Title Page
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Address
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Inspection type
- Underslab
- Suspended
- Sewer & Stormwater (external)
- Other
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Specify
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Conducted on
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Prepared by
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Plumbing company
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Tradesperson on site
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Name
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Comments
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Installed as per CLC
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Specify
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Bedding material
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Depth of cover
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Separation distances from other services
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Correct pipe diameters
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Compliant minimum grades
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Primer / solvent cement
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Angle of junctions
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Venting
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Inspection opening and shafts
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Overflow relief gully compliance
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Appropriate lagging
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Ground movement mitigation
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Drains water / air tested
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Stormwater drainage (in ground)
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Stormwater / down pipes (above ground)
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Pits and grates sealed
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Surcharge point provided
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Tank overflow compliant
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Connection point / absorption trench
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Permit authority signature
