|
.• -
<br /> 1 .•. ••• •• :: :: :: :: :: -: ii iii:: .. ..
<br /> i:: ':. ::: ..::: 11E ::: : i:E ::: ::: :•.• :: : :: :: ::: ::: ::: :: ::::: :: ::
<br />' ii: n• :::: ..." in ::: : .: ::: ::: ::: E: ii :1 :: i: i: :i i"i::
<br /> ;: •• '•' :::: 'i:. iii : i.: ::: ::: ::: :: :: :: :: :: :: :: :::::::
<br /> .. ....:. :: :.: •„•"_ •:: ::: • : .::: ::: :. :: .. ..
<br /> :.: :*: •!•E ::li- ••: ::: : ii: Eii ii: :E: ii :; .: :: :: :E ;:: ::::: .. ..
<br /> :: ..
<br /> .. ::
<br />' •:i :": ii :::: .:: .:: : ::: ::: ::: ::: :: : :: : :: :: :: :::::
<br /> .. ..
<br /> iii•s in• :: E;i: :: i:: : ::: ::: ::: ::: „ „ :: :: :: :: :: ::::: .••: :i
<br /> .... .. .. ..;.; :::
<br /> .. ..••• ••• :: ..: ::: •:: . .. ::: ::. ::• „ :: :: :: „ :: •: :::::
<br /> i:i '2:•'• E:: :i ..: ::;.E ; n: in .::::: E:::: iE " Fi :i :: .: :: :::::::: ••••••• ::E
<br /> .. ..
<br /> -: ::: :: •••:: ::: ::: : ::: ::: ::• ::: :: :: :: ::. ::: ::: :: i:::::::
<br /> I ::::• !b. it :::':i.3. iAlternative Treatment Units and Saridfiiter4;when performing evaluation of treatment unit
<br /> or Sandfilter,:flag off unit or sandfilter with highvisibility tape or rope.
<br /> . ..
<br /> 1 ,:::. 1: E:: Ei i ::: ::: ::: ::. :: •:: :i: :: :: •:: . :: : :. -...: .
<br /> . ..
<br /> Is there visual damage to treatment unit or sandfilter?Is the lid of treatment unit damaged?Is
<br /> h lil li fi:: Sa:nd.titterabMie ground or below ground?Is area surrounding treatment unit or sandfifter burned?
<br /> ... ••• •• •:: .. .,. :: : •• . .. . .. .. .
<br /> (Make nOteiand.;:attach pictures If possible) .; ,.. .... •• •
<br /> ... .. .... .. .. .. .. :: :.. ... .. .... ..
<br /> .. ... ... ... ::: :: :. :: 1.• :::
<br /> .. ... ... .
<br /> .. .... ..
<br /> .. .. ... ...4 ... ...
<br /> ... ...
<br /> .. .. .. .. .. .
<br /> .. .. .. .. .. .. ::
<br /> . :
<br /> ... .. . .. . ..
<br /> .. .. .. .. . . :: :
<br /> .. .
<br /> .. . .. „ ,
<br /> : ::: :: :: :: :: :: •• .
<br /> .: •. .
<br /> . - :: •:: ::: :::: ::: ::: ::: ::: ::: ,: ::: :: :: :: :: ::.:. ..
<br /> ••
<br /> ••• •• ••• •• ... .. .. ... .. .:
<br /> *:: :: ::: i: :i Fi • •: .
<br /> •
<br /> ::: :: :: :: i: :: • •.. . •
<br /> : ;:i. Eil :: :: EH. ::: ::: I:: ::: •:::: ::
<br /> : ::: ii: II: iii :E.; :::: ::: ::: :::i ;i: E:: :-• i: :: . :: :: .. .
<br /> •
<br /> -• ••• ::: ::. ::: :•: .-: ::: ::: ;:: :: En: i: ii :: :. :: .: •
<br /> .. . ;
<br /> .. .
<br /> • • - — •• ••• - :ii :: i: :: :: :: .. .
<br /> - -.. . :
<br /> •-• :: :: :: :: ::. •-• . :
<br /> i :: •:: :.:: :•: ::: „; :„ ::: ;„ __ _ :i: •• :. •: :: :: :. .
<br /> . :
<br /> • :: ::: ii: i:•. :ii ::: ::: ..: •:: i:: :: ::: i: :: :: :: :: .• : .
<br /> ••• ::: ::: ::: ::: .:: ::• .. :: ":: :: • ., :: .: :: : •• •
<br /> :: . .•
<br /> : :: Ei: ii E ::: in. ::: ::: :;.::: .• .:. ;: :. a :.; ::: :: :; a:: :: ; .
<br /> ..• : .
<br /> .. .
<br /> areaaburned,
<br /> If above sandfilter has•been check manifold,laterals,orifice covers,membrane liner and
<br /> .. ::• :::: ... ..ve.. ••• :••:.".. (N.i.ake::.notei and attach pictures if possible) :
<br /> .. .
<br /> .. .. ... ....
<br /> ::: :. ::: ::•: • ::: :.. ::: ::: ::: ::• :: :"::: :: :: :: ::::: : ::
<br /> .. ::
<br /> ::: :: ::: •••• : ::: ::: ::
<br /> ... .. ... .... . :::: .. .
<br /> •• •• ••• ••- . ... ... .. ... ... ... .. ... .. .. ..... :
<br /> .. .. ... .... . ... . ..
<br /> . .. ... .... . ... ... .: :: ::. ..: :. •-: .. .. ..,.. . ::
<br /> - -•
<br /> i:.: ... .•. : :. .c. .; i ....: ..• •-• ••
<br /> :: ::•: :::::: . ::: ...:.- • • • /I /..9-- --7- - ...
<br /> .. .....
<br /> .. :: :: ::••:: .
<br /> . ..
<br /> . ..
<br /> ... . . ••.. ..: : ::.: :•., : ::: •: .:, ::. ::: ::. :. . ::
<br /> i:: ri:' !ii ::i ii •E ff ii ?; ::::: :::::: :T ii. :::: .. .....
<br /> . .....
<br /> •• - :: ::::: .•
<br /> :: ...:: .. .....
<br /> .. ......
<br /> •:: •: --
<br /> :' i:E :F.: :::: : ::: :: ::: •:: .::::: ::: :: _. .. .. ..... .
<br /> ••• n: ::: :::: :: ::: :: :i i:: :.: ::: :: -i: :: :.:::
<br /> i.• ::: ::: :::: :; iit: :: ii ::: ii: ::: :: • n.: : :: ...••
<br /> :: i:: iii :::: :: ::: :: :: i::: :::: • :::: :: .:: .. .. .•
<br /> .. ......
<br /> :: E: :::: :::: ;i :ii ii :: ::: ::: -:: :: Ei .• •• - -•- . ::
<br /> ::: :: ::: :::: •: •:::: "i i: ;i: ::: ::: ;.; Eii
<br /> • :: ::: :::: ::: :::. EE :: ::: ::i ::: :::: .. . .. .....
<br /> :: :. ::: :::: ::: :,: :: .: ::: ::. ::: ;:: ;:: :: :•. :: •.:::.
<br /> :: ' ::: -:' i:i ::: .: :: :•: ::: ::: :: •• •• :: :::::
<br /> .. . . .....
<br /> :: : ::: -:: •• ::• :. :: :.. ..- ••- :: ::: :: :: .. ::::: ..
<br /> . ... .... ... .. •. ..
<br /> : :'• :::: ':• '" : ii: iii ::: ::: ::: : .•:::: ::: :: :: ::: ::::::::
<br /> : :: ::i ii:• ::• ::: : ::::: :::: ;;;; :::::: ::: :: :::: :: :::. i ::: :::::::
<br /> • - - ••'': ::. "" ::- ••• ::: ::: :: ." ::: :::: :: :: :::::
<br /> ' ::: •••• - - : - - -• ::: :: :: ..: :: :: • „ :::„ :
<br /> ' -::i .•:: •:: ::: • :• :::
<br /> :: :: ::: :::• ::: ::: '': ;:- 5:-677 •• •• •; ii • /7••• v,,,e 5 ,.....1 i L...- . ,
<br /> " • ::• :: :: - ';..- •-• :: ::: :•:
<br /> ':::• :- - :::: name ::: ::: ::: : ::: :: :.: ,:: :: ii CO" pany
<br /> :- :: ::: :::: :•: ::: ::: ::: ::: • ,:: H. :: ,:: .:i ,, „: ..: ........ • -. ..
<br /> . ..
<br /> . ..
<br /> ,:'::: ii: iii ::.i i'.. ::::: ::::', :::: ::: 11: : :•.:- :..! i, „:„...: ,., „.:, i:: :::: ..;:.„i:i : ::
<br /> •:: :: ::: ::••• - -.: •• - ::: • • :: :: :: :: :: :: ,., ::,:,
<br /> • •• ••• :::: ::: :.. : ::
<br /> • ::
<br /> ':. :: ::: :::: ::- ::: • . .., :, .. ,, , ,, ... .. /
<br /> •:: :: - .;: :.: •:: .. ::: ::, •:: :,
<br /> ':' " "'. "" :•: .: :. ..'7. -. - ii ":" .:.-:. ;: .:::. /2-40,7_2-e/72_4o ! !i:
<br /> ii: ::: ::: :: ,i :: :: :: Date
<br /> Signature ::: - :,. ::: ::
<br /> . ..
<br /> :••• -: ::: :::: .. ... •.. -:. ::. ::: ::: :: :: :: :: :: :: :: :,: : . ..
<br /> - -- " - - - .. ::: •:: ::: •:. :: : •: ,: :: „ :: :.: ,
<br /> '.'- -.E :.: ::::•: :•-• :i: ::i ::.:. ::: ::: ::: .:::: :: :: :: :, „„ ,„„ , ••• -•.:
<br /> • ••: •.:
<br /> :II :::::: 1.:!! ::::: 11 III :::'::: I: 11! Ill il': ::.1 I:, 1 ,': . : ::.: ::: !!.:: ,.. : •.:
<br /> •:„: " •:: :::: :::: ::• ::: ::: ::: ,:, ::: „: :, . I ,, ,, „, •„:„ „,.... . • -. ..
<br /> :E :: :. •• ::: : . ::
<br /> . ..
<br /> ::: .: ::• :::: :.: ::: ::: ::: ::: ::: ::: „ .: : .. :. .. :: ::: :: : .
<br /> •:: ::: :EE E::: :Ei :::: i:i :::: ::: ;.: • • :: - - ::: :::::: . ; . ..
<br /> • ••
<br /> . ..
<br /> : .
<br /> E: ::: En. .:::: E:E EE: ::: ::: ::: i:: .:: ii :: :: :: :• ':: :: E:: : . .
<br /> ...-
<br /> E :ii iii iii i: :ii :::: ::: ::: ::: .:::: i.: ::: :: .: ::: :: ,:; :: ::: : • •-
<br /> • --
<br /> :: ::: in iii Ei i:i ::: :ii ::: ::: ::: E:: :: :: : :: :: :::: :: ::: : . •••-•
<br /> :: E:. El: :::E: ::: EEE: EEE ::.• :ii ii: :E: •: :: • Ei :: :: :: ::: : . :.-
<br /> . ••
<br /> ; :•": .:::' ;E.:FE ::::; EEE ;Ei :E: ;EE ::: :::: :: :1 :: ::: ::: ::: :::: ::i; • : ••.:
<br /> . ..
<br /> I:: ::.-i li': iii ii FIE 1:!. •••i iii :::: :::: .:;E EE : :": ::: :ii: :::: :::.: ::::: :
<br /> ..
<br /> .. ..
<br /> . ...
<br /> :i iii :.•:. ii!:: ::; ::: ::: :. p,, !il ':::: 11 „ :: ... •• ••:: :::::• iii I::::::: ::::': ii: iil ,:i: ::::,: :::::, ,.-:::. :: :•:, -:: _:.. ii :::: 1:1 i .. ..
<br /> .. .
<br /> ::: :::. -:::: i ::: .:: ::: ::: •:: ::: i: •:, ,-1! -.,1 ,, i, : ::: . :•:-. ::
<br /> :•' -,,i :.:: i:::: ::: ::: ::: •:: ::: ::: ::: :- :. ::: :: :: :: :: ::: : :•.
<br /> :- - ::: ;:::: ::: :::- ::: ::: ::: •:: :•• .: .. .. .. . . ,„ ,..
<br /> .. ..
<br />
|