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2015_1223 CITX 4�CO�P�L�.WAT�R t1�TiE.S CUSTt?MER SERVICE�SPECTIO�+' Res�den[fai � , Comrnc;cial; 0 ; Tl�tR�C IU#t1S70D4D I��j t-i"��r' - — .apom inspccticn of the grivau wata distri'buti�a facili#iCs io�a�ed�t - �Q���` �r, ��4 ,whieh is caanectcd ta the Ciry nF C�gpalt;Watar S _ , 5!stl�e dt#t�k�y�fy t��t,to f�ie best af rny laauw]cdg�. , � t�fian- N/A . Cc�apl%apc,e Cc�rpliance (1} No dizect r.osmccdon betw.cca tFre pubtic dninkiag watcr supg3y aad'a pot�ttcial � ' ❑ p so�a at cc�a " 't�on exists. P�tte�ntiat sQurcea oP�cmttaa�raticu�z�ra isn�ated . �xara s�.�pub�i�svatcr 3ys�e4n by►a�,air�ap ar att appzop�iate backflar�v�c�a�tiva assaabty in accordanc�wit�r Cc�missio�r��ztians . (Z) �1n�cnss-�oau�c�ion b�t�cca thc pt�b�Iec slrin]�iin.g�ratcr svpPty a�nd a prSva�c r�ratcr ~ � b D systear r�cists.�Whexo an aetu�l sit gep is not maiat�inai betwcca tht gub3i�watcr s�ppl'y and grivate �vat�r snpPtY. an aPProvcd nduGed prc�surG-zoae bac.3ctlow R , P�vcatiaa st�sc�tt�ly is pru�serly 3�nstalEesi' and � senrice ag�t raccists fdr snnnni iaspocttonand tcsting by a ccrti�ed baekEtow pravsatian daviec testar. (3} t�ta Catu�ecrion exists wkia�would�Ilow khc:xecum of w�ter usad for condeasin& � [� !J � cool'mg cx industY3al procr.��ba�to t�,e publfc wates'suppIy. (4) Na pipe orpipe fitiing whieh contauns marc thaa 8.0/a iead cxisis iu privatc water � p p distrib�dnn faciliti�s inst�Iled o�n nr aft�7uly I.1988. .-. , .. {� No soldcr or flux vrlsich eontain4 macc thuu 4.2"!0 lcad ex3sts ia privatc water 'p ' D dista'hution facilities iastaflu3 oII or aftrs�July 1,i958, .� Wat�r servicc s�a1ln�ctlsG gzc�ide�3'.or cestared to the private water distn'6ssUion fac�irias uaN:'tlu sbove caaditians are det�rsninedt€�be in ep�aplianta. . T e�ify'that t�c following mat�erials 1vil]bc used�xt the�rstalla;kion of thc privatc water dtstn'buticsn f ac�ities Idcated at aad that 1ha iuspcctar will vatidatc coz�aplfsace durin,g t�c f�ecti+�pr+�ccss� i s�r�►��i�,� ��a n ��F�= � a�vc � o or�r ,e� �� Lcad C] �,,ead'�rea � 5olvGut W�1d C] �t�►er - ❑ I rec+�gr�izc thatttiis documeat sha31'beeomc a pa�mna�ni rccerd af tile aforem�tniinx�cd Public Water Systmo and tlsat 3 am lcgally respansx'b�for the validity oE'fhe iaformazion f have pravidad. Si �:ofL3c'e�dPlualber - Rcgistr,�'atfoaNumbef Ty�e of I�Leg�traf3an pg� S rtr:rs$nize tfraLthls dncusilenl sha11 becomt a permaaent recotd af'thc alotcemcuricaacd;�'ubiic Waker Syatcin a,ud#�at i,am kg�ally resper�le[ ttie validlt�+oftht in£acui,atiaa presvided. — '`'�� �� `• �� / , _w.� Srtgaature e,g�pector Rc�,Sstration Nu:abcr �G�/�/�S �� l��2 ���s� Typa cfRagtstaation nat� � wbNc-cunnow.r,c�py YauQrc-Ciys CQvM riutc•�tpxaof:c.epr