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Com FAX 843 665-3200 PHONE 843 665-3236 ATTN LaToya Redding Utilities/Compliance Assistance 324 W. Evans St. Florence SC 29501. The above data certified to be correct and true. Tester Signature Certification Number Company Name Telephone Number Category Circle One General Limited Inspector Report is Invalid unless completed in its Entirety RETURN TO LATOYA REDDING lredding cityofflorence. Diff. Pressure Closed NEW PARTS AFTER IF PERFORMING DIFFERENTIAL TEST YOU MUST INCLUDE DIFFERENTIAL...
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Information such as the location of backflow prevention devices, maintenance schedule, testing results, and contact information of the responsible party must be reported on backflow blank formedit3doc.
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