Status message (*) Mandatory field PLANNING REQUIREMENTS * Request's Date * Requested By: - Select -ContractorSuperintendentSupervisorProject EngineerDirector of ConstructionDeputy SuperintendentChief of Operations * Location of Shutdown: * Requester Name * Date of Shutdown * Requester Email Limits * Reason for Shutdown - Select -Water Main Break/LeakFire Hydrant RepairFire Hydrant ReplacementValve RepairValve ReplacementWater Service RepairWater Service ReplacementRelief of PressureWater Main Replace/Lining * Duration * Duration - Select -8 Hours1 Hour7 HoursOther… Enter other… * Days * Days - Select -17306090120Other… Enter other… Scope of Work * Contractor On Site Rep * Phone Number BWSC Representative * Test Shutdown Required Yes No Test Shutdown Scheduled Date of Test Shutdown * Were all valves accessible/operable? Yes No If Yes, Schedule Nofifications If No Explain Valves in Shutdown Valves Requiring Repair Valves Buried Valve Boxes Requiring Cleaning SCHEDULE REQUIREMENTS - FINAL * Date of Service Disruption * Time of Service Disruption * Date of Service to be Restored * Time of Service to be Restored * Water Main Size - Select -6"8"10"12"16"18"20"24"30"36"42"48" * Pressure Zone - Select -SHSLNHNLSEH Hydrants Out of Service NOTIFICATION REQUIREMENTS * All Effected Customers Notified in writing? Yes No Date Notified If No Explain * Mayor's Office Notified Yes No Verbal/Written Verbal Written Date Notified * Boston Fire Department Notified Yes No Verbal/Written Verbal Written Date Notified * Dig Safe Notified Yes Verbal Dig Safe # Date Notified BWSC Internal Notified OPS CON Yes No Date Notified CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
