HomeMy WebLinkAboutSEPTIC REPORT CAMP FIRE (2)Public Health Department
Environmental Health
202 Mira Loma Drive
Oroville, California 95965
APN: D % 0 1
Camp Fire Septic System
Inspection Report
iT: 53o.552.3880I but ivk uN"
F: 530.538.5339
Owner Telephone: 4 1
Parcel Address:
prop"Owner Name: 1 I t oZ
n � 4 f : ,o,�,
41
Property Owner Mailing Address:_
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for septic records. if no
Prior
to i s available, ti n, cont t Butte
ex Countyisting En find each linesonmental will
records
l be required (Form AS),
are
PRESORTED L
Se tic Tank Ph sisal Observations DEL olio w/?r, +� Q N 0) i17- y F
�0 US I Up1D
Poll
❑ Wood (Not Including Baffle) ❑ Drawer 5172, cHlco, Fi $ 4M
Fiberglass ❑ Y wICO, I aom ets
Tank Material: Concrete t� No ❑ HO ^ ISE ZIP 95928
No❑ in Good condition: Yes El48
Inlet T: Present: Yes 0z No ❑ 0e11512019
NOD In Good Condition: Yes ❑ THIS IS NOT ANEW BILLBUT! F2EOUE5T FOR PAYMENT ~
Outlet T: Present: Yes 1 SERVICES PREVIOUSLY BILLED. SEE EXPLANATION BE { 034A 008180111
N o ❑ Your service may be turned off without further notice If your ov
bill (excluding city tax. If applicable) is not paid within 48 hours. Wont
is Effluent In The Tank At Normal Operating Lever Yes ;� your bill right away? If full payment has already been
if Not, Explain? No W you Please pay Yo
made. thank you and disregard this notice
Dal oro Water Co .lnc ACCOUNT NO.: 215183
Baffle/ Sidewalls/ Top Has Visible Cracks/Deterioration: Yes ❑ LYNDI JONES
If So, Explain. 3813 PASADENAAVE APT 35
Fair ❑ Poor ❑ SACRAMENTO, CA 95821-2879
Overall Tank Condition. Good Issued: 0811512019
General Comments:
THIS BILL IS PAST DUE $39.50
Please Include Late Fee of:
$5.00
Drain Field O erational Observations Account No: 215163
Perform Hydraulic Load Test.Service AC 13749 ENDICOT CIR
Introduce water through the outlet. Minim
PAY ONLINE at www.utilitypaymentportal.com
um of 50 gallons of water.
3180.5000 AB 0.412 331
Signs of Leach Line Failure: Yes ❑ N0 III'IIII,r1IIhI1IIIIIrIpIIIIIIIIIIIIIIII'll'llll{'IIIIIIIIIIII{
❑ Moist Soil ElElBackflow Into Tank For Over 30 Minutes
Surfacing Water
Other ❑ Explain.
CAC
Phone ber
Butte County Certified
erd Professional
Num
Name of Inspector