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Treatment Tanktyes Na <br /> Type of system being inspected? Main tank lid opened for inspection? • '►. 0 <br /> Septic tank 0 Cesspool () Liquid level below the tank's inlet invert? - 0 <br /> Liquid level below the tank's outlet invert? o(e , 0 <br /> Treatment tank pumped for this inspection? cc.,. () <br /> 0 Gray water 0 Multi-compartment# ,/ s Are all portions of the tank(s)clear of <br /> Name the material of the system? ;` Stnietnres like a deck or a driveway? - 0 <br /> beLConcrete 0 Block I Is the area clear of evidence that sewage has <br /> 0 Steel 0 OtherSurfaced above the treatment tank? (} <br /> Does water flow unimpeded from the <br /> Approximate Treatment Tank Volume: /0°P grgal. Treatment tank? C 0 <br /> Evaluate the conditions of tank below: Is an effluent filter a part of the system? () c <br /> If yes,does it appear properly maintained? ,(.) 0 - <br /> Satisfactory TTnsatisfactq` N/A Are there any other types of accessory units : <br /> Top and Lids • 0 () Present? 0 — • <br /> Inlet baffle 0 0 Depth to top of tank: cCIO inches <br /> Outlet baffle 1i. g 0 Depth to top of tank.access: 60 inches <br /> Cracks or Leaks ce 0 0 ## <br /> ` <br /> Sewage Flow from i Comments: 31,531f01.. <br /> structure + 0 0 1 4,04-S ?WI__ <br /> Absorption Area: <br /> Name the type of the absorption system? <br /> {)disposal bed ()disposal trench <br /> 0 seepage pit 0 mounded ! <br /> 0 cesspool 0 other' Nissl <br /> Was the absorption system located?A yeso If no,explain below -mere_ is no stk. P l v <br /> c• Are inspection ports present? O yes ; V ' (atb(�If yes,how many? '�- - !Ono <br /> Were the inspection ports checked? 1 O yes* 0 no 771— *All levels observed must be included inr report <br /> Was a separate probe dug in the absorption area to confirm the observations in the inspection ports? ()yes 0 no .,-f} <br /> Is The area of the absorption system free of sewage odors? ss 0 no <br /> Does sewage flow from the treatment tank to tile absorption system without flowing back? Cues 0 no (j N/A _ i <br /> Is the area above or near any of the system components free from visible signs of effluent or sewage? r s 0 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 /> 1 ,r.t'es O no <br /> Are areas above or near system components . of lush vegetation? p(eyes ()no <br /> If exposed,is the distribution box in satisfact condition? yes 0 no <br /> If not exposed,explain why not: no - i c(a av Get tib � <br /> Is the area directly over any part of the absorption system free of any evidence of,large objects(cars,pools,etc.)? +es 0 no <br /> 1 <br /> C3 f\ t ;r eco At . <br /> Comments: TA GS rSyS4-ern4 �C�-�'� <br /> fflo c,�3 -fie�s-1-- . or, d r-ai� ';--�L . tcL .s s e. . our 1 i -Clow -S -- <br /> j cpeitA-. w 4it , <br /> ,; ,� maw, s�,�- :1 ,� � � a� � .. �._ s <br /> six/5 1,4 e v, �-loot 5 4( i1d 5 4-1(c,fC ±, . -t' "- Lay e.- to g lF►ches -f t. r k i <br />