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ClibcOistigtlianTbal§yAgiii01:i1; <br /> POC2ON Start-Up Checklist <br /> For Oregon Service Providers 4 - <br /> '-;Orcncii System' <br /> 1r=crpr.ratcz. <br /> •89.15-348-90:43 <br /> Service Provider: R24. --)vvvi,c,, aeguic,s_ Date of Slart-lip: <br /> Project Information Primary ikeatment <br /> Permit <br /> Proce.ss Tank.Verik the following: <br /> wine Mar vicOt IciA Number of Tanks: Tank stze: gallons <br /> Address: • C', 31ittl-t Cre, Cr i- Number of contpailinents: <br /> City: Oetrtf.ft StateLC ILZ.Zip- - Tank con.struction: 0 Concrete 2/Fiberglass <br /> Phone Number: =-D3 --(005 Tank manufacturer arfky <br /> Designer/Engineer:011-SriaGO <br /> Process Tank Pumping Equipment Verify the following: <br /> Phone:%C)C)-:.Sq ea 8z-V5 <br /> Ourrong equiPmeat Installed ProPertt <br /> Authorized InstaUer:&Alf toev- exrauot4i <br /> Phone:5)03-7(0 - -OD 1-+ ! Discharge plumbing property Installed through watertight <br /> grommet and bail valve Is in open position. <br /> AdvanTex Dealer: -Fe.t6 ACV) 1.-011140/\ASIVZIA ErRoatassembly mounted In Bialube vault and property set <br /> Phone:..'55 - a(e) perAtranTex installation Guide.Roat cards neatiywrapped <br /> around spike bac ind tied. <br /> ' Electrician: <br /> Phone: giR.E.°Mate PP* tsrtC-3& <br /> 2^Float set properly at j2 )4 • 71,0 <br /> --Residential-Sysiem-Informafion <br /> Splice box mounted on access riser.Watertight connectors <br /> Number of Bedrooms: used. <br /> Number of Occupants: Process Tank Pumping System.Verify pruper operation of the pumps. <br /> Number of Filter Pods: I Mode: BrPumps operate In Manual. <br /> • <br /> NSF Certification Labeling on Panel and Pod? 121Pumps operate in AutornaDc. <br /> Pod Sticker*, Y20510, <br /> Navy rsnoltic.?F5 Das ic <br /> Dispersal Method: )P29&...S0 <br /> APAp.V. LI - d <br /> VO‘k-S: tz <br /> items Not Visible During Start-Up inspection <br /> 12(Process tank has proper bedding and Is set level. <br /> 12 Discharge basin/tank has proper bedding and Is set level. <br /> 2 Requirements for anti-flotation have been met for processing tank and discharge pump basthAank. <br /> 2 Tank was tested for watertightness. <br /> 121 Requirements for anti-Deflation have been met for AdvanTex filter pod. <br /> • 13 AdvanTex system has properly sized and Installed underdraln pipe,with a slope an Wedeln that allows for proper ventilation. <br /> Ail connections have been properly glued—Including the use of primer—and cleared of debris. <br /> D The elevation difference between the Invert of the outlet to the Invert of the RSV Is adequate. <br /> 13 Transport line from the discharge pump basin/tank ta the drallield has been installed and cleared of debris.All connections <br /> have been properly glued—including the use of primer. <br /> DraInfield has been Installed P tittles (aye <br /> Installer Signature: • /A/4-14-•> <br /> 20aS ormcoSystuire,hsc. <br /> Sc1.44X-01W0R4 <br /> Rox3.1, 17415 <br /> Pant on <br />