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Compliance Inspection Compliance Inspection UID # 10879
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	Bill Schueller - 05/28/2020 5:04 PM abd3e16f9aba5c3c86c60c3baa2ace0a 6ceabf75ae9365ecc12d7d19c37a2354
#1 Compliance Inspection Accepted	Sheila Dahl - 06/24/2020 8:03 AM cac0e40ee45309a32e260a0bd2c75256 f801f64cec605093149034cc366ea36f

Inspection has been approved. All signatures have been obtained.