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2090 Jade Lane - Inspection Form Residential Sanitary Sewer Service Compliance Inspection Record Number Date1?1 Time '1 o PM Name ? J~ Disk # i Time • o pm PID Number' House Number Street Name ! ZIXI Alternative Mailing Address Phone r - An . ~t f OwnerlQccupant Signature r lns¢ector Signature For information call 651.470.2788 Compliance Non-Compliance Obstruction No Access No foundation drain connection O Clear- water, connections to Unable to push past O No one in O No roof drain connection sanitary sewer _ feet O Access to service O Service lateral defects lateral needed O Sump pit not conriected to O Defective manholes sanitary sewer O Sump pump connected to sanitary O Inspection Sump pump properly piped sewer, refused No sump pump O Flexible sump pump piping Service Lateral Inspection Findings Number- ofstacks I Entered S.L at -kjrc,g_ 610 Roots Poor Pipe Joints ineral Deposits SaglPipe Deflection Damaged Pipe Transition L I B f l/vy ~ - J r 4" to 6" Transition: Length of Service:' Final Cleanout: Notes Number Discharged Total Correctly Incorrectly Unknown Sump pumps Foundation drains _ w Roof drains - White Copy: Property Owner n Yellow Copy: City of Eagan Pink Copy: SEH