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11996255
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11996255
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Last modified
1/2/2024 8:00:19 PM
Creation date
1/2/2024 10:59:25 AM
Metadata
Fields
Template:
Permits
Permit Address
50569 LINNWOOD DR
Permit City
Gates
Permit Number
555-20-007927-AUTH
Parcel Number
09S03E26CD00303
Permit Type
Authorization
Permit Doc Type
Permit Document
Status
Ready to Film
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, <br /> 333 231 <br /> ttt� II II ■ Ill ■■ ■ I ■ ■ OBIS ■■ ■ II ■I■■■ to <br /> mle III ■ ■■ ■■ ■ ■■ ■■ ■ ■■ ■I■ ■ min <br /> lies I II lull.■ I Ill I ■hh■ l ■ I ■ <br /> W1\5 <br /> Field Maintenance Report A&B SEPTId SERVICE <br /> 18 Month Inspection (541) 924-0851 <br /> Property Owner/Tracking M Operator <br /> BARBARA MAHLUM i4 i. <br /> see Address Contact Phone <br /> 50569 LINNWOOD DR., GATES OR 97346 (503) 910-1013 <br /> Site b a County ID r Technology Data of Last Inspection <br /> 143848 Media Filter> ISF 12'31/2018 <br /> Measure Sludge/Scum <br /> Sludge Scum <br /> 1st Compartment Current Previous Current O Previous <br /> • <br /> 2nd Compartment Current Previous Current CU Previous <br /> cy) <br /> Perform Field Sampling/Observations <br /> NTU(15 s NTUs) pH(6-9) DO(2-6) <br /> ��- ...----- <br /> ---- <br /> Services Rendered <br /> Me5sv red $ccsr) arv? Srtx5 e <br /> 0.4hod ( 61 Pad C /Da4s carol pvmf <br /> (,.)c/lied ctri d -C lust 4,00( al r -,n 4 e/d <br /> Parts Used:W=Warranty,B=Billable(✓appropriate selection) <br /> W B Item Number Description <br /> Summa Recommendations <br /> System performing;no further action needed. <br /> H Call for service LJ Tank needs pumping . }Other? <br /> Comments <br /> Signature `.�/ — -7���--_ Date _3- <br /> Fax completed form to 1-866-384-7404 <br />
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