Village of Menomonee Falls Daily Inspection Report
Sanitary Sewer Mandrel Deflection Test _________________ Date __________________
Project Name Foreman
Number Tester
Subdivision Weather
Contractor Inspection Firm
PIPE: Size ____________ Class___________ Type ________________ Joint _____________
Location(MH#) Location (MH#)
Street/Easement From (MH) To (MH) Pass Fail Street/Easement From (MH) To (MH) Pass Fail
Sketch Area
Inspectors time Hours: Date: Name: Page Of
Comments