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Get Manhole Inspection Form

Letter Follow-up Inspection Notify Agency Other: Unknown Unknown Unknown DESCRIPTION OF DISCHARGE Estimated Rate of Flow: DOT Conveyance Material: Concrete Metal Other: Sunny Moderate Wind No Illegal Connection Suspected? Size of pipe: Other type of connection (describe): 1 of 2 If yes, Permit No. Yes No No (continued) IDDE Complaint MS4 SIS COMMENTS: SKETCH IDDE Complaint SIS Rev 6 Form modified 12-16-14 2 of 2.

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