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:: :. •,: :::*: ::: •:: :. 2 ::: :: ..• : . •. . :- -: , • • - <br /> .. • <br /> ' •: 4: ::::: :. •: :.: :•: ::: :. .: ' . :. " :• .: ": :: ..• .: • • •. . . <br /> :E ' -.. EiE :E:•• :: '• :. '• EEE .: EE- :: '.. ' E• ' :: !! • - •• . . <br /> •... :: <br /> • ii . . :- iE : : . <br /> : . <br /> . . <br /> Oregon Departitentof Environmental Quality ii i: : I: :: <br /> : . <br /> :, •. ::: ::: ::: .: . .: ::, ::. :. : :: ::. , .: :: :: : : ii ii •. . : • <br /> •. . <br /> . •:: ii. i:: ::- •ti i. t• ::. ::: :. : . :: .: .. :: ii : - <br /> • <br /> .. ... ... .. . . .. . .. .. . . . . •. : <br /> : . <br /> .• ... ii:. 'L::•.• * Dosing tank capacity .19e4) (gallons) <br /> • •. ". . <br /> -:: ::: :::.. -:- ::: :. • ::: ::: .:: • • ,.. •. :: • - •• • • : . .: • •: . <br /> •: :*-! F il:i" •!: Tank volume determined by: Check all-thai.apPly,add comments below as needed <br /> • . <br /> .,i: •!: :•:::: i.i:. ! ''M PermiiileCardiEl Measured 0 Stamped on Tank 0 Other - ••.. .. •• : <br /> • <br /> . ... . <br /> : . • <br /> • Dosing tank material Cc.ecyfe. :'; .: :i .! :: F. . : •• •- • . <br /> :,.. :.: :i :: , :: .,, .:: .:• :.: ::: :.. , . ,,- :: :: :• ,: ::: : • •. . <br />, i:- :• .. :.. *.: Dosing tank appears to be watertight and in good condition !::PDYes ON° <br /> . . <br /> . . <br /> •" ::• - • -. :: .. :. ::: : . • •. •'. •:.• : !i! ! ...; Dosing tank lid is intact. IgYes ON0 *: 1 ..! ;. :1! . • : : : . ' .. <br /> . , . . <br /> .... . . ... . .. .. .. . . <br /> - ::: : . • • <br /> •:! !! ,i 1-ir, *!: Electrical iComPonents are sealed and watertight lYes:: ON° • - <br /> . . <br /> •. . <br /> • <br /> . . <br /> . . <br /> • : • <br /> •• PUropi siphon is functional EYes DtsTo. *: • :i ii: ; , ; • <br /> . .• .: <br /> . .. . . ... . <br /> ••• Type:Of Pump:i:in Penland dose OTinie dose:, ,: !: ::! : , : • : : <br /> : . <br /> . . <br /> ; .• : • •:: Pump control mechanism is functional(floats,pressure transducer) 0 Yes ONo ', • . . <br /> • . <br /> . . : <br /> . . <br /> *.'t' lierelis ahi ghWater alann[Wes Olio! <br /> . . • . <br /> . : <br /> . .. <br /> : .. . . <br /> ::: The high*step alarm(audible and visual)is working BYeS DNo [Not Applicable . • - <br /> ...-: <br /> .- •: :n i: <br /> .., ': '• •-•. •• Type of safeeii, :; i. :: ;- - !:: .. .. - • •-. <br /> :; :::: •:: .•• •.. ..- :.: :: ::: :i •:- .:: •: :. :: :. ::,:: i it .: •- • • <br /> ' •-. !: ii:' •; Screen is Cleanandiree•of debris ZS.Yes ONO-Screen cleaned for this evaluation EIYes EINo <br /> •: •• •it :::: it. •:: :•• ... ::: i" •- , - •• •• - - •••.; • <br /> :- **: !.: '•;" ‘'..• South/sludge present in Dosing tank :NYes ONO ::': : . •• - . - • <br /> .. . . . : <br /> .. . <br /> . . <br /> • <br /> : ::: .. .: :.• .• ... :, • .• .: :: .: .• :.... . . :: :: <br /> :. .. • .'.. :: :r et: Seumlayer - 7.t-(Mr..hes);: Sludge layer _2...: (inches). . : .• • • • <br /> . : <br /> • •:: :.• <br /> . ::: :::: ,•• .: :.. :.. ::: ::, :: .. <br /> :: :::.• .. <br /> • •.. • • <br /> .. .::i Additional Cotments:::: :: .. ::.: il .: ' i: F .... ,. <br /> . ..• - <br /> ••• • <br /> •• ... :•: ::i: :-,:- ::: :: :. ::::' • <br /> • <br /> :: :.: : : .... :: . • -• <br /> .. .. ... . . : <br /> .. ... .. . .. .. . . .. ... . • - <br /> •• •• .• <br /> • -- . . <br /> . • •• ::i • : • -- • <br /> 5 Soil absorption system <br /> • •• • ••. • • <br /> ." • :. .:-. The soil ahsorptionsyStem is a set of trenches that receives effluent from the septic tank and <br /> . , <br /> • • - <br /> . . . ... . . . .. .. . <br /> . . . ... . <br /> •:. :-: :-: filters the:effluent before it enters the firoundwiter. : :. !i!].. . E : '! ii • <br /> • ti,,: . : • . : • <br /> :: ::• . : .: .i: •:: •• • •,, •:: : . <br /> is: .• : i !' il' The septic system has a soil absorption systemEries DINTO OUnlmown j! 1! . .• : : <br /> . - <br /> • • <br /> . . <br /> .: : • t. ., •: • • <br /> ”: .• .. ;i ••. 40i: Was the soil absorption system part of the evalnationnFIYeSi',ONo DSee note below <br /> .. .: •••• ::::::. ii.:. .: If the Soil absorption system was not evaluated,please eki.lainbelOw(for example unable to ' •.:: ;:: ::: :::: :It. . 'i ": ::: •:! ::: ::. :: :: •.i li i: •: :: ::::: •• - ::: :i•" :: locate,client did not authorize this part of the evaluation):: .. . . - <br /> ': .:: ,:: ::::: • :: i:: ;:: ::: :•; . ;: :: . :i .. . .: ::::: . . : ••. . , <br /> • <br /> . : <br /> •il •• :Ei !! ,E E.: s: .E. ' ..:• .! :. • •: 7.: .- !, !•,:: . . . !• • •.. . •• -: • . <br /> •: :.: .::: .'-! ii: 4: Absorption distribution D.Equal gr.:Serial ZPressure DEqual via pressure:i ! : <br /> : • it :: : . <br /> • <br /> .. . . . . .. . <br /> .:* ' '• : ' bsoon lines. &ins trUctioli material': <br /> • •• -. . . : <br /> . ... . . . ... A . ... ... ... . . .. . <br /> . . . . ... ... .. .. . .•• <br /> Gravel and pipe 0 Chamber El Tile: 0 Polystyrene foam and pipe :DOthet : <br /> : •• <br /> :: •• ::: i: :. -:, i: :: :i. ::: .: .:: : ;• i: • •. • : : i: .: •. .•• <br /> ::. AbsorPtien distribution unit(s) EjdrOPboi OhydrOsplitter Oequal distribution 1344 • - <br /> •. . .. .. .. .. ... .• : <br /> 0 Intact:0 DamagediiiktN/A ,, :- :' :. *: :: •:: ': i : • -. : <br /> • : <br /> . . . . <br /> t.:' •• t.i i".I: *: Absorption diStribUtionwit(e)are free of debris or solids :Wes :DM ;I.4. N/A : • • <br /> • . , <br /> • <br /> .. . .. .. ... ... .. . ••.. . <br /> .. .. . . .. ... .. ... ... .. <br /> -• - - - .: Pa0e 4 of 8 <br /> ... ... .. .. . . .. . . •• <br /> - -.. E.: :"-- •" .i• ,.: :. n, ::: . i.:i; <br /> .. . ... ... ... ... ... . ... ... . <br /> •• . :i: ." • ": Ei ": •:• I.• " :. i, --• .•• <br /> .• <br /> : .:. : .. :. ::: .:. . i. i„ i • :.•:: • • •' • ::, ii::: ::i i: :: ::: :n :" • • :: ::,:: <br /> . •:. ":n : . <br /> - • • <br /> . • <br /> •• ••••• - ••• - -- • • :::•: : . -. • . : <br />