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SUPERVISOR <br />M&O S ,tVISOR <br />ACCEAEJECT <br />4:5�t <br />An <br />* - INDICATES LIVE LATERAL <br />Iff <br />Severity Rating <br />QUADRANT NUMBER <br />STREET SURFACE: ` 1 <br />``{� 1fy�� ` p <br />CHART NUMBER: <br />ti <br />CREW LEADER: �� o u <br />Date: <br />SEWER SYSTEM T. V. INSPECTION <br />BLOCK <br />STREET <br />TAPE <br />COUNTER <br />DISTANCE <br />QUADRANTX1S�i <br />REMARKS <br />N <br />FROM MANHOLE No.: ... �... <br />To No.: <br />1 <br />1 2 <br />3 <br />4 <br />o CoC.l\ <br />J <br />PIPE CONDITION: <br />VP P F <br />G VG <br />COMMENTS: tcS\o <br />�O r ttilt-- <br />MANHOLE CONDITION: <br />VP P F <br />G VG <br />COMMENTS: Z, <br />R� �'t o�S <br />- 44_-U,) <br />. 04� <br />GRADE: <br />A ©o t-- <br />DIRECTION OF MEASURE Sa UC <br />MH #: r .-\ SML #: <br />"V-�c�1 11 <br />MH #: N <br />PIPE SIZE: 8 <br />10 12 <br />OTHER: <br />TYPE OF -PIPE: CLAY CONCRETE <br />DUCTILE V <br />TYPE of JOINT: p <br />SECTION LENGTH: <br />KER:DH105TBL (3n12003) <br />