| Specific Information |
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| Cubic yards of fill: |
| Backfill source type: |
| Backfill other: |
| Cloth barrier type: |
| Cloth barrier other: |
| Other textile type: Membrane |
| Other textile other: |
| Other textile purpose: |
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| Drain Information |
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Inlet:
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Joint:
| Y: |
90: |
45: |
22: |
Other: |
Other type: |
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Drain pipe length: feet
Drain pipe diameter: inches
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Avgerage height above geotextile: feet
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Drain pipe enters room through: Originates in Room
Other:
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Drain pipe leaves room through: Terminates in Room
Other:
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Drain pipe leaves goes to:
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