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© 2004-2016 DKF Solutions Group All rights reserved. <br /> <br />City of Redwood City: Overflow Emergency Response Plan B-7 <br />Page 2 Sanitary Sewer Overflow/Backup Response Packet <br />First Responder Form <br /> <br />LIVABILITY ASSESSMENT <br /> <br /> <br />SANITARY SEWER LINE BLOCKAGE LOCATION <br /> <br /> <br /> <br />PLEASE CHECK THE BOXES THAT <br />DESCRIBE YOUR OBSERVATIONS: <br /> On the diagram below, indicate the location of the sewer line <br />and where the problem occurred. <br />Customer Cleanout Was: <br /> Non-Existent <br /> Full <br /> Empty <br />Public Cleanout was: <br /> Non-Existent <br /> Full <br /> Empty <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Recommended Follow-Up Action(s): <br /> <br /> <br /> Did sewage go under buildings? ☐ Yes ☐ No ☐ Unsure <br /> <br />Place completed form in Sewer Backup Envelope and follow routing instructions <br /> <br /> <br />Affected <br />House <br /> <br /> <br />Upstream <br />House <br /> <br />6.2.A. - Page 149