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Weather Conditions: <br />Approximate Depth of Service <br />Type and Size of Service Lk" Oa'A <br />Overall Condition of Service Pipe Cut L'm\5 <br />Please note all connections, fittings, points of concern on service line including infiltration, tree root, <br />cracks, misaligned joints, etc. <br />This report must include a digital copy of the televising. <br />Feet <br />Comment <br />Example: <br />0 <br />Start for 4" cleanout in NE comer of Basement <br />1-10 <br />Misaligned joint —Infiltration <br />0 <br />V <br />AD � <br />X <br />o(*) <br />n/1 <br />9'oO� <br />� <br />sAtab <br />0, <br />Notes.: <br />