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Customer Name: ,�cl�,�,r-- <br />Jobsite Location: �'5,�;.r,,�,� ;r��� <br />Lot Number: � <br />Installer's Name: <br />Equipment Used: <br />:� <br />� <br />v <br />�r <br />Diagram <br />;� , <br />�� <br />J S& S Excavation, Inc. <br />Date: � � ��/ ` � <br />AS BUILT <br />��,�R$o ('����I�:t��„I <br />� <br />,,1� � <br />S <br />� <br />i �K,. <br />—�"��'�� Z.. <br />��Cti.! C> � 1� � �' `"� <br />Materials: <br />4" 30/34 Pipe <br />4" Solid Pipe <br />4" Perforated Pipe <br />4" Tees (Storm) <br />4" Tees (Sewer) <br />4" Wyes (Storm) <br />4" 1Nyes (5ewer) <br />4" 45 Degree {Storm) <br />4" 45 Degree (Sewer) <br />4" 22 Degree (Storm) <br />4" 22 Degr� (Sewer) <br />4" 90 Degree (Storm) <br />4" 90 Degree (Sewer) <br />4" Cap <br />4" Plug <br />5' 3Q/34 Pipe <br />5' Solid Pipe <br />6" Pertorated Pipe <br />6" Tees (Storm) <br />5' Tees (Sewer) <br />s° wy� (scorR,) <br />6" Wyes (Sewer) <br />6" 45 Degree (Storm) <br />6" 45 Degree (Sewer) <br />5' 22 Degree (Storm) <br />6" 22 Degree (Sewer) <br />6" 90 Degree (Storm) <br />5' 90 Degree (Sewer) <br />6" Cap <br />6" Plug <br />6" x 4" Reducer (Storm) <br />5' x 4" Reducer (Sewer} <br />2" SCH 40 Conduit <br />21/2" SCH 40 Conduit <br />3" SCH 40 Conduit <br />Pull Rope <br />1 1/2" PVC Conduit <br />Glue <br />Pronto Bond <br />1" Poty Waterline <br />Filter Fabric <br />6" x 4" Fumco <br />4" x 4" Furnco <br />3" x 4" Fumco <br />Other <br />��i � ��,e.e.i'� tT �� <br />=r <br />