
DUBLINBOROUGHSEWERLATERAL INSPECTIONANDTESTINGREPORT FORM Alicensedplumberorinspectorshouldcompletethisform.VideofootageintheformofathumbdriveorCD mustbesubmittedwithcompletedapplicationatleasttwo(2)weekspriortosettlement.Attachcopiesofany additionalreportsfromyourinspectionandreturnittoDublinBorough,119MapleAvenue,Dublin,PA18917 PermitisrequiredbyOrdinance304.
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How to fill out the Dublin Borough Sewer Lateral Inspection And Testing Report Form online
This guide provides a comprehensive overview of how to complete the Dublin Borough Sewer Lateral Inspection And Testing Report Form online. Whether you are a licensed plumber or an inspector, following these instructions will help ensure that the form is filled out accurately and submitted in a timely manner.
Follow the steps to complete the form effectively.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by providing the property information in the designated fields, including the address, property use type (residential, commercial, etc.), owner name, mailing address, phone number, and email. Ensure all information is accurate.
- In the inspection and testing details section, the TMP# should be filled out by the licensed plumber. Include the inspection company name, inspector's name, and phone number.
- Draw a structural diagram of the property, indicating the house layout, lateral location, cleanout, and nearest street. This visual aid is important for the assessment.
- Specify the inspection type (video camera, pressure test, etc.), the lateral material (PVC, cast iron, etc.), pipe size, CCTV date, total length of the lateral, time of inspection, and estimated age of the lateral.
- Indicate the camera direction, whether it was with flow or against flow, and provide any additional comments regarding connections to the lateral.
- Check off the details regarding accessibility to the cleanout, presence of ejector pumps, connections to neighboring properties, and verification of no surface drains connected to the sewer system.
- Complete the test results section by indicating whether the lateral passed, failed, or the results were inconclusive.
- Use the observation log to note any issues with the lateral, referencing the observation codes for clarity.
- Provide recommendations for repairs if necessary, ensuring to enclose a copy of any signed authorization or contract. Verify if the lateral has been re-inspected.
- Certify the accuracy of the information provided in the form and include the inspector's name, date, and license number.
- Finally, save your changes, download a copy of the completed form, or print it for submission. Ensure to file it with the required fees and any additional documentation to the Dublin Borough.
Complete your document online today to ensure a smooth inspection process.
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