9930 SW MURDOCK STREET-1 is )iaoaanw ms OE66
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9930 SW, "AURDOCK ST
05/08/03 THU 10:30 FAX 5038464490 AASH CO MIS la0o1
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WASHINGTON COUNTY DEPAf7Ttt M OF PUBLIC HEALTH•SUBSURFACE SEWAGE VSTEM
CE TIFICAI'OF SA118FArT0RY COM^LETlON 1 CCNiRE CR
-c 10 NOTICE
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Property C1,rnerj Instal ler (lg--
loc/Road/Addrvas
Type -of Use< /Crmfl'/Indust.) . Sewage Flo./alto _
�3 D5�/��me-z-vec"TI,fx
T . cepatlty7�_ mnterla4e!� lstanco to
NeII
Y distance to foundation �Q/ manufacturers/I ��
misc_eI Ieneous --
WAL*E. pump manuf, turer - -- model I sixs
sump rilameter/cep.
/� DRA I Nf:E LD: type of syaem —----
r1 G_ distance from weII'M dist, frau fo�yndetIon �diet. from prop.
IIns distance Aetweer llnes j� _ -- total line length 4-' fI1ter
s- ,nater{el depth, top of the to finished ,rade �--�
Remarks, Reports:
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PU9 L 1 C HEALTH SAN ITAR i
7/13/ff2
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05/08/03 THU 10:31 PAZ 5038484490 WASH CO HHS Q002
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1171.,2tN,MW C)UWr DEPAitTMM OF PUBLIC RVALTH cl
265 9.8. OWA
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Hillsboro. Oregon 97123 k -
Telephtmr_: 648--872'2
WCATIon 2-S
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The subject nested Above hoer been r•eevieved and the lolloving decision is recorded,
No
( ) ._ .Ms1th Department requires'. t" he ve b*dm sat in roll.
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(�y ( /......Additional regnirewent■ •s follow Moat be vet berore Wealth Dapsrbmut
\ approval can be given. 1'5/?
Ccz�eOen*at 15 5 L
Date Public Nealth eaai.ta�riaa
4/86-rev. 11CDPH 98-4
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