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350 972 <br /> Mil Ill. ■ONN■■■■ ■■E■ II ■■E I■ ■ ■ ■ II — 3 <br /> MI NEON ■ ■■■ ■■■ ■ ■ ■ ■ ■ ■■ — <br /> ■■ ■ ■E■ ■ ■■III•UU ■ ■ ■■ ■■■ MN5 <br /> ' dvaiffex® Field Maintenance Report A&B SEPTIC SERVICE <br /> Annual Inspection (541) 924-0851 <br /> Property Ownerrfracking# Operator <br /> A.WEBB LEVI <br /> Site Address Contact Phone <br /> 15932 STORMY DR. NE SILVERTON, OR 97381 <br /> AX Site ID# County ID# Pod# RTU#/UL# Date of Last Inspection <br /> Retrieve O&M Info Measure Sludge/Scum <br /> Daily flow Sludge Scum <br /> 1st Compartment Current Previous Current Previous <br /> Recirc ratio 6 2 <br /> Timer settings: <br /> 2nd Compartment Current Previous Current Previous <br /> 19.7,.3 6 0 <br /> Inspect/Clean AdvanTex Filter <br /> Inspect Clean <br /> Odor. ID Normal ❑Pungent Laterals/Orifices ❑✓ ❑✓ <br /> Perform Field Sampling/Observations Biomat: 0Normal ❑ ❑ 9 <br /> Excessive Pod Bottom <br /> NTU(15±NTUs) pH(6-9) DO(2-6) Brid in Pondin g g/ g: ❑None/Minor ID Excessive Intake Vent ❑ ❑ <br /> 48.12 8.7 3 Inspect/Clean Discharge Pump System <br /> Odor of Sample Inspect Inspect Clean <br /> El <br /> Typical 0 Musty ❑r Earthy ID Moldy <br /> Riser/Lid 0 Floats ❑✓ <br /> Non-typical ❑ Cabbage0 Sulfide 0 Splice Box Pump <br /> Decay <br /> Float cords ❑ <br /> Oily film in PVU ❑Yes ❑r No <br /> Foam in tank ❑Yes 0 No Inspect/Service Other System Components <br /> Inspect Clean Inspect Clean <br /> Check Control Panel Disinfection Equipment El p Dispersal Laterals/Orifices ❑✓ ✓❑ <br /> Recirc Amps Discharge Amps Observations Walked drainfield and firm. <br /> 10.2 10.2 Additional Services Rendered <br /> Audible and visual alarms OK El Cleaned textile sheets? 0 Replaced UV items? <br /> Dial tone(telemetry only) ❑Yes 0No ❑Replaced/Used other items? <br /> Parts Used:W=Warranty,B=Billable(✓appropriate selection) <br /> Inspect/Clean Pump System W B Item Number Description <br /> Inspect Clean <br /> Riser/Lid r❑ <br /> Splice Box El - _ - , <br /> Float Cords ❑✓ <br /> Floats C. CI Final/Safety Inspection <br /> Pump Q ❑✓ 0 RSV reinstalled 0 Lids bolted on <br /> Biotube Filter 0 ❑✓ ❑r Manifold reconnected;flush valves closed ❑✓ Control panel reactivated <br /> Biotube Pump Vault El 0 Summary/Recommendations <br /> Recirculating Splitter Valve ❑✓ ❑✓ ID System performing;no further action needed ❑Tank needs pumping <br /> ❑Call for service ❑Other? <br /> Comments System operating correctly after service. <br /> 5/17/2023 <br /> Signature Date, <br /> _ Fax completed form to 1-866-384-7404 <br />