Appendix H - CES Outage Request Form 2024.pdf

Date:__________ MEMORANDUM FOR: 502d Civil Engineer Squadron/CEO

FROM:Office Symbol/Company:

Requestor:

Requestor’s phone:

SUBJECT: Notification of Utility Outage: Control # (CEO):

Work Order/Project # (CE):

1. Type of Outage:

Electrical Gas Sewer Sprinkler Wet Pipe

Water A/C Heat Fire Alarm

Project/Bldg Manager

Phone Initials Date/Time Bldg. No Number

Sanitary Sewer (SARA) Fire Department, EMCS, Structure Maint, B-700 H-62

B-871

(210)-965-8574

210-353-2345

HVAC Maintenance, B-2 LV Electrical System, B-891 Utilities (Water), B-2 Water Distribution

HV Electrical Systems

SARA

Fire Prevention Michael Goreczny Hugo Mora Dora Marcelino Segura

302-4200 652-6915

652-3151 652-5820

652-3607 652-7612 652-3202 Edward Thomas

Irvin Russell awjbsaservicedesk

@amwater.com

CPS Energy Base Housing Office, B-144 Samuel Ezernack 652-1840 Electrical Mech Rms, B-891 Alex Pellom Communications SQ, B-379 Com Focal Point LAK

502cs.cfp@us.af.mil

652-2442 925-2666-opt# 3

____Approved ____Disapproved

(Requestor’s Signature) (Date)

Date: ________ Mr. Brian Martin / Mr. Alfred Gleason Mr. Gerard Guajardo / Mr. Emamimarand

*Instructions/Policy Letter on Reverse

Fire Alarm Shop, B-891 Arthur Marin 652-2442

N/A

2. Dates of Outage: - Duration/hours of outage:

Description of outage __________________________________________________________

3. Person(s) Contacted Must Initial or digitally sign Outage Request Form:

mailto:awjbsaservicedesk@amwater.com mailto:awjbsaservicedesk@amwater.com mailto:502cs.cfp@us.af.mil

UTILITY OUTAGE POLICY LETTER

1. The requester will process this request 10 days prior to outage.

2. The requester will note the type of outage on the Utility Outage Request Letter and inform the users/Facility Managers (FM) what services will be affected. The FM is responsible for notifying all occupants in his/her facility.

3. The requester will indicate which facility the outage is for and any other buildings that will be affected by the outage.

4. Facility Managers or PM will initial the outage letter and provide date and time notified. All other personnel/sections affected by the outage will also initial the request form.

5. The requester will annotate the duration of outage including the estimated start and completion dates/times.

6. The requester will provide a brief description of work planned during outage and reason for the outage.

7. When Military Family Housing is affected by an outage, CEH will notify family housing units by flyer, phone, TV or Channel 21. CEH will sign outage form vice building occupants. CEH or 502 ISG/CE will inform General Officers personally.

8. The requestor will coordinate electrical distribution outages with Mr. Robert Bailey, Electrical

Systems Supervisor. Utility outages (water) will be coordinated with Mr. Montemayor, Utilities Supervisor. Gas systems will be coordinated with CPS Energy at 210 353-2345. Sanitary Sewer outages will be coordinated with San Antonio River Authority (SARA). Transformer outages will coordinated thru CPS Energy at 210 353-2345. Water Distribution outages will be coordinated thru American Water at 210-965-8574.

9. For outages affecting buildings other than housing, the requester must notify Employee Relations prior to the outage.

10. After the outage, the requester will perform an inspection with the Facility Manager to ensure all equipment is operational.

11. Emergency utility outages will be handled on a case by case basis. Ensure the Base Civil Engineer is notified and briefed on reasons for the emergency outage. A utility outage request will be processed as soon as possible and filed for record.

MEMORANDUM FOR: 502d Civil Engineer Squadron/CEO Date: