Laserfiche WebLink
BLAINE 16813 RC 1S AVeME '4iSP. Cgl()N CHEC <br /> L. <br /> BL SENV1L'�.. SAPIJOS—.CAUFORNIA 95[12 KLiST <br /> (408)ei3-=1 FAX Crerlt cI� <br /> `(408)573-055 P1-IDNE ` ... <br /> SRLm Address eo <br /> Terrinlc.an <br /> 1 <br /> Tit <br /> Date lQ G <br /> i Ua an bax7 6 Casino searre% 12 Water standing in melbax7 1 e Well�o itmcdona7 <br /> 2 Lad broken? 7 Carina ,t leve+? 12a Starving murve the too 0t casno7 16 Can ma be puiied loose 7 <br /> 3 Lid baps r=smo7 8 Oe_ns to we+lbox7 la St Morn belavv the bo 0f c- M7 17 Can c ao sea outwam.7 <br /> 4 Lie baits strrppe37 9 Werlbox is=0 W move grace 2 i 2a Water even with the too at=Ing 7 18 € dlodt present? <br /> 5 Ud seat rntaW 10 Wei7box ss too far beaow grace? 13 Wea coo present- 19 psaloCt funczcnat7 <br /> 1 i Weffbax s=Mned1darnaaea7 14 We+d CD fauna sj?-je 7 <br /> Check box if no deficiencies were found_ Note below deficiencies you were able to correct_ <br /> Well I D Oerc.ency Carrecflve Acton Taken <br /> I <br /> If <br /> 1 <br /> i <br /> f <br /> ! f <br /> I <br /> f <br /> 1 <br /> Note below ail detie9cses That could not be correctea zinc stili oeeo 10 be corre'-ied <br /> STS Office ass.gns or Dale Date <br /> Well i D 1�8rS.SttrlO Qe+[c1e'1C! defers Carreci,on ld a4sloned corrected <br /> I <br /> i <br /> f � I <br /> P I f f <br />