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1 <br /> _ 1 .14 �ri <br /> 1177-4 Vanderbilt Circle <br /> Manteca, GA. 95336 <br /> (209) 239-4888 <br /> Domestic Pump Plant Inspection � <br /> Owners Name Site Location&��-.!o <br /> Address i5�'�a3 r5 'r''�-7 Phone <br /> Escrow # Title Co . <br /> Address Phone <br /> Pump Type: Tank Type: <br /> Submersible Galvanized [� <br /> Jet [] Bladder [] <br /> Shallow well [] other [] <br /> other Capacity /-�20 6.4c <br /> H.P. / .5/O Charging System W <br /> Make Shrader Valves fA� <br /> Model Morrison Bleeders [] <br /> Jet Chargers <br /> other 'S`A40 l&k ir4 Lia A0Z . <br /> Amps 0 O Lbs. Max . Pressure Pumped hsJ <br /> Amps 0 40 Lbs. 42 Approx G.P.M. 0 O Lbs. 4.5 GAw <br /> Amps 0 60 Lbs. Approx age of pump. ya _ <br /> General <br /> Comments: <br /> /t/y/ z �/� ,,Qi�,a ail d11 r O P� Oise �riiL /a�i,o2�P <br /> 'Wn�rr�12a�-�i�Q are �a� 05� �t� ,/-//S x� P <br /> LUQ/� &4=g",�i_/S' .1f72Ur %f �i .fGrs��"e _ . y e iEJ /Zei <br /> Signed <br /> A&B Electric does not assume responsibilty for repairs, does <br /> not Insure longevity of any part of the eater system including <br /> the electrical components. This report is merely a statement of <br /> the condition of the water system at the time of the Inspection. <br />