Form 5-2 Operational Checklist: Septic, trash and processing tanks (STPT)

Service provided on: Date: Service provided by: Company: Date of last service: Date of last inspection: !" Type: NOTES &" 0cceptable Bnacceptable Time: Reference #: Employee: By: You Other:

Septic tan# Trash tan# $rocessin% tan# $ump vault present &" Conditions at the tan# a" Evaluate presence of odor 'ithin !( ft of perimeter of system: )one *ild Stron% Chemical Sour b" Source of odor+ if present: ," Tan# description a" *aterial: Concrete -iber%lass $lastic b" Capacity: %al c" Compartmented" Yes )o d" Capacities for compartmented system: !. %al &. %al /" Tan# access a" 0ccess location: 1nlet Outlet Center b" 2ocated at %rade" Yes )o c" 1f 3)o4+ ho' deep is lid buried" d" Risers on tan#" Yes )o e" Evidence of infiltration in risers" Yes )o f" 2ids securely fastened" Yes )o %" 2id in operable condition" Yes )o 5" 0larm6s. a" 0larm6s. present" Yes )o b" 0udio alarm operational" )"0" Yes )o c" 7isual alarm operational" )"0" Yes )o d" Remote telemetry operational" )"0" Yes )o e" Electronic monitorin% operational" )"0" Yes )o 8" Current tan# operatin% conditions a" 2i9uid level relative to outlet: in 0t 0bove Belo' b" *a:imum li9uid level of tan# 6invert of inlet pipe.: in c" ;ei%ht at 'hich alarm is activated as measured from invert of inlet: in d" Evidence li9uid level has been hi%her" Yes )o e" Evidence li9uid level dropped 'ithout pumpin%" Yes )o f" Evidence of continuous inflo'" Yes )o %" Date of last pumpout: h" $resence of flocculant in clear <one" Yes )o i" Evaluation of layers in tan#: Compartment Scum 6in. Clear =one 6in. Slud%e 6in. )umber Depth Color> Depth Color Depth Color ! & >Color Choices: Clear -locced *il#y *uddy ?rainy Blac# Bro'n *ustard ?ray @hite A" Tan# pumpin% recommended" Yes )o

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0cceptable Bnacceptable

5"

0cceptable Bnacceptable

8"

0cceptable Bnacceptable

Odor

Other

Reference #: C" 0cceptable Baffles currently structurally sound" Yes )o Bnacceptable a" 1nlet baffle in place" Yes )o b" Outlet baffle in place" Yes )o c" Compartment baffle in place" )"0" Yes )o d" Effluent screen" Yes )o *anufacturer: *odel: e" 1s screen accessible from %round surface" Yes )o f" 1f screened+ percent plu%%ed: D %" @as screen cleaned" Yes )o E" Tan# structural condition 6evaluate if tan# pumped.: )"0" E" 0cceptable a" 0ppears to be 'aterti%ht 6no visual lea#s." Yes )o Bnacceptable b" Rebar e:posed" Yes )o c" Corrosion present" Yes )o d" Spallin% present" Yes )o e" Crac#s present" Yes )o f" Root intrusion" Yes )o %" Deflection noted" )"0" Yes )o !(" Contractor responsible for pumpin%: a" ?al removed: Date: !!" 2ab samples collected for monitorin%" Yes )o Types of analysis: C"