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MARION COUNTY HEALTH DEPT. -Sanitation Specifications 9',.;~ <br /> ~ ~umbo~ ................................................ <br />Dute ............................................................................... (Mobile <br /> ~ ,~i~n ~O~c Pm ~y Address ........ ~,5~...M~&(.l:--.~t~<a,~:k----~t<~..-~.~:~ ........................ <br /> <br /> t.-"y ~ _ ~ <br /> ,1,. . // / <br /> <br /> RECORD OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM <br /> TO ~E CO~L~u~ BY ~TAL~ <br /> INSTALL~'S NAME ............................................................ Ad, mss ........................................................................................................ Phone No ............................. <br /> <br />Tma] liquid ¢~t~cfly ................................ gals- <br /> <br />CLEAN NO, 2 ROCK: <br />Depth under tile .................................... ine. he~. <br />Depth ove~ t~le .................................... Inches. <br /> <br />Well ........................................ ft. <br /> <br />Rear [] ............................ It, <br /> <br />(FOR I~ALTH DEI~T, USE) <br /> <br />Disapproved [] <br /> <br /> MARION COUNTY HKS.~TH DEPAItTMEiTi <br />D,ato ................................................................ <br /> <br />Copy (1) O~lej~l -- MCHD lilts <br /> ('~) Yellew -- He/erence ...................................................................................................................................... <br /> <br /> <br />