Title Page
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Address
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Conducted on
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Prepared by
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Tradesperson on site
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Name
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Inspection type
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Type of unit
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Type of LAA
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Comments
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Installed as per CLC / OWMS Report
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Please specify
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Bedding material
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Depth 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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Ground movement mitigation
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Drains water / air tested and verified
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Permit authority name
