Laserfiche WebLink
cpid rn - u(q.y? <br /> MARION COUNTY PUBLIC WORKS O <br /> BUILDING INSPECTION DIVISION <br /> -- - - 5155 Silverton Rd NE/PO Box 14500 <br /> Marion Salem OR 97309-5036 <br /> County (503)588-5147 <br /> www.buildinp(u,co.marion.o r.us <br /> HOLDING TANK ANNUAL PUMPING RECORD <br /> Facility Name: North Marion Building 3 Permit# <br /> Address: 17827 Whitney LnNE Woodburn, OR 97071 Date: 2/25/2026 <br /> Inspection <br /> and Alarm <br /> e of <br /> T <br /> st <br /> Date No.Gallons Na <br /> cten sed Ultimate Disposal Site Water Usage (confirmed <br /> Pumped Pumper (gal/day) alarm is <br /> working, <br /> yes/no) <br /> 2/11/25 2300 Ace CityofSalem(COS) Y <br /> 4/1/25 1600 Ace COS Y <br /> 5/24/25 1300 Ace COS Y <br /> 7/10/25 1700 Ace COS Y <br /> 10/7/25 1600 Ace COS Y <br /> 11/25/25 1800 Ace COS Y <br /> This report must be postmarked or received on or before January 15, 2026 to qualify for the reduced <br /> Annual Compliance Determination(ACID)Fee of$82.00. ACD fees for reports received after January 15, <br /> 2026 are$240.00. <br /> REMARKS: <br /> I certify that the holding tank has been operated the previous year in fill compliance with the permit, and I <br /> am familiar with the information contained in this report and that to the best of my knowledge such <br /> information is true,complete,and accurate. <br /> Name and Title: Andrew Johnson Phone: 503-566-4184 <br /> Email Address: ajohnson c .or.us <br /> Signature:_ Date: <br />