biennial srra inspection

     IENNIAL SRRA INSPECTION NAME DIRECTION SYSTEM DATE DIST CO RTE PM BUILDING OUTSIDE DRINKING FOUNTAINS Yes No Number of Fountains Good Condition Yes No HOSE FAUCETS Number of Hose Bibs W Vacuum Breaker Missing JUG FILLERS Yes No Number of Jug Fillers Non threaded Faucets Missing IRRIGATION Yes No Backflow Preventer Date Tested Working Yes No Not Ins...

  • Size: 115.5 kb
  • Date: 2012-11-04
  • .doc
  • www.dot.ca.gov

...t.ca.gov/hq/esc/sdsee/wwe/documents/forms/biennial_srra_inspection.doc

maintenance station inspection w ww

     AINTENANCE STATION INSPECTION WATER AND WASTE WATER NAME DIRECTION SYSTEM DATE DIST CO RTE PM BUILDING OUTSIDE Yes No HOSE FAUCETS Number of Hose Bibs W Vacuum Breaker Missing JUG FILLERS Yes No Number of Jug Fillers Non threaded Faucets Missing Working Yes No Not Installed Yes No Not Installed WATER METER Potable Water Irrigation Water WATER HEATE...

  • Size: 102.5 kb
  • Date: 2012-11-04
  • .doc
  • www.dot.ca.gov

.../esc/sdsee/wwe/documents/forms/maintenance_station_inspection_w_ww.doc

srra biennial srra sewage pond checklist

     PRIMARY POND Item Comments Check for Sewage pipe into primary pond Condition of pipe anchored properly Water pipe into primary pond Condition of pipe anchored properly legal air gap Pond levee Generally level weeds gopher holes erosion shows signs of overflowing Pond lining HDPE or similar liner chemical sealed dirt pond bottom with rock levee wall...

  • Size: 24.5 kb
  • Date: 2012-11-04
  • .doc
  • www.dot.ca.gov

...sdsee/wwe/documents/forms/srra_biennial_srra_sewage_pond_checklist.doc

truck inspection facility inspection w ww

     RUCK INSPECTION FACILITY INSPECTION WATER AND WASTE WATER NAME DIRECTION SYSTEM DATE DIST CO RTE PM BUILDING OUTSIDE Yes No HOSE FAUCETS Number of Hose Bibs W Vacuum Breaker Missing IRRIGATION Yes No Backflow Preventer Date Tested Working Yes No Not Installed Yes No Not Installed WATER METER Potable Water Irrigation Water WATER HEATER Yes No Yes No...

  • Size: 93 kb
  • Date: 2012-11-04
  • .doc
  • www.dot.ca.gov

...dsee/wwe/documents/forms/truck_inspection_facility_inspection_w_ww.doc

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