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Last modified
4/10/2019 8:49:46 AM
Creation date
4/3/2019 10:57:45 AM
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Permits
Permit Address
10052 ENCHANTED WAY SE
Permit City
JEFFERSON
Permit Number
555-18-003782-PRMT
Parcel Number
093W02 00500
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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• <br /> Form 5-Annual Inspection and Pump Calibration Checklist <br /> Scum • Sludge-, - General Comments <br /> - Tank Inspection • Thickness- . Thickness . Date Checked. (maintenance needs,;date <br /> (inches)" (inches) &amount pumped) <br /> Kitchen Septic Tank(1,500 gallon Waite Concrete Products) <br /> Primary Septic Tank(1,500 gallon Waite Concrete Products) <br /> Pre-Existing Septic Tank(1,000 gallon Hank's Concrete Products) <br /> Surge Dosing Tank(1,500 gallon Waite Concrete Products) <br /> Pumps ' ' • Calibration Date General Comments <br /> GPC I GPM Checked: (physical conditions,maintenance needs,etc.) <br /> Surge Dosing Tank <br /> Pump 1. <br /> Pump 2 <br /> Field Notes/Calculations: <br /> Item • Surge Dosing Tank <br /> Pump 1 I "Pump 2 <br /> Starting Depth(inches) <br /> • <br /> Ending Depth(inches) <br /> Change in Depth(inches) <br /> Gallons(see footnote for GPI) <br /> Time(minutes) • <br /> Gallons per minute(GPM) <br /> GallonsGP Inch er Tank <br /> P (GPI) <br /> 31.0 1,500 gallon Waite Concrete Products(full depth average) <br /> Additional Comments: <br /> CFS-Albany,OR St.Innocent Winery I 0&M Manual <br /> Doc:2018240028 StInnocent Winery OM tables-forms-O&M Form 5 May 2018 <br />
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