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A & B SEPTIC SERVICE, INC. <br /> 7525 WINDSOR ISLAND RDii NORTH SALEM, OREGON 97303 <br /> (S03) 395-131]. <br /> <br />DEPT. OF ENVIRONMENTAL QUALITY LICENSE NO.33008P-1 <br /> <br />APPROXIMATE SIZE OF TANK: ~ gallons <br />TANK CONDITION? GOOD / FAIR CONCRETE ~ OTHER <br />ARE BAFFLES OR ELBOWS IN PLACE? YES~ NO~ <br />EFFLUENT P~p__ PUMP TANK DOSING SYSTEM <br />DRAINFIELD WORKING ~ SURFACING SLUGGISH <br /> <br /> NEEDS TO BE REPLACED <br /> <br />SOL~DS: NORMAL EXCESSIVE <br /> <br />REPAIR NEEDS: INLET~ OUTLET ~INLINE LID <br />HOUSE VACANT ~ OCCUPIED <br /> <br />NUMBER OF PEOPLE IN HOME: PRESENT PREVIOUS ~ <br /> <br />RECO~ENDED P~PING INTERVAL: ~Dg~ ~ <br /> <br />SIGNATURE OF PUMPER: /~-~-~--~f~-~7~ DATE: <br /> <br /> <br />