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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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333 229 /I <br /> ate ■■■ ■■ ■lliuuul■ ■■ ■ ■■VO �■ MOO ■ am <br /> me ■■ I ■ •N■ ■ ■ ■ ■ ■ • ■ . 2 <br /> as II ■ ■ON ■O•■ II ■ ■•••■ ■ ■ a� (Ir <br /> 31t% <br /> Held Maintenance Repent A&B SEPTIC SERVICE <br /> 6 Month Inspection (541) 924-0851 <br /> ih.p.A_olim.rn.cww• °Weirs <br /> BARBARA MAHLUM <br /> Ste Address conbat Phone <br /> 50569 LINNWOOD DR., GATES OR 97346 (503)910-1013 <br /> SW ID. Canty D 1 TWn.loay <br /> lib or t.a.t k-p.c lion <br /> 143848 Media Filter> ISF <br /> Measure Sludge/Sam <br /> Sled,. Scum <br /> let Compartment Current Previous Current Pmvious <br /> d <br /> end Compartment Current O Previous Current Previous <br /> Perform Field SanprAng/Obeervatlons <br /> NTU(1 5 s NTUs) PH(tl-9) DO(2$ <br /> erZafe eUeVi lajo-C y 4‘A j,..) k/ke ) C'tJ <br /> Rendered <br /> Parts Used:W-Warranty,BIB Bauble(J appropriate selection) <br /> W B stern Number Description <br /> $umma <br /> E tsm performing;no further action needed. <br /> _;Cal for service CI.Tank needs pumping Other? <br /> Comments <br /> Z <br /> Nonature Date 7 -J -/i5 <br /> Fax completed form to 1-860-384-7404 <br />
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