STRUCTURE ID

INSPECTOR

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COVER TYPE OPEN CLOSED BOLT DOWN

COVER CONDITION GOOD FAIR POOR

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FRAME CONDITION GOOD FAIR POOR REPLACE

FRAME DIAMETER (IN)

FRAME LENGTH (IN)

FRAME WIDTH (IN)

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CHIMNEY TYPE BRICK BLOCK PRECAST RINGS POURED RELINED OTHER

CHIMNEY HEIGHT (IN)

CHIMNEY CONDITION GOOD FAIR POOR REPLACE

CHIMNEY REPAIR DEPTH (IN)

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CONE MATERIAL PRECAST BRICK BLOCK POURED RELINED OTHER

CONE CONDITION GOOD FAIR POOR REPLACE

BRICK MATERIAL PRECAST BRICK BLOCK POURED RELINED CONCRETE OTHER

BARREL CONDITION GOOD FAIR POOR REPLACE

BENCH MATERIAL PRECAST BRICK BLOCK POURED RELINED CONCRETE OTHER

BENCH CONDITION GOOD FAIR POOR

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STRUCTURE SHAPE CIRCULAR RECTANGULAR SQUARE

STRUCTURE DIAMETER (IN)

STRUCTURE LENGTH (IN)

STRUCTURE WIDTH (IN)

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SUMP? YES NO

SUMP DEPTH (IN)

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PIPE 1 SIZE (IN)

PIPE 1 DIRECTION N NE E SE S SW W NW

PIPE 1 DEPTH (IN)

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PIPE 2 SIZE (IN)

PIPE 2 DIRECTION N NE E SE S SW W NW

PIPE 2 DEPTH (IN)

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PIPE 3 SIZE (IN)

PIPE 3 DIRECTION N NE E SE S SW W NW

PIPE 3 DEPTH (IN)

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PIPE 4 SIZE (IN)

PIPE 4 DIRECTION N NE E SE S SW W NW

PIPE 4 DEPTH (IN)

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PIPE 5 SIZE (IN)

PIPE 5 DIRECTION N NE E SE S SW W NW

PIPE 5 DEPTH (IN)

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PIPE 6 SIZE (IN)

PIPE 6 DIRECTION N NE E SE S SW W NW

PIPE 6 DEPTH (IN)

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