HomeMy WebLinkAboutCustomer Service Report; Title 5 Inspection As-Built Sketch � ' � _ �ustamer Servi�e Report
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Schedu{e Now fof Serv�ce
Jun 2018 Wo�corder# 021705823
Call(80�j 999-1682 Customer Since: 2Qp
5ystem Owner System Locatic
Tony Aick pX��y g�
199 Heacon Street 199 Heacon StreeC
South Yacs�uth, t4�A 02664 South Yarmc,ath, NA 02564
{ �"� D3.ck Tony :�i�.�+
SEtNIC@ Ddt2: TBEt 06/48/2617 Ol:ao r�rs Frecwency: HOUS�h01d O[CUp3f1Cy
52MC@ Ty�: Standard Pf2VE0U5 S@tYEC2: OSl311241T 1 2 3 4 5 b 7 8
Approx. Gals: i000 CCLS: 1000 22 20 �t8 16 i4 12 12 i2
Depth Below: s Custorn Uean. � i 250 22 2a 18 18 15 14 12 12
Cust Mome: r�o Fitter. io121/2oio c 1500 24 22 20 20 16 1G i4 t4
Tawnship: ittspectfonl'T5: � 200U 2� 24 22 22 20 18 16 1b
County: sexnstable 6uiid Up:
Descriptfo� Qh+ Unit Price Ext Price Score From l'abte 20
In�pection Title 5 tnot includiag ptauping} 1.b0 $ 365.4000 $ 365.00 Garbage Dispcnat? -b
Znspeetfon (Laboz/Exposure Fees)per hr. 1.OQ $ 184.9S9Q S 185.OQ
clean F31cex i.�o s o.opoa s o.aa System Age> 10 Years? -5
Inapection Title 5 BQH Fees 1.00 $ 44.0080 $ AQ.40 ���{��� ?
Fws�ping 10�0 1.00 $ 260.7412 $ 2fi0.79 Pa�Y '$
Enviror►wental C�liance - Residential 1.OQ $ 19.5000 $ 19.54 g,acter{a Additive Usedt .�
Totat Adj�tments -5
Net Score 15
Scare S�rvice EvaKy:
< 5 6 Monttrs �
G—15 12 MontF� ,
subutst: $ . 870.24
T,� : g o.00 €6—23 18 Manths
r�t : $ 87o.2a 24 * 24 Months
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I� system wormat Keep vour syscem hea[u�y by tot�owing a�ese 3 scrFs: Sct�edute Now for Service
• u��e c���ea��a��c� Jun �0'18
• tise a�'itter CdI!(800j 499-158Z
0 Exsessim Solids Use CCtS Bacteria 1Wdithre Payment DetaiE:
I� N SI Use CtLS Bacttcia Additive visa xxxxxxxzxx8834 0512020
� Tee R ir/R ace 7ee Dt:e on ReceipC
O Hi�Li a1d tevei Posslbte system faittu+e.Calt for evatuati�ar custam deant . ,
I81 Distrlbutfat 8ox Iswe See notes 6elow for detafls.
❑ NNssing 6iiter Use a fitter '
Ca other See ntstes betow for detaiis.
To schedute repairs,custom cleanfng,or system evatuat3on,calt(800}499-1582; ,� r ;
For more infom�ation cat!{978)841-5Qt7 to speak with a eustomer Solutions Speciatist. X ��•,1 �
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Technician :Michael DecosCa Jr. Arrived at:�i:u nM Left at:ix:4o eM �ust�er Signature �
Tech Notes:
Normal ++ater level. Hoderate top aolids. Floderete botLom sludge. Hoth baffles
are intact. Main line Clear. �ilte= is preseat and has heen clean�ed as needed, �""'!
Recouaaended Irsstalling a riser. Cavez(s) secured. R+epairs needed: Dbox is
comp2etely deteriorated and falling apart, dbox needs ta be xeplaced. Sox fs
2'hg, one outlet, schednle 20 gvc, :aachine accessible. Also bui2d-up on dbox. �
Title 5 inspection conditional pass, dbox is rotted and needs to be replaced.
Teeh to pump later todey 30Qp gals. Fy:ll report in 10-14 days, office ta E N j/[R Q N M E N TA L
contact. i
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Rem�payment to 46 Lizolie Dr Suite 10�.Me�orougb,MA Di752 � i
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Titie 5 Off'icial Inspection Form
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OWNERS NAME:�;i(�,�(�L'�'����r 1 � �7t.�1/G- G[�,
SEWAGE PERMIT 1d0. :�l"�a�NEW:�REFAIR: '
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DATE ISSUEll:�"���D�TE INSTALLED: I Z
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IPiSTALLERS NAME: � , r — �
INSTAI.LATIOPi OF:���s#-��'1►�1����I'k� ��
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WATER TABLE: FINAL INSPECTION BY: \!
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DItAjr'ING �F I135TALLATION ON REVERSE SID :