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<br /> Field Maintenance Report American Oft. Site
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<br /> Start-lip 'Summary Report (503)829:-7600.
<br /> pro41.0,4,01,ackino, -,Opetator Inr0.114(1.•Date,
<br /> ALE:).CANDER KRAVETS
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<br /> „site Address ' • ' ,Ptart-qkPatu:
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<br /> 1760 BOON $';FaRRY:IRO'NE:i'Wo(jE)iiti13N:013C. t):ll g-1:, .2:: '
<br /> :AiliiineiNiimbe` Petirilt41! I Atode. Bedtbosi i0Odigiai15: :"Ocbutiandy Date.
<br /> ,...c -i.,-s--1,4,y: .47, 73::-.7,Z.z.-,.,.,0.04,?fre,i§e: ! :y ode lB 4
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<br /> ;Deilaharig.p4ineer, , Phone '.A0hotizett InOialler, 4!,Pile•
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<br /> ! American;ON Site .(503)82946.00 Arnericm:1,-:ON Site 100.3y 82046.00' ,!
<br /> Ativiii.freik Qee1#- ' ' P1.1*.ie •'El6ctrician • ,1711.0.4.
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<br /> Ha Fowler Co (425)7404400
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<br /> 'ROO ID(RTU,Or l.IL:0 M Orr Timer..'Setting: !!!Oft"lirner'S4iing
<br /> 0. '.ft$Q444400 131111.40500.
<br /> ':;:f4t 4 10 17i.l.
<br /> F.61444440.
<br /> Filter Pod
<br /> 0 0.9822714.S:
<br /> : AX,RTUnit:Serial Na;
<br /> econdary Treatment • , SORE)588761 a
<br /> 0:•,Residual•r.h00:.meas*erriqr4::: . . .. . . . . , . . ._
<br /> ' Other System Components
<br /> ReOird pump.AX2D-RM ,.-in:
<br /> -0 '01sirifOotion.:equipmerit(manufacturet);
<br /> Discharge(check one);
<br /> 141;-,. Type.' - . ., . . •:,. ...,........ ...... -,. .: . --,-.
<br /> • diatharge"Cheraber:
<br /> .4X..4171" -Concrptertan Manufacturer.... .......... ...... .
<br /> faic . : . . .„ . . . . .. . . .
<br /> EIF311117. tar..i.F9rbAsiri .0; Dispersal systani(tliipa;o1);
<br /> 0:iNP Oasin ,.-'" . ., i. :d ..0: ,'•: 41
<br /> ' itztirb- di5inv b -
<br /> Manuteaueet.:(itt4nk or bearn). . -.,P0000V000-.:(101pg.1)
<br /> Volume(if tank or basin) . .... . ... „ .. , .::gal: : V. :00010$1•Start-Pi?FFtic:Wi#!'VYa4'f.Plii*e.di.:.
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<br /> Ea biacharge ugmg'model:. , . .... .. .„ . . . •• ; All 1*am c4re..1'. .'
<br /> .cfrcukoro#Ekm',4.rp,:pnnci..qoptrol".p4n0(10 WOher.:1;
<br /> 0.131toliargelloatset pipet,(1f,tank:orbain).:,
<br /> . label with nlicineliVaa:aii1XedAd:paii0.1.:
<br /> ii.io.level 4n. ! . llomeOWner-Package Wes itvieiveiliiiitti:
<br /> -...i.n.. .011yiRier,On IdOtik . .
<br /> An.. • ID...14eaiiientf an:(4ate): . . . . . . .
<br /> in 174Otiargel**ilOW.rate(Ciialk0Oyiri:tait)i',,( '5-7 .90n)
<br /> 11'1kSyA.system Is ready for use, 0)*3 0 No(explain)
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<br /> D.Discharge PPFITY.09Q-A101Urne4 1.1(1 :94/CI9sP)
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<br /> tommenis
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<br /> bate, : . .
<br /> Signature. . .
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<br /> Fax diiiiipleted form to 1-8664844404
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