2017 12:00:OOAM Requestor: WEBUSER
Entered By: USR
Comments: `'PM-
s
Assigned to : zzzzZZzzzzz"
a _t<
Inspector: V
Comments: 471P'9'7l1l77e-
714-453 7868
Date: Y 17 1117 Time:
Logged
etiie
F:\Users\PB W\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
/dJiNUT1l
..._ ...... ......
REPT131. Run Id: 4018
9i512017 City of Newport Beach Page s of 11
634:25AM INSPI50'- Daily Inspection Request Report
Requested Inspection bate: 09/05/2017
Inspection Type: ENCROACH'
Inspection Area : PW
Site Address: 2401 BLACKTHORN ST
Activity : N2017-0403:-
SubType:
Status : APPROVED
OWNER: KRUSE JOHN W Phone: 0
APPLICANT: CHARTER COMMUNICATIONS Phone': 714-681-3554
Description : Pothole to repair damaged CATV`conduit: Pavement` restoration per City Standards.
Item: 10250 FINAL - PW
Requested Time: 9/5/2017 12:00:OOAM Requestort - WEBUSER
714-681-3554`
Entered By: WEBUSER
Comments: ANY -Final Inspection permit close out
Assigned to: z777777777*
Inspector: Date: 1S` Time: AM M
Comments: DIGS/lr/,aL
F:\Users\PB\AAShared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
i