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Oregon Department of Environmental Quality <br /> • The septic tank material is: <br /> D Concrete <br /> ® Steel <br /> D Plastic <br /> in Fiberglass <br /> To Other(explain) <br /> ® Unknown <br /> • Ia the septic tank accessible? ['Yes ONo <br /> • Septic tank volume in gallons$__0__ <br /> • Tank volume determined by:Check all that apply,add comments below as needed <br /> ®Permit Records['Measured[]Stamped on Tank 0 Other <br /> • Septic tank risers are at ground level Dyes WiNo <br /> • Tank appears to be free from defects,leaking and signs of deterioration g]Yes DNo <br /> If you answered;`No,"please describe the condition of the septic tank below For example, <br /> evidence of gas.contusion,cracks,leaks,etc. <br /> Tank and tank I'd some corosion but do not appear to be leaking at time of inspection <br /> • Septic tank lid(s)is intact ®Yes ONo <br /> • Septic tank baffles are intact:Inlet.®Yes ONo Outlet ®Yes ONo <br /> • Baffle material Inlet QnPlastic; Concrete .®!Metal Outlet(Plastic ®Concrete gMetal <br /> Effluent filter is present DYes ®No <br /> • Effluent filter is free of debris DYes DNo.['Not Applicable <br /> • Liquid level in tank relative to invert of outlet ®At ®Above ['Below <br /> If above or below invert outlet,please explain:. <br /> • Scum layer;_(inches) Sludge layer (inches) <br /> • Scum and Sludge layer more than 35%of the total tank volume DYes ONo <br /> Indicate where sludge measured from:Dlntet .['Middle [Outlet <br /> • Additional Comments: <br /> Tank is located inside of garage and accessed through a hatch in the floor <br /> 4. Dosing tank/Pump Basin <br /> Dosing tanks use a pump to send effluent to a treatment unit or a soil absorption field. <br /> • The septic system has a dosing tank DYes ®No <br /> (If"No,"skip the rest of section 4) <br /> • At the time of this evaluation the power was onto test the pump(s):DYes ONo <br /> Page 3 of 8 <br />