4230 Sandstone Dr - Inspection Forml'07
4
Cil„y firEapo
Residential Sanitary Sewer Service
Compliance Inspection
Date( /
Name Jr.? 11 r Disk #
PID Number.
House Number
Alternative Mailing Addr ess
Compliance
0 No foundation drain connection
(No roof drain connection
Sump pie not connected to
anitary sewer
Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Pi oper ty Owner
Time 1 pm
c Street Name
Owner/Occupant Signature
0
12
o -
7 Die
Non-Compliance
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
Length of Service:
Record Number
Time
Phone,_•
.7r/i.)
ct:fiipector Signature
=
For information call 651.470:2788
Obstruction No Access
Unable to push past 0 No one in
feet
Service Later al Inspection Findings • Number of stacks 1 Entered S L at t
Roots e" 2
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
.
2 7/4/ (4,4, 64-1( r
Tr ansition
7 Final Cleanout:
.s
Notes —
/A-01 C
rr CO
city" ILt70 4,s; ‘5 C--7 1
)off
44.17`
/
Yellow Copy: City of 37-/If. tleCA)
t2 am
1
Prr
O Access to service.
lateral needed
O Inspection
r efused
c7c ,f
Pink Copy: SEH
• Number
Correctly
Discharged
Incorrectly
-
Unknown
Total
Sump pumps
,04,
-
Foundation drains
. %
Roof drains
l'07
4
Cil„y firEapo
Residential Sanitary Sewer Service
Compliance Inspection
Date( /
Name Jr.? 11 r Disk #
PID Number.
House Number
Alternative Mailing Addr ess
Compliance
0 No foundation drain connection
(No roof drain connection
Sump pie not connected to
anitary sewer
Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Pi oper ty Owner
Time 1 pm
c Street Name
Owner/Occupant Signature
0
12
o -
7 Die
Non-Compliance
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
Length of Service:
Record Number
Time
Phone,_•
.7r/i.)
ct:fiipector Signature
=
For information call 651.470:2788
Obstruction No Access
Unable to push past 0 No one in
feet
Service Later al Inspection Findings • Number of stacks 1 Entered S L at t
Roots e" 2
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
.
2 7/4/ (4,4, 64-1( r
Tr ansition
7 Final Cleanout:
.s
Notes —
/A-01 C
rr CO
city" ILt70 4,s; ‘5 C--7 1
)off
44.17`
/
Yellow Copy: City of 37-/If. tleCA)
t2 am
1
Prr
O Access to service.
lateral needed
O Inspection
r efused
c7c ,f
Pink Copy: SEH