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V <br /> � . . <br /> Al1ULT/�FLO ���'� v`�� <br /> �u —�L <br /> INSTALLATION REPORT <br /> DATE INSTALLED `7� — 4—�� GP� SIZE �B 0 SERIAL N �o� �1�� <br /> OWNER/USER LO 1 S 1�AY-�' b il�,��_Yl-'p PHONE N y '� ��_I � -� L2 <br /> ADDRESS: Street �1�1 5�''Qi�9��,� N'1.�-�-- �G�- <br /> City ���'Z'�-'�� County �'��4-�� State �� Zip _�ss�,'� � <br /> LOCATION DIRECTION� �d'�'� � `� SY�=1 �-f L� j-�1 L1� �-f�1�.� O� SOt�'f 1-�- <br /> S`'�G '�C7 <br /> MULTI-FLO DEALER 5�1��'�rn-��.5 cJA-s"4'� w�!-"t'�-PHONE �► �� � - uq� —�S�� <br /> ADORESS: Street � � 1 k'���� '� �--A • �'� <br /> City � �`'11C-6-1'l4'�L - State 1'� ?—) Zip _�5�3'� l„ <br /> APPROVING HEALTH DEPT. L1'f� B'� �=��� <br /> AD�RESS: Street "�' p '�SD�I- Lp � <br /> City G1�`'t S�CfPr�— ���`�' State rY) Zip ��S.�i�^S <br /> SITE DATE ✓ <br /> TEFRAIN: HILLY FLAT LOW <br /> TYPE OF DISCHARGE: SURFACE DIRECT INTO <br /> SPRAY IRRIGATION RETAINED ON SITE <br /> SUBSURFACE ✓ NO. FT. FIELO LINES ►'n���O <br /> FACILITY DATA <br /> NO. BEDROOMS � NO. FUIL BATHS � NO. HALF BATHS <br /> DISHWASHER I� GARB GE OISPOSAL � WATER SOFTENE_� <br /> ESTIMATED FLOW PER DAY <br /> OTHER DETAILS AND INFORMATION: <br /> ELEVATION EFFLUENT pISCHARGE LAYOUT-AERIAL VIEW <br /> (Show lxation of Facility and Uyout ol Plant Inatallation) <br /> / ' i - r---- --- -------___ f� <br /> tMOUSE / s��"�'1 �-►oil�� <br /> ���2 �\ j , _–_,L— <br /> \/ � � �o��,) <br /> $ � (-Iovoo�,} I�.o�w,�vc�-R..a <br /> U � Pv� � � <br /> � ���aw,'a��n- �"' �► <br /> I�^ . \-c�A-sH-c`w� <br /> �)Cv <br /> s <br /> M�1LT/�FLO <br /> Waste Treatment Systems, Inc. 2324 E. River Road. Dayton, Ohio 45439(513)293-1100 � 0 M o 0 4- 7 8 6 <br />