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2035 Shale Lane - Inspection FormDate 07/ c/ 1 PID Number_ Damaged Pipe Transition 4 - 4" to 6"Transition: Compliance 'No foundation drain connection No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped No sump pump White Copy: Pr opet ty Owner City ot tapo Residential Sanitary Sewer Service • Compliance Inspection Name Disk # Service Lateral Inspection Findings Roots Poor Pipe Joints Mineral Deposits Sag/Pipe Deflection 7/ • 0 am Time c,') • gf pm House Number. Street Name Owner/Occupant Signature • Alternative Mailing Address For iilformation call 651.470.2788 Non-Compliance O Clear water connections to sanitary sewer O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer O Flexible sump pump piping — ( Number k L ber of stacks Entered S at r' Length of Service: Yellow Copy: City of Eagan Record Number _ T ime Obstruction Unable to push past feet / M Y ' Notes •••■ „••■- ■••■•••• ■•■■■■ • • ts pa; • _ ( / Rhone 4711 j-ze inspector Signature Final Cleanout: No Access O No one in O Access to service lateral needed O Inspection refused Pink Copy: SE H