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c TAX REFERENCE# 3. ���ORANGE COUNTY HEALTft`pRTMENT <br /> WASTEWATER Si Y[S�TEM INSTALLATION INSPECTION REPORT <br /> APPLICANT/OWNER : ov` j lGtb LOCATION 51 j$vs, <br /> SYSTEM INSTALLER: f=p tit - }}�� DATE OF FIRST INSPECTION <br /> --��uu <br /> TYPE OF SYSTEM: CONVENTIONAL ❑ PUMP CONVENTIONAL ❑ PRLrSsURE MANIFOLD <br /> LPP ❑ <br /> TANKS ST MANU_ ft' <br /> PT MANU. WKp <br /> _ PUMP REQUIREMENTS <br /> 5TB- 53 PT 0 GAL GPM @ Z8 'TDH PSI GAL t 13RAND 4tilge <br /> PSI MODEL Vf O ?39 V1{ I fA <br /> DATE DATE - 7 ALARM OK <br /> LEAK TEST 8 <br /> LEAK TEST e_uyY PULL ROPE <br /> RISER OK 6] RISER OK FLOATS SET L <br /> SUPPLY PIPE SIZE,2xZ. " FcOMMENTS <br /> TRICA <br /> OK TO COVER � ENCLOSURE <br /> PRESSURE TEST CONDUIT, DUCT SEAL I� <br /> GROUT I� <br /> DRAINFIELD <br /> a^U7x3� 3`� S.7 <br /> gic0'f.3 <br /> Z661x3 l�ov s•J� ' <br /> �x3.• ° ,, f•Q �4 <br /> ?�X3` <br /> DATE _ YF.T owc <br /> COMPLETION DATE ENVIRONMENTAL HEALTH SPECIALIST <br /> 149 <br />