Sheet1 (2) by UQrhZ9

VIEWS: 8 PAGES: 2

									                            Pothole Field Data                                                Pothole Field Data

 Test Hole No.:                                                    Test Hole No.:

                      Meters                    Feet                                    Meters                    Feet

         RP1H                                                              RP1H

         RP1V                                                              RP1V

         RP2H                                                              RP2H

           RP2V                                                              RP2V
Original Ground                                                   Original Ground
 Depth      OGV                                                    Depth      OGV

     Measured                                                          Measured
  Dimension of                                                      Dimension of
     Structure:                   mm                        In.        Structure:                   mm                        In.

  Type of Utility Structure                                         Type of Utility Structure
                   Direct Buried Line                                                Direct Buried Line
                   Concrete Encased Duct(s)                                          Concrete Encased Duct(s)
                   Trenched Conduit in Aggregate Backfill                            Trenched Conduit in Aggregate Backfill
                   Other:                                                            Other:



  Note: A reference point (RP) may be a pavement                    Note: A reference point (RP) may be a pavement
        nail, hub & tack, or permanent feature.                           nail, hub & tack or permanent feature.
        H = Horz. & V = Vert.                                             H = Horz. & V = Vert.


       Please submit sketch and survey notes along                       Please submit sketch and survey notes along
       with this information.                                            with this information.
                            Pothole Field Data                                                Pothole Field Data

 Test Hole No.:                                                    Test Hole No.:

                      Meters                    Feet                                    Meters                    Feet
 Pavement nail                                                     Pavement nail
            RPH                                                               RPH
 Pavement nail                                                     Pavement nail
            RPV                                                               RPV
     Hub & tack                                                        Hub & tack
            RPH                                                               RPH
     Hub & tack                                                        Hub & tack
            RPV                                                               RPV
Original Ground                                                   Original Ground
 Depth     OGV                                                     Depth     OGV

     Measured                                                          Measured
  Dimension of                                                      Dimension of
     Structure:                   mm                        In.        Structure:                   mm                        In.

  Type of Utility Structure                                         Type of Utility Structure
                   Direct Buried Line                                                Direct Buried Line
                   Concrete Encased Duct(s)                                          Concrete Encased Duct(s)
                   Trenched Conduit in Aggregate Backfill                            Trenched Conduit in Aggregate Backfill
                   Other:                                                            Other:

								
To top