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BACKWATER VALVE INSPECTION <br /> Vae CHECKLIST <br /> # (4/6)2.3i 4zq( Ce,tl- <br /> Property Address: 2-Cni C? <br /> o/BWV inspected by: L.�v to .i Date BWV was Inspected: : V:3U/0.r, 2g <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? 1►:4 Yes C No <br /> Comments: szovirt 4e) <br /> Does BWV positioning meets minimum slope requirement of>1%? Yes L] No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? Yes ❑ No <br /> Can BWV be secured into the proper position? rK Yes ❑ No <br /> Where is the valve installed (general description, attach map)? <br /> Is the installed BWV considered an 'approved' model by the City of Everett? k Yes ❑ No <br /> Was property owner shown how to inspect and maintain their BWV? lk Yes n No <br /> Does this BWV require repair or replacement? [ Yes [ f No <br /> Comments: " 6 w cr ) s ac..�., erI7 6 sick 64 Gurvtr,,-, <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />