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FACILITY LOCATION SKETCH <br />Underground 719 471-0229 <br />Locators, LLC. <br />TICKET # Area#: <br />LOG #: <br />Footage: <br />ADDRESS: <br />EXCAVATOR: <br />iow Markod ? Paint G Flags ? Nylon Whiskers Pnnl# Time Arrived Time Completed <br />PRIVATELY OWNED FACILITIES MAY BE IN DIG AREA. THESE INCLUDE, BUT ARE NOT LIMITED TO, SECONDARY ELECTRIC, WATER, AND AFTER METER GAS SERVICES. IT IS THE EXCAVATORS RESPONSIBILITY <br />rO GET THESE MARKED. ANY MARKS PROVIDED BY UNDERGROUND LOCATORS ARE COURTESY ONLY WITH NO WARRANTY, <br />NORTH <br />? DIG ALERT <br />One or more of the following <br />high profile facilities has been <br />located in or near your dig area. <br />Please pot hole and verify <br />location. <br />? Electric Feeder <br />? Fiber Optic <br />? Duct Run <br />? H.P. Gas <br />? 600 Pair or <br />Greater Telephone <br />? 4° or Bigger Gas <br />? Watch & Protect; <br />Standby Required <br />Please call 719-471-0229 <br />to schedule a time. <br />EXCAVATOR NOTIFIED <br />Name <br />Date <br />AM <br />E - Electric <br />G - Gas <br />TV - CATV <br />T - Telephone <br />W - Water <br />F%O - Fiber Optic <br />DR - Duct Run <br />S - Sewer <br />COMMENTS <br />EXTENDED JOB AGREEMENT <br />Our company and I agree that this original Iota <br />ticket is an extended job and that locates will I <br />done on a day-to-day basis. No excavating v <br />take place unti. signed paperwork is received I <br />our Company v.:,h the dig area defined. <br />PRINT I OCATOR'S NAME I I I I I I I I I I I I _ DATE U U UI Excavators Signature