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• <br /> SEPTIC SERVICES. A <br /> 5O 58t' 4U12, <br /> Septic Tank�tnspec ion/start, Report - .. <br /> . This tert'nt is tc`be used by Licensed Seplage Haulers who pie:.lnspdrtrng mi ff plumping septin tariffs apart pf a Timd c t <br /> Sale'Inspectiai or art OperatiOn:•and Maintenance,.t�erraif:This inspectlln Jx he completed b'e.po rg'septicyank lidds <br /> andi specting;the intenor of the septic tank The inspactian scope.,ts.lrntrted Of those details:that Carl be c+bse ed bY. <br /> opening an access to.the septic•tank..Specrlrcalty completing ails(Drill.does Norrrequire exposing;the entrrt for Or a <br /> septic tank When inspecting buried masonry pradticts,x:contractors are urged,ttr use'catrtlon:. <br /> tto� t l fr; <br /> Address �L)R,• �Ii ;3.�.•ra•c.f--•�� ,Edyl('rwrshopftbllage r„;_�^"_�_�it�..._.--- <br /> Date Tanks)[nspectedlPumped 2iot1 y . <br /> r <br /> t <br /> Total Number of Septic Tanks - ' <br /> x, Septic Tank Sizes(rn gallons)Tank,.#1:'.1 Tank#2,: . -Tank#3 Tank. .4., . <br /> Tank'LW Types_ ❑Arecast concrete flit a QSteet plate . <br /> . . URisedwith'secure liii at•grade _ '>- ` Uother. • : : <br /> • Lid'Conditron: Litt in and i one piece' UYes ONo ,". <br /> -^ If.No,„specs hick tank(s)and describe in:detail <br /> Tank�;Gondlton. AreThe-re..cracks with visib apsgon'the' .error of the tankks? UVes ONo <br /> -: •, . IWYes;:specify which tanks)ano,: •e.in detail: .. <br /> - Outlet`Devicei ^_ Type of outlet devicaes: a Outlet"T" :$ cast baftte:..•' UVenteti`elbow <br /> Are the outlet devices colon nah DYes ,'4•No <br /> N If o:specifywhic, nk(s)ai,jd•describe in;Fdetail:°•, . <br /> Checivki'.That Apply: ULiqut evel at or below the outlet Tank:# <br /> :c UT : had runback from fina disposa l l a reaTank:# <br /> . - <br /> ank is installed with,an eftfuent filter•_Tank : .. <br /> ®Tank•used as pump'chamber-Tank;# "" <br /> Notes or Recommendations <br /> off, ,% c .-, f <br /> I inspected and pumped the tanks at the above address•and hereby attest:that the conditions as described in this report. <br /> reflect actual site observations I understand that the County may require corrective action`as.ttie result of this report,acid: <br /> . that ally corrective action must approved by.Washten., County . <br /> Company Name: ,Fir--'. •fit :r <br /> Contractor's Signature: Dater <br /> .' +........ ... , -,, ,--°t so- ...".n'. .. .., �. ,.. .::�, f....._ <br /> Y 1� <br />