Line Damage SEWER LINE DAMAGE REPORT UPSTREAM MH #: DOWNSTREAM MH #: DISTANCE FROM UPSTREAM MANHOLE: DATE: COMMENTS: DAMAGE RATING: INSPECTOR: —Please choose an option—JIM L.TOM N.JASON S.DALE M.DAN N.WES S.NATE H.ANDY W.STEVE A.MARK W.DAN D.JAMIE R. INSPECTOR: —Please choose an option—JIM L.TOM N.JASON S.DALE M.DAN N.WES S.NATE H.ANDY W.STEVE A.MARK W.DAN D.JAMIE R. Δ