2013_0628 (3)CHECK ONE:
IRRIGATION DOMESTIC FIRELINE
BACULO 'PREVE,"TnON.ASSEM'BTAY TEST AND MAINTENANCE REPORT
NANE OF PWS: (J 7'Y OF(I IMPELL
.... . ..........
The above is =tffled to be mac.
F-= Nae
White - Customer's Clopy Yellow - City Copy in -'rester's Copy