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Applegate Septic & Sewer <br /> 1404 Fernview Drive <br /> Modesto, CA 95355 <br /> 209-575-4531 Fax 209-530-9163 <br /> License#715453 <br /> Onsite Watsewater System Report&Inspection <br /> Hom owner: Age of Property Inspection Company: Applegate Septic&Sewer <br /> 1404 Fernview Drive <br /> Occupied Modesto,CA 95355 <br /> Yes Vii` Date of Inspection -1Z/ .� L�' r <br /> Are there any state or local requirements regarding the evaluation/inspection of a septic system? Yes_No_ <br /> Does this evaluation/inspection meet the requirements of the state and local agencies? Yes No <br /> Section 1 <br /> Location of the stem: East W North South <br /> Was water run into the Ustein for 30 minutes? s .% No <br /> Does the c tank have a visible riser? Yes <br /> Estimated size of tank?Z gallons Basis of estimate: <br /> What is the ation between the well and tic? L' <br /> Does the separation of the well and seatic meet local requirements? ?C Yes No N/A <br /> Section 2 Disposal Field <br /> Any evidence of malfunction? Yes_ Nom(Please check all applicable observed conditions) <br /> Wet areas_ Unusual green/lush vegetation <br /> Liquid discharges to surface_ Discharge pipe of unknown origin <br /> Localized surface settling_ Other (Describe below) <br /> Based on visual evaluation only--is system working properly at the time of inspection? Yes No_ <br /> If tank is being opened and pumped,please answer the following questions: <br /> Septic tank material: Concrete Fiberglass Other <br /> Liquid level of tank: Normal Below normal Above normal <br /> Access openings in tank: One Two Three None <br /> Number of risers: One Two Three None_ <br /> Condition of baffles and or sanitary tees: <br /> Inlet baffle or"T' Present and functional Not functional None present Not visible <br /> Outlet baffle or"T" Present and functional Not functional None present Not visible <br /> Tank was pumped? Yes No (if no,please explain below) <br /> System working properly at the time of inspection? Yes No (if no,please explain below) <br /> Additional comments/repairs <br /> Needed: _ �S�e� / ,�' G k), <br /> Septic systems are subterranean;therefore it is impossible to determine their overall condition.Also,when no water is <br /> entering the field,i.e.,if the house is vacant,a determination of their status is difficult.No prediction can be made as to <br /> when or if a system might fail. <br /> This report comments on the workability of the system on the day of the inspection only,and is in no way intended to <br /> be a warranty. <br /> Workability can be altered by factors such as excessive rainfall,heavy water usage,faulty plumbing,negligent or <br /> physical damage to the sy .All tanks require pumping maintenance. <br /> Inspected by: Date: c` <br />