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�,�''`_,y L�G�1.�C��11fG-���fC�C� ��,' P �,�C 6G\����C1�CG�'GV <br /> ,_ � r <br /> ��� Ef/—Lr ,C.�pL�_F � <br /> � �Ull L��',,s�Lit.�E��� <br /> +(111'� 7.c+U 3 S 4 - (na S(t, <br /> Property Address:� 2S � � _ <br /> f � <br /> BVVVinspeclad6y: L S�I��.u�',� _ DateBWVwaslnspected: : <br /> �Jo �3w� — R�..k�( N��,�— <br /> Inspection Checklist <br /> Arc.� all dov,nspouts and site drainage discornecfed from upslream of lhe BN�V? [�-] Yes'f"'�f No�1 �E �rne'� <br /> ew..�' r <br /> Comments: �Joulcf �i�L�- �0 tl15LJl�nGC'' �n5{' j15 '— (C [�u.-•.S�n.�3 c��crn..�.ar_'�_arzl <br /> 1 <br /> Does E�VdV positioning meels minimum s!opz requirement of>1°ia? ❑Yes ❑ No <br /> Comments: NP <br /> Cnn E3VdV be accessed (or inspection and maintenance? ❑Yes ❑ fJo N'� <br /> Can BWV be secured inlo the proper posifion? ❑ Yes ❑ No NA <br /> VJhere is the vaive inslalled (general descriplion, adach map)? NA _ __ __ <br /> is the insfalled BWV considered an 'approved' model by lhe City o(Everell? ❑Yes �f No NP <br /> Nla., property owner shown how to Inspecl and mainlain lheir BWV? ❑ 'Yes ❑ No rJ1� <br /> �oes this BWV require repaii or replacement7 ❑ Yes [] No <br /> Comments:. Ilos ��aoY ��n�� n� �� P1F cp��t� �F lr+uvo�Gn� , rrin�f�„_....� <br /> 4r,I.� �.h«�� „pl�,e <br /> , <br /> Inspeclnrs .,i{�na�ure _ _ -- -- )�L - --- --- -- — <br /> lir�vr.inn_ 7 Tin�-day, S��p�cmbar J3, 2il i�i - <br />