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j2 - ' o2'c' a/ <br /> ONSITE WASTEWATER TREATEMENT FIRE CHECKLIST 2021 <br /> Received /Scheduled c4 10 / /7-1 <br /> Added to Spreadsheet c'o& Fasql-t_ <br /> SYSTEM HAS BEEN DAMAGED BY: <br /> ❑ FIRE / ❑ CLEANUP <br /> Notes: kfatAi 5-beievatetene, <br /> Authorized <br /> ❑ Yes / ?: No DATE: <br /> Notes: <br /> Repair <br /> &Major / ❑ Minor <br /> Repairs needed: �yv�-1� c10?/14^ <br /> Permit issued Date: <br /> Info needed: ` <br /> W.el cry LAA/Ledi. <br /> i +cD g- t1PG1- <br /> Requirements to issue ermit sent via: <br /> Email (Print) Date: <br /> Hard Copy ❑ Date: <br /> Internal Comment ❑ <br /> Building Permit signed ❑ <br /> Results entered in Beachie Creek Fire Spreadsheet ❑ <br />