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Underground FACILITY LOCATION SKETCH <br />IVI Locators, LLC. <br />a <br />TICKET # <br />LOG #: <br />EXHIBIT C 5 of 5 <br />(719) 471-0229 <br />Area#: <br />Footage: <br />ADDRESS: 5L's <br />EXCAVATOR: <br />How Marked: ? Paint ? Flags ? Nylon Whiskers Print# 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 />TO GET THESE MARKED. ANY MARKS PROVIDED BY UNDERGROUND LOCATORS ARE COURTESY ONLY WITH NO TY. <br />G_ 00 <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 />C? Standby Required <br />Please call 719-471-0229 <br />to schedule a time. <br />4 EXCAVATOR NOTIFIED <br />r (? Name <br />Date <br />AM <br /> Time <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 />V <br />PRINT LOCATOR'S NAME u I Y'\ <br />Signature of person on job site <br />EXTENDED JOB AGREEMENT <br />Our company and I agree that this original locate <br />ticket is an extended job and that locates will be <br />done on a day-to-day basis. No excavating will <br />ke place until signed paperwork is received by <br />Ott pwr Company with the dig area defined. <br />?t <br />? Excavators Signature <br />_s - <br />