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11996265
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11996265
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Last modified
1/2/2024 8:00:20 PM
Creation date
1/2/2024 11:13:30 AM
Metadata
Fields
Template:
Permits
Permit Address
50569 LINNWOOD DR
Permit City
Gates
Permit Number
555-20-007927-PRMT-01
Parcel Number
09S03E26CD00303
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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333 231 <br /> N ■OE ■ III ■■ III ■ NOON ■■ I NI NINON Imo <br /> um ■■■ ■ ■■ NO ■ ■■ ■■ ■ ■■ ■in ■ — <br /> i MO ■ IN ■IMONE ■ ONE I ■11■ ■ ■ ■ ■ N : <br /> Field Maintenance Report A&B S E PT 11 SERVICE <br /> 18 Month Inspection (5' 1) 924-0851 <br /> Property&wn !Traclung r -- Operator <br /> BARBARA MAHLUM _ <br /> site Address ct Phone <br /> 50569 LINNWOOD DR., GATES OR 97346 ,13) 910-1013 <br /> Site fo a county ID. Technology •. of Last Inspection <br /> 143848 Media Filter> ISF . 31/2018 <br /> 1 Measure Sludge/Scum <br /> Sludge Scum <br /> 1st Compartment Current 3 Previous Current 0 Previous <br /> 2nd Compartment Current y7 Previous Current 0 Previous <br /> /v/ 1 <br /> Perform Field Sampling/Observations <br /> NTU(15:NTUs) pH(6-9) DO(2-6) <br /> Services Rendere <br /> rnPGsvr e0( SCUM an7( .Stto5 e <br /> (Jt.flfd anc4 GfPend -e-1vc-4s an of pv� <br /> ,,Jc/litool ct ld -Clvlh, of dr•G;n-i%e/c{ <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 /> rzrzryi <br /> r,Call for service Li Tank needs pumping }Other? <br /> Comments <br /> Signature �'��� -- Date — /7 <br /> Fax completed form to 1-866-384-7404 <br />
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