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A RECEIVED 04/03/2017 10:54AM <br /> Apr 0317,10:00a River Rats Septic 9167762736 p.2 <br /> CERTIFICATE OF SEPTIC INSPECTION <br /> River Rats Septic & Plumbing Services N° 1590 <br /> P.O. Box 365 a Walnut Grove, CA 95690 <br /> 916-776-1600 • Fax 916-776-2481 <br /> Owner's Name Ileci <br /> l, r / ' LG1n Phon�e,11a/o9-7�y— dwa� <br /> Billing Address 139 <br /> r l'� hkGnat 6CLQ l-( ( ` <br /> Job Address Escrow# <br /> Date Pumped Capacity Parcel # <br /> TANK CONSTRUCTION <br /> ❑ CEMENT ❑ FIBERGLASS ❑OTHER <br /> CONDITION OF BAFFLE &VENT SPACE <br /> CtOK ❑ CEMENT ❑ REDWOOD ❑ OTHER <br /> CONDITION OF LIDS <br /> ❑ OK ❑ NEEDS TO BE REPLACED ❑ OTHER <br /> CONDITION OF T'S <br /> ❑OK ❑ NEEDS TO BE REPLACED (T9.CODE) ❑ OTHER <br /> SEPTICTANK & LEACH FIELD CONDITION INVOICE <br /> ❑ Leach field appears to be working OK at this time. <br /> ❑ Leach field shows signs of failure. <br /> ❑ Liquid level of tank was normal_ PUMP SEPTIC =$ <br /> ❑ Liquid level of tank was over tank Ts to lids. <br /> ❑ Necessary repairs made - system OK. HRS./LOCATE DIG UP <br /> ❑ Imminent Failure -system could fail at any time. <br /> 13 DATE LAST PUMPED_ - 0$_PIH -$ <br /> REPAIRS: MEN <br /> ❑ AS BUILT: LID DEPTH <br /> S J r�r HRSJLABOR =$ <br /> �-y ) n Ew Cis MATERIAL =$ <br /> ` .- TAX =$ <br /> CAMERA =$ <br /> LOCATOR =$ <br /> Labor- i- _AAa r, l=$ 6 R. <br /> Recommendations: =$ <br /> TOTAL DUE --$ , — <br /> Authorized DATE PAID: <br /> Signature: <br />