Amd3_Attch3_2026_Inspection_Results_2pp_0004.pdf

This is an Existing Wastewater Inspection Form issued by the Tri-County Health Department, serving Uintah and Duchesne Counties in Utah. The form is dated April 16, 2026, and is used to document inspections of existing septic tank systems.

The form captures essential property and applicant information including previous permit ID, property parcel number, serial number, and address. The investigative section documents that the septic tank was pumped and inspected on 04/16/2026, with fields for recording the licensed liquids and waste (LW) operator name and septic tank size in gallons. GPS coordinates are recorded in both decimal and degree-minute-second formats (Latitude: 40.13438888888889 °N, Longitude: -109.6428888888889 °W, with corresponding northing and westing notations). The form includes space for inspection comments and file uploads to support documentation. The Local Environmental Health Specialist (LEHS) contact is identified as ewilhelm@tricountyhealthut.gov. The reason for inspection in this particular instance is marked as "Other," indicating the form accommodates various inspection triggers beyond standard routine assessments.