HomeMy WebLinkAbout818 Newhall Road - SL - 2024.05.06 - 10 YearsCity of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Address:
Owner:
Conlroclor Nome
Cily Sloff Nome:
ZTested Dole:
Building Permil #:
Encroochment Permil #:
Z
Cleonoul tocolion:8r,on.-U Rear U Left n Risht
Foce
[olerol Size:
Cleonoul:
Commenls ond/ or
Skelch:
X r",r*n, D Newtnstailation
Test Type: tF *or.1 tr
Stolus: (ros D
Air
Foil
Sewer [ateral Condition:
No Repok Needed 10 Year
l0Year tr
New tnslollolion 25 Year tr
\^.C o.r^\', p-J.