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Compliance Inspection Compliance Inspection UID # 10254
App. Status: Compliance Inspection Accepted

Terms

Certification

By submitting this form I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of the future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, inadequate maintenance, or future water usage

Approvals

Approval	Signature
Applicant	Philip J. Stoll - 06/13/2020 6:52 AM fe45429d1a5bbb8cf6e4eaf5f8d896de 2cbb29c7e9543f53a23e40d894cc0895
#1 Compliance Inspection Accepted	Sheila Dahl - 06/23/2020 10:41 AM 0ed1e4827cda79949cccce5fce4b8d55 593373c670b6f61a9fe084e40b689af2

Inspection has been approved. All signatures have been obtained.