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Appendix H: Inspection Affidavit <br />This is a voluntary compliance tool template developed by the Irrigation Association. <br />IRRIGATION INSPECTION AFFIDAVIT <br />(To be submitted in conformance with Code Section 309 C) <br />Irrigation Plan File No: Name of Project <br />Irrigation Plan Designer Inspector. <br />Date(s) of Inspection <br />This project was Inspected within the limits of customary access for compliance with the <br />approved Irrigation plan on file In City Planning, At least two (2) Inspections were conducted. The <br />findings are as follows: <br />53 <br />I henin <br />below: <br />[] A <br />affidavit based an the qualification mmCatoa <br />Association Indicate year of Certification <br />Name <br />(PRINT) <br />Date <br />39 <br />Signature <br />(Check 0 <br />Inspection during construction to check main line in open trench. 1;0 <br />I Location of main line conforms to as-built plan <br />AMR <br />2 Size of main line conforms to plan <br />3 Depth of main line conforms to plan <br />4 Main line condition is undamaged <br />JAW <br />5 Main line pressure tested with *star and meter to <br />c visible leaks <br />6 Specific observations attached if needed <br />A, — <br /><preb <br />system after cornpieflon of syste installation <br />Sodding <br />I henin <br />below: <br />[] A <br />affidavit based an the qualification mmCatoa <br />Association Indicate year of Certification <br />Name <br />(PRINT) <br />Date <br />39 <br />Signature <br />