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i PViPci his lAtivaavi :Syst0). ems <br /> 21N <br /> StartelPp Cckllt <br /> For Oregon Sennce Pronderscso <br /> Service Provider. -6.tiA(\Ic �p,„ 1�� <br /> ' `'`.nr v Dad of Start-{Jr ��f 'Z.C� <br /> Project Information Primary 1ivatment <br /> Perna t: <br /> p( Me Process Tank Verify the following: <br /> tlwner. C� <br /> Address: Str2 �� rn Number of TompaalliCT T�'{c,l gallons <br /> ptY—t.e�l� WCt 1 c CJ Y Number of dents: { <br /> State:O : q -7- 5� Tank mnstnx tion: <br /> Phone Number. ���j" 0- p14 El Concrete Fiberpttass <br /> Desigaer/Engt�ne�e+r, 0'["(',1'1 CO Tank numufacfu her: vt Q_JY t <br /> Phone: Q0C- �j(,�e-ei g� Process Tank Pumping Equipment Verity the <br /> Authorized installer: LQYte. Fi t+e COW V Sophr.S nptng i°a ni hstaDed properf j, <br /> Phone: --]) , R2 Ulsdfarge plumbingproperty wed through watertight <br /> AdvanTex Deafen (,t�4 y� grommet and bail valve Is In open position. <br /> Phone: rorS5-3(0 - a� S -rig amounted I,akrhrbe'vauft and progeny set <br /> Electrician: <br /> Per AdvanTex option tilde.Float cords neatly wrapped <br /> around space box and tied. <br /> Phone: <br /> kF o rate pier t`t€-3A <br /> —Residential-System-Informationat ' a <br /> '-- _' <br /> Splice box mounted or mess riser:watertight connectors <br /> Number of Bedrooms: used. <br /> Number of Occupants:: Process Tank Pumping System.Verify proper operation of the pumps. <br /> 1 <br /> Number of Rter Pods: Mode: felt 2Pumps operate in Manual. <br /> NSF Certification Labeling on Panel and Pod? es Ricurips operate ki Automatic. <br /> Pod Sticker t: to Co I <br /> Disperse(Method: `� <br /> VORS: Cod 511"a ,c? <br /> Items Not Visible During Start-Up Inspection <br /> EPrecess tank has proper bedding and is set ier�e{. <br /> EKDistharge basi+Vtonk has proper bedding and Is set level. <br /> Er-Requirements tor anti-flotation have been met for processing tank and discharge pure ba in/tar& <br /> E Tank was testeds; <br /> for watertIghtne . <br /> Er-Requirements for and-flotation have been met for A tvanTex Alter pod. <br /> u AdranTex system has property sited and installed underdratn pipe,with a skpe on underdratn that allows for proper ventilation. <br /> AI connections have been property glued—Including the use of primer—and cleared of debris. <br /> ErThe elevation difference between the Invert of the outlet to the Invert of the RSV is adequate. <br /> E ralopca t Ins from the discharge pump basirNsnk to the drainfleld has been Installed and dewed of debris.Ail connections <br /> have been property glued—kxiudng the use at primer. <br /> C Drainftetd has beep installed per specifications. <br /> Installer Signature: <br /> o mas ems.sy:c,.es re. <br /> a.'.igeres <br /> hen't <br />