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© AquaShield
TM
, Inc. 2016. All rights reserved.
Structural damage:
Yes
No
Where:
Structural wear:
Yes
No
Where:
Odors present:
Yes
No
Describe:
Clogging:
Yes
No
Describe:
Other Observations:
NOTES
Additional Comments and/or Actions To Be Taken
Time Frame
ATTACHMENTS
Attach site plan showing Aqua-Swirl
®
location.
Attach detail drawing showing Aqua-Swirl
®
dimensions and model number.
If a diversion configuration is used, attach details showing basic design and elevations
(where feasible).