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• <br /> Oregon Department of Environmental Quality <br /> • 4. Dosing tank/Pump Basin <br /> Dosing tanks,where present,have a.pump that sends effluent to the soil absorption field(leach <br /> field).Not all septic system designs have a dosing tank. <br /> • The septic system has a dosing tank [ Yes ONo <br /> (If"No,"skip the rest of section 4). <br /> • • Dosing tank capacity (gallons) <br /> O Dosing tank Material - - - • <br /> • • Dosing tank appears to be watertight and in good condition DYes CNo <br /> a • Dosing tank lid is intact Dyes ONo <br /> • Electrical components are sealed and watertight DYes ONo <br /> o• Pump/siphon is functional DYes ONo <br /> ••- • Type of Pump ODemand dose OTime dose <br /> ® Pump control mechanism is functional(floats,pressure transducer)DYes ONo <br /> • There is a high water alarm DYes ONo <br /> • • • The high water alarm(audible and visual)is working DYes ONo ON/A <br /> • Type of screen <br /> • Screen is clean and free of debris CYes ONo <br /> • Scum/sludge present in Dosing tank DYes ONo <br /> a Scum layer (inches) Sludge layer (inches) <br /> • <br /> • Additional Comments: <br /> 5. -Soil absorption system <br /> -The soil absorption system is a set of tenches that receives effluent from the septic tank and <br /> filters the effluent before it enters the groundwater. <br /> • The septic system has a soil absorption system VYes ONo <br /> • Absorption distribution DEqual ZSerial DPressure DEqual via pressure <br /> • Absorption lines construction material: <br /> ❑Gravel and pipe J 'Chamber OTile DPolystyrene foam and pipe Gather <br /> • .Absorption distribution unit(s)(dropbox,liydrospiitte,equal distribution box) <br /> A.1Intact ❑Damaged ON/A • <br /> •.. Absorption distribution units)are free of debris or solids /Yes CNo <br /> • <br /> • <br /> •Site Address: <br /> - <br /> Page 4 <br />