|
;
<br /> ^�*� BACKWA'�ER PREV�NTION DENICE FiNAL
<br /> ��,�� INSTALLATInN CHECKLI�T
<br /> �, i;i �•, i �:_,,i�d. y 'Jam�:r�r� C:.�;a�; li(u ��7�����5 It��in}(, �NC . ���i �Zti�i -�4�`i�� �.
<br /> �.
<br /> ��...1C�a:%11'3�n� ��fE"1Cf1�lOf1 �C1'ICC �B�.N�:)'AE1F '11�81'ri'� � Z ?J�.�7 _ _ '. �dfa q �c 4:..1� ��w ���I'1.��_:'.'-� �.'��_ �—I I
<br /> �
<br /> e�:'�Pah�� Prope��y O�sre� tiame a��Ce�ilac:t Ir`a — .�1�. G�(�,� -- k� cV C-�— ---- --- - - - - �
<br /> .;��nrt}. flf��jnq� _ __ / /1� V�� %I �(t � I ��Jf/<���1�_�$_i�1 i
<br /> F'�e•Installation Inspection Cl�ecklisl�
<br /> . ,
<br /> .. ,.. . . i,F, �.� � , ,.. � . IA�i�DI:)�CCS":�OC' _'L��O(If'liU�id�'J . .
<br /> ' �In•f., ; �::;;t��•r.� • �.-ie,,• .,�•_r• h���.:r. rq 1: i3 8! 0' ••C8f BSSUff1@�SB'�VP.f�i'�8i0 C�BY81��0���✓Vo� �:; '
<br /> - `r��. ,, �� •��.� 7-cs� I::ated tel„e, U�e upstream s�wer manho�e rim elevabon'� �b��'�s ,�,�� ��
<br /> '
<br /> �� �• � ]•- s::�:r- __. •,�i�;� UIJ�'ZOTECTEC frm sel.er backap< rC�es nof ra�:e a�W� rste t:1�% i;�"����-, � ��1.
<br /> Sde Inspecbor Checklist
<br /> �i,r,�• �'l:5' Cp rhP:^'C7 Y4i�bB�OT :')Sf,'..��(.° �., _'Jnc�,jele•7 �:�5,`7�'?;? .
<br /> .�. �. �, .�,p �p:'FI '\%.�iP°C�B��f7^1 hU'Idl'�g iJ SC:•:Bf RIAI^�� ��PS �_� ��0 �011�l�bf —'.� _—__—'� . '
<br /> ! "��S 5'd0 5@Wff h3:9 5l '985� •e'c 5 O�B�fORI ihC bUl'�'flg IC ScV.�g�P18 f�'� �v�g5 �_�NC �eSCrl�2� ---' ---'—' �
<br /> � :ve �ail b��ld�n� seti���r d�ai�• co�nect�ens to'he sde sewer bee�� i�:r(�I eC a^�J oca',ec? [�ves (� No '
<br /> �+ �:,,F� a'�I a•oe���t��s!��m dra�r�ge comiecliors to the si9e sev:e� t�ee��� dent�t-ed a�d Iccated"� �Yes [� No �
<br /> ..'� (fCJ-'1a Dn "1 ('a3�Jd�CC ��( i�f.1'I(1gB :��±�I'ie"C�BS l:'I"1 ` f 1 f": i L�fTI'_9.('�'���1:-(�..��,1•"� '.'d'n�^ V: rCz. : ��U '
<br /> Irstailation Details� �
<br /> .��ILi':IJI��' �1"1�� I"�i".: U't]1�'t) 'dd5 f9'.i1����j I: '�`.IS SII� �;�P:,I'1 i.h!?lk �`'l'!�� Vf�nGP" �Lf'I(1 C�: � �� K1��-1_1 �_�-{�(C_ .
<br /> .',L�'q �'ni; "�� �.�. . _. '1.Iti'I�:� I�Pf1P,'3� �FS(tl.11',��, 3"3� 'I '1'�.1��' .. . �1�P't�}���f-ti�'J _.. ._._—___ '
<br /> '., ._p �.��.J'I: i��.��., �n.7:'f :I :1!�.i��T(��aqIBQ? WOfk C01'Ip10�@d ill Cpfl'1IPCIIO�Y!I?�1�hf? 9�'.'l'7 Y�"'{'1 �ti Sn ��Ig�7qp l�HSi.. ,�. �_p '.
<br /> . . - - - .. __ .____._'_____'_ _._______ _' _ .__' _ __ ._ ._'_ . . _
<br /> Ins!allation Ghecklisl. �
<br /> , � :.�:���� i.l, :,, �J _�b� �;�a�.r,�yr;d�sconnecled hu�i �psiream of the BWU7 [�-}1'e� (J Ni; i;cnir•��nfs ��
<br /> _��s i��VC ��,»tl o�t ny � i�:�.ts nnnunUm slnpe iequirem^,�t o' �14��'� ��es � )No G�mmenis ---
<br /> --- - -----
<br /> � ,��PbVD br pulletl ouf ipr ��spechen a^tl niaintena�ice aLN• ���csen�rg Ihu�nb�cro�d? (V�Yes � ;No �
<br /> �� I?��U hcked in!o thc ,^.rcper p"s�F�or a^,. I�i,in,t scr�,v I�hlz��ed� j G��Yes � IJo
<br /> „i'�'�r.P1P ��`:��)I;'Yi'f'��yH��!1'1 rOVCf(18f1''j5C8��n_l•t"1 ��'r':��::.�C?'� bBd(Ifll]CUVE" ;l�'IY9 SUf�BCQj i 3C:CSi�18�C�1���U'�(�Ifl!1�
<br /> �r d��NO�IB(�Y �:':,`p� Sh.�Y1^. 1'lr+ ��'l:a'R'G 0�'1 n �9q(l .�,� yiq���'l �PS � NJ CiC�91f1'l:'1�5 .
<br /> i
<br /> � .�:rrty� O�c�r.' , ��:r a'�r�. �(1-'}i � '>_ � ,
<br /> :7--�! -�i°�`'''- ---- DailF �� , �
<br /> __.
<br /> J --- ` ---� -- — —
<br /> ;�, ----
<br /> ---
<br /> i . ,�. , ,�, ,,. _ �. , � -� ,
<br /> , _. _r..- �^' — La�..
<br /> — �_ _ _.�_v ���- --- -- '
<br /> o , ,. i ib'..,id;q, y...iwnib��r -��. .':I�,t .
<br />
|