HomeMy WebLinkAbout1058 Loma Linda Avenue - Point Of Sale Inspection - Compliant_ TaslE # 99y 2a
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`'' r Point of Sale Sanitary Sewer Service 1&1 Compliance Inspection Form
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Owner Information
Name:
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Mailing Address:
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Phone:
Email:
Ins actor Information''
Name•
Company/ Organization
tty o rono
Hi view Plumbin
License number:
Phone:
952-249.468b 1612-916-1685
Email:
Ins ction
S stem
Standard
Pass
Fail
Roof Drains
Roof drains and leaders Roof drains should not be connected to the sanitary
sewer but should discharge to the ground outside of a building. If the xno.f
drains are wnnccled tv the sanitary sewer, diswnnecl them, plug any open
connections to the sanitary sewer using anon -shrink permanent material, and
redirect the roof drains onto the ound outside the buildin .
Foundation
Foundation drains art underground pipes that collect storm water from
Drains
around the base of a building and into a sump basket, where it is then
pumped outside of the building. Foundation drains should not be connected
to the sanitary- sewer.
Sump Pumps
Sump pumps are designed to capture surface or ground t�vater that enters
basements or crawl spaces and pump it away from the house. The basic sump
system includes drain tile, a sump pit, a sump pump, a float nr switch, and a
drain line. Sum pum s should not be connected to the sanita sewer.
Sewer Service
Sanitary Sewer Inflow &Infiltration (I/I) Compliance Inspection Sanitary
Line
Sewer Lines. All sanitary sewer lines serving Property, from the house to the
main line, shall he in a safe and functional condition and shall be free from al!
leaks, failures including but not limited to partially collapsed sections or tree
root intrusion. The sanitary sewer lines shall meet the Cite Code standards and
s ecitications. Details on back of this sheet
Notes:
Toilet Removed
o Yes o
For Ins action:
Ins actors
Si ature: �
Date: d-S"�'
Owners Si
nature:
Date:
Ci Review
Com liant
U Corrective Action Re uired
Certificate of Com liance Ex Tres: 1 �o ,ZO
Corrective Action Due b
Date:
11 6 /aoas
Si ature•
Name: a�,� N�L�ti..
Service Line inspection Details
Weather Conditions:
i
A2proximate Depth of Service
Type and Size of Service
Overall Condition of Service Pipe
(Please notelall ¢onnecttons; fittings, points of concern on service line including infiltration, tree root,
cracks, misaligned joints, etc.
This report must, include a digital copy of the televising.
Feet Comment
Example,
0 Start for 4" cleanout in NE corner of Basement
1-10 Misaligned joint —infiltration
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0 (4SI rRd STAL ,b'C-HT A/+ ATc At
EAT
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I f r5AIAi- c 10
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Notes:
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