4725 Weston Hills Dr - Inspection Form
Compliance Inspection
Uy of Min Sanitary SeNver Service -17
Datell C3 Time if am~T Inspection Number _
Name .~r r) I- DVD# -Time: oam
1116M
l~~e 7ber ~C Street Name
1 ~t
Alter) ntiv i ingAddress Phone
OwnerlOccupant Signature r f ' Inspector gnature
Compliant -
ForAppointments Q Non-Compliant 612.219.4231
0 Incomplete Inspection
Service Lateral Inspection Findings Number of stacks Entered S. L. at Roots
Poor Pipe Joints
-
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Notes/Other t'r_
4" to 6"Transition: Length of Service: - Final Cleanout:
Sump Pumps and Foundation grains Notes
Sump Pumps Foundation rains
rJ''f ),ald ~jfC
Number: Number:
Number Discharged: Number Discharged:
Correctly Correctly . vv 77 t 1
Incorrectly _ Incorrectly f
r'
Unknown ~ Unknown •~^{!~G ~~•'V c.:? <~..s • 3
Further Investigation C S 1 f < / r
0 No one home - left notice on door
77.
0 Access to Service Lateral needed
0 Cover replaced Time A, 0 17
O Obstruction s~
0 Review Video
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH