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E: Summary of OnSite Sewage Disposal System: <br /> 1.) Septic Tank <br /> Pumped El Yes 0 No Appr. size 1000 Tank material CC <br /> MFG: WAITES <br /> Septic Tank is in X❑Acceptable ❑Unacceptable condition <br /> Comments:WATER WAS LEAVING TANK SLOWLY AT TIME OF EVALUATION, <br /> INLET AND OUTLET BAFFLES LOOK IN GOOD SHAPE. <br /> MAY HAVE A CLOG IN THE OUTLET GOING TO THE D-BOX. <br /> 2.) Pump Tank Ei N/A <br /> Pumped Yes ❑No Appr. size Tank material <br /> Pump tank is in 0 Acceptable ❑Unacceptable condition MFG <br /> Pump Model# Comments: <br /> 3.) Repairs needed 0Yes X❑No Inlet Outlet Mainline Lid D-box <br /> Comments: <br /> Company Disclaimer: <br /> F. <br /> Based on what we were able to observe and our experience with on-site wastewater technology, we submit this <br /> Sewage Treatment System Evaluation. Report based on the present codition of the onsite sewage treatmer <br /> A&B Septic Service has not been retained to warrant, guarantee, or certify the proper functioning of the system <br /> for any period of time in the future. Because of the numerous factors (usage, soil characteristics, previous failure <br /> etc.) which may effect the proper operation of the septic system, as well as the inability of our company to super <br /> or monitor the use or the maintenance of the system, this report shall not be construed as a warranty by our coma <br /> that the system will function properly for any particular buyer. A&B Septic Service DISCLAIMS ANY WARRAM <br /> either expressed or implied, arising from the inspection of the septic system or this report. We are also not ascer <br /> the impact the system is having on the ground water. Furthermore, this report will be considered invalid if any <br /> information provided by the applicant is determined to be inaccurate. <br /> Evaluating Company: <br /> Phone: <br /> A&B SEPTIC SERVICE Salem: (503) 393-1311 <br /> P.O. BOX 444 Albany: (541) 924-0851 <br /> ALBANY, OR 97321 Newport: (541) 574-1656 <br /> Fax: (541)917-1861 <br /> I have studied the information contained herein and that my assessment is honest,thorough, and to the <br /> best of my ability correct. <br /> 11/4/13 <br /> Today's Date <br /> GENE GAEDE <br /> Name TECHNICIAN <br /> Title <br /> page5 <br />