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3 1 <br /> Treatment Tank: 'Yes No <br /> Type of system being inspected? I Main tank lid opened for inspection? 0 <br /> tie tank 0 Cesspool 0 Liquid level below the tank's inlet invert? r: Q 1 <br /> Other Liquid level below the tank's outlet invert?Q i <br /> l Treatment tank pumped for this inspection? Q <br /> Q Gray water Q Multi-compartment:# l Are all portions of the tanks)clear of <br /> Name the material of the system? 1 Structures like a deck ore driveway? 0 1 <br /> Q Concrete 0 Block , Is the area clear of evidence that sewage has <br /> 0 Steel 0 Other • I Surfaced above the treatment tank? . () s <br /> i. <br /> Approximate Treatment Tank Volume: to1 � Does water flow unimpeded from the <br /> Treatment tank? Q <br /> Evaluate-the conditions of tank below: I Is an effluent—filter a part of the system? 0 44- <br /> • If yes,does it appear properly maintained? k <br /> Satisfactory Unsatisfacto N/A Are there any other types of accessory units <br /> Top and Lids ist.. 0 0 Present? „, Q - <br /> Inlet baffle C(5- 00 Depth top of tanlc' a inches <br /> Outlet bade , Q 0 Depth top of totank access: 97 inches <br /> Cracks or Leaks 1 <br /> Sewage Flow from 1 Comments: S t L6t <br /> structure --- 0 0 i /oohs food_ <br /> Absorption Area: <br /> Name the type of the absorption system? <br /> £3 disposal bed 0 disposal trench <br /> 0 seepage pit ()mounded , .1 .1-..-r..,,• <br /> 0 cesspool Q other V- - l <br /> Was the absorption system Iocated?0 yes kiialL. If no,explain below. . <br /> Are inspection_ports present? Q yes �-0nc- <br /> Q sr-i-e- 'Kull,. O&) .i 1 44�ice_ <br /> If yes,how many? .---- <br /> Were the inspection ports checked? 0 yes* 0 no - .ta lA.— *All levels observed must be included in report <br /> Was a separate probe dug in the absorptionea to confirm the observations in the inspection ports? ()yes 0 no 0 WA <br /> I <br /> is the area of the absorption system free of se ge odors? 1 yes ()no <br /> Does sewage flow from the treatment tank to absorption system without flowing back? G{ es 0 no Q N/A <br /> Is the area above or near any of the system components free from visible signs of effluent or sewage? efiilles Q no. <br /> Are the areas at or near the inlet invert of any absorption area component free of visible signs of sewage or effluent? <br /> ()no <br /> Are areas above or near system components free of lush vegetation? : :yes ,0 no • <br /> If exposed,is the distribution box in satisfactoycondition? {)yes Q no <br /> If not exposed,explain why not i S i et vac.\e-i.. kt.- <br /> Is the area directly over any part ofthe absorption system free of any evidence of,large objects(cars,pools,etc_)? es ()no <br /> Comments: I. .. S . ._. ....0' , .' LS <br /> (J_k d r atip -e id <br /> y” 4-.......VI. 4 L Z+ "111 - - ',- -'9i A.A. _L-....� <br /> 1 t 1 t _ _ <br /> Vas .,- tel .. earl u,6"" d` - 11. �e,.►Ak. � ♦-i _- VI"-vi d t'(udr. 1"eP w s lk -4Lt.c k <br />