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Oregon Department of Environmental Quality <br /> * Dosing tank capacity 500 (gallons) <br /> * Tank volume determined by:Check all that apply,add comments below as needed. <br /> C.J Permit Records x { Measured L_ Stamped on Tank _,___ Other <br /> * Dosing tank material CONCRETE <br /> _* Dosing tank appears to be watertight and in good condition x ,,�Yes [_ j No <br /> * Dosing tank lid is intact x Yes M I No <br /> * Electrical components are sealed and watertight __xj Yes L__j No <br /> Pump/siphon is functional (_ x�Yes (�_No <br /> * Type of Pump _x ]Demand dose 1 �]Time dose <br /> * Pump control mechanism is functional (floats,pressure transducer) f_xl Yes _ l No <br /> * The e is a high water alarm ?�j Yes i x l No <br /> * e high water alarm (audible and visual)is working __J Yes f._- i No L x_I Not Applicable <br /> * Type of screen BLACK SCREEN <br /> * Screen is clean and free of debris i_x i Yes L No <br /> * Screen cleaned for this evaluation x__i Yes l i No <br /> * Scum/sludge present in Dosing tank 1 _x__;Yes [__j No <br /> * Scum layer 0 (inches) Sludge layer 1 (inches) <br /> * Additional Comments: <br /> CONTROL PANEL SUFFERED DAMAGE IN WILD FIRE.USED GENERATOR TO TEST ALL ELECTRICAL COMPONENTS. <br /> 5. Soil absorption system <br /> The soil absorption system is a set of trenches that receives effluent from the septic tank and <br /> filters the effluent before it enters the groundwater. <br /> * The septic system has a soil absorption system I x_I Yes 1:- ;No <br /> Li <br /> Unknown <br /> * Was the soil absorption system part of the evaluation? i x Yes I I No l 1 See note below <br /> If the soil absorption system was not evaluated,please explain below(for example unable to locate,client did not <br /> authorize this part of the evaluation): <br /> * Absorption distribution f_jEqual j _Serial IPressure j x!Equal via pressure <br /> * Absorption lines construction material: <br /> x i Gravel and pipe I:_j Chamber L____ Tile i.._..._Polystyrene foam and pipe [ 1 Other <br /> * Absorption distribution unit(s): ___ dropbox l_-___jhydrosplitter I !equal distribution box <br /> L i Intact (��Damaged I x i N/A <br /> * Absorption distribution unit(s)are free of debris or solids i _yes LiNo _x_N/A <br /> Page 4 of 8 <br />