Project: Location: Date/Time: Crew: Omaha FM CS0 205 3-4-10 / 11:00 JN-RC MH#: Pipe Shape: Pipe Material: Pipe Size (in): CSO 205 Square Concrete 144” x 119” Site ID: Address: Site Quality: Basin: 2 64th & Dupont Good
Location Map Planar Description
Summary Description:
Site Hazards Measurements Site Conditions
Heavy Traffic? No Manhole Depth (ft): See drawings Surcharge Evidence? N/A Needed Traffic Attendants: 0 Manhole Dia. (in): See drawings Depth of Surcharge (ft): 0 H2S: 0 O2: 20.7 MH Cover Size (in): N/A Depth of Debris (in): 0 LEL: 0 CO: 0 MH Cover Type: N/A Usable MH Steps? No Describe potential hazards: Measured Flow Depth (in): 5 Meter: ADFM Velocity (fps): 0.50 Cellular Signal Strength: Good Mounting Band Description: Antennae Install Considerations: Plate w/ conduit for A/V will need 75’ Antennae may work in structure. If not + or – of Probe chord to hang meter will need at least 50’ antennae chords outside lines to reach outside.
Other Comments: Permanent Power Available?
Not sure, in structure w/ no visible power might get power from structure. Page 2