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Time of Transfer Inspection Report (DNR Form 542-0191). Use Fill to complete blank online POLK COUNTY (IA) pdf forms for free.Once completed you can sign your fillable form or send for signing. This report indicates the condition of the private sewage disposal system at the time of the inspection. The inspection shall be conducted using DNR Form 542-0191, Time of Transfer Inspection Report. b. The inspector will fill out the Time of Transfer Report (DNR form 542-0191). Distribution box and a total of 400' of 10" perforated pipe laterals. Time of Transfer Inspection Report (DNR Form 5420191). Property information. DNR. Time of Transfer Inspection Report (DNR Form 542-0191).