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1 <br /> .,- <br /> .1 <br /> '1. <br /> [ <br /> : staitioil:.,0114)(uffiliitiaiTe-xvtit&iefiiii14q.It, 1: <br /> , ... .. <br /> 1: <br /> . „ .., .. , <br /> .r, ,.• i, ; <br /> -: ra <br /> . 4. .. , 20,, .• start uit <br /> • . 1 . .4 •• . 2 . xi . 1 .), e <br /> c is <br /> , <br /> , <br /> For Oregon Service Providers <br /> .... <br /> . cmicricii By5icnz•:: — <br /> , . , . • - - <br /> .... :.:. .- ...... . . . . , .-ServicefteVida0itt.: :) eVIC ,utc.A :•:.: . , . ,... % <br /> ... „ -.... ... ... . . Data of Start-tp: 2i -,,F.—. 12 3 <br /> ' l'- - <br /> . .. „.. : . <br /> Project.1PfOna.ation ... <br /> • Primary Ireatmeat : . ... <br /> .. . ....:. . <br /> . ... .,.. . <br /> 1. <br /> Permit#: ,- ' - -.... :Process Tank.Ve*the-following: <br /> I <br /> ,,,,,. „. . . <br /> thanter:1-)Mirli.c, 'VC:..*: • ..—... - _ . . ., :- Number of Tanks: Tank size: gallons 1 <br /> 4ifitress:.. .:44:1,-.titri,..-L i'iv i AJ . • Number of compartments: PT' <br /> Citiit. , 1;e-441: : .•, . - ..State.:da,Zip -q,7.gf".'7.. .: • Tank construction: [3 Concrete giRberglass 0hone'NUrtierf,, ,,,563-, :57.01.—clgq41: , ---, :'• Tank manufacturer: .0 renctD <br /> . . i . <br /> Dai1gfiliefaolPi :-':'4"•,i±; (- 6 -- • - • -. Process Tank Equipment.vadVtle.'1606.0111: <br /> Anne): ggt),.77•:?q&-4-'12 q3•• - . - <br /> .Pumping equipment-Installed prop*Authorized iris-hiller: iserv:noz6,:ex .4,01eiftdev. : : •-.&' ••• --_ '-' - „ — <br /> oittiner..60 '. 39.:0: .6'Mbl..... .. :01:040...00.44 ProOrtiltlit*d.tift60.0**kflit-. <br /> 9rttipitiggogib4*0.. ..,4104m0POOtin.AdvaaTexiesifert.V. #-C, <br /> . , 5,.. ° - 4'. , . - - - • ' -. <br /> . be..**it.010:piiepiitY aObbee tSto 4statOOkthicleticiit tc.:*tiogry,iymitO: li„ <br /> it <br /> atoulid*Pke*.040.04, .... ... . .. <br /> ...,.... ,... <br /> .Pholief.,... - ffFloats operate property. <br /> .,. <br /> - - - : -.- :' Lahgats set properly at I 2 -• 'I 4 • 2/.0 :,. . f...: <br /> 7 - ,-4P;1001410*.tOilAtiftifinatioll 13 <br /> p <br /> ..... , . <br /> Spice box mounted on access&dr.Watertight connectors <br /> Number of.Badni . ,nt. <br /> . . _Number Occupants; <br /> .. . : : <br /> ! Process Tank Pumping SyStem.Verify proper operation of the pumps. <br /> of <br /> ,_...."- <br /> Minket Otatiff.Pi; 1 - .4,icid,at. ,Ibi IA epmps operate In Manual., , <br /> li <br /> NSF Certification Labeling on Panel and Pod?: .. -. . El iumps operate In Automatic. <br /> „ . . <br /> Pod Sacker t: b)2VD5-207.9.f0./... .,.... - . 9 ritock0.1 s.P.V'. . .co--5' 11 . . <br />, . <br /> , , „ s ... . . 4., <br /> Dispersal Method:. lretx-.4 ;;; ' : --•-•.--. .:,, 's . - -. ‘1 ., -.00 <br /> ...: , ..: .. . <br /> li... : <br /> .. ...:...:: . . .10.1ks: 12,2- . <br /> --- . --- - - <br /> - - • I <br /> ., ... .. . . <br /> '.'. it000....,. 0.41fisiiile During,Start-Op inspection <br /> „i <br /> ii <br /> . ,Pmcess tank has proper bedding and Is set level. <br /> - .. <br /> .... -...• " 10, 1 tank has proper beddlotand is set level. <br /> eschafil 00 <br /> u <br /> li <br /> *, : ' - ranter*for.eiit4iiiiiitt*Iiave.i3tefibet for processing tank and discharge pump basin/tank <br /> '. . *4000i f***414illi*,-- <br /> trAIII <br /> , <br /> ,.. <br /> . !, frements for anti-flotation have been met fur AdvanTex filter pod. <br /> c <br /> e• nk <br /> if...:., •: .7reits**4.44.P*4••00.eilAncrIiidited.Otiiii*ttillpe,with a slope on underdraln that allows for proper ventilation. <br /> eerp <br /> ......./ 5040044haVel)aaniFOParit'ghted---IndOrdng,!Itkosa of primer--7 and cleared of debris. <br /> iNttile*I4frenutaitiodeoti.the.ftrittit*:01:001 tilho Invert of the RSV Is adequate. <br /> .... .., <br /> 'i .-,R )ortInefom.ok4cigitettlittliastiVtinkto:lhaiiraInflerd has been Installed and deared of debris.NI connections <br /> Nitiljrnpady riluadinidtglng,tho..tata Ottidinar.. <br />, . . ..... <br /> I • '::.00001.00.betii installed:00*one. s ., ca . ' : • <br /> Installialgrada*„,, :-. '.: ••• L.-,::.'. '- '‘.'. -',')':;A:,;•;e":"-'''''''---7.-7 . ., .t. <br /> . , <br /> • <br /> .,: :. :....:....,,,...,: . .. <br /> . ....... . . „ . ... <br /> 1.i '''......:., ./. .. .. . . . :„.-..... ..:. . . .. ,. . <br /> C ZCOS Omuta Systems*. <br /> .;.0.14#441:ittli <br /> iiii.4 Ct!OS <br /> *nil 42 <br /> 1. <br /> i <br /> --- <br />