01 78 39 - Tap Card - Project Record Documents.pdf

PDF 107 KB Posted

Attached to
Water Main Replacement Project Phase 4 Contract No. WR-4
Solicitation number
Not on record
Issued by
Lancaster County, Pennsylvania

About this file

This is a service record document form used by Capital Region Water to document tap card installations and water service line work. The form, titled "Record of Service" and "Report of Tapper," is designed to capture detailed information about water main service connections and replacements. The document records essential project data including water main specifications (size, material, depth), service line materials and distances, and documentation of any lead gooseneck removal. The form tracks whether service lines were replaced between the curb stop and building, specifying the materials used in each section of the installation. The "As Built" section requires contractors to document the installation of corporation stops, curb stops, curb boxes, detectable tape, meter pits, and meter sizes, along with a completed diagram showing accurate distances. This particular form was completed by contractor Daria Zwart and includes a checkbox system for verifying whether lead materials were present and removed during the service line work.

The document serves as an official record-keeping tool for water utility infrastructure projects and does not contain pricing information, funding sources, bid deadlines, or procurement terms. Instead, it functions as a standardized field documentation form that contractors and water authority personnel use to certify completion of water service installation work according to specification. The form's comprehensive checklist approach ensures that all critical components of service line work—from main connection through building connection—are properly documented for regulatory compliance and quality assurance purposes.

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Text version

Capital Region Water - Service Card

*Record of Service* *Report of Tapper*

Project Date: Water Main Size: IN. Main Material:

Service Address: Depth of Main (Top of Pipe): FT. IN.

Depth of Service at Curb Stop: FT. IN.

Material Size Quantity Distance from Main to Curb Stop FT. IN.

Service Saddle Was a lead gooseneck present and removed at main? (Y/N) __________

List service line material removed between main and curb stop: _________

Was the service line replaced between the curb stop and building? (Y/N)___

If NO – List existing service line material reconnected to on building side: ________________

If YES – List the new service line material between the curb stop and building: _____________

*As Built*

Corp Stop

Pipe (List Type )

Curb Stop

Curb Box

Detectable Tape

Meter Pit

Meter Size

Completed Diagram with Correct Distance on Report of Tapper

Work Completed By:

(Contractor)

SERVICE CARD

Zwart, Daria Rectangle

File details come from the government source that posted it. Updated .