T QFM-FSD-009-003 : aot APPLICATION FOR [Revo oe 4 WATER CONNECTION Date: 03/14/13, = Page 1 of 1 Field Support Department, Utilities Division, Water Network Section REF. No DATE: approv S Department — Engineering Divisi 11 P& ID approved 7 FSEMO) O ~ 12 Pipeline Route approved FSENO0) O FSE2(0) Q 1.3 Layout Drawing of Metering Chamber approved FSEM0) 9 FSE200) Qs | 14 GA, Drawing & Bill of Materials approved FSEMD) Q FSE2(D) Q 1.5 Method Statement for Laving & Pressure Test approved FSEM(D) Q FSEI2D) 9 1.8 Pipeline Construction Inspected and approved FSEMD) O FSE/(D) Checked: | Approved: | SEI) SEO | Date: Date: UPSTREAM — METERING CABINET ~~ 2.1 Method Statement for Flushing, Cleaning and Sterilization approved + FSU/3(D) 9 2.2 Flushing & Cleaning with air/ water mixture accepted FSD) & 2.3 Sterilization Accepted FSU3(D) 24° Date of Tie-in Part Ii (fo be completed by FS Department — Enginecring Division) | DOUINS TREAT =WETERING CABINET — 1 Method Statement for Flushing, Cleaning and Sterilization approved FSE/2(D) 24 o 22 Elushing & Cleaning with air/ water mixture accepted FSEI2(D) Q 2.3 Sterlization Accepted FSEI2(D) 9) 24 Date of Tie-In Part IV (fo be completed by FS Department ~ Business Planning Division) (Meter Number ]Meter Reaaing First Weter Reading Taker BY Date ‘Ene Userr Eu FSP ESP/21(D) FSP/2(D) ESP(D) WN Operator | | | Date: __| Date: | Date: Date | Note: wy of final apy led form to be forwarded ta_F: 4(D) for ce cos I