Laserfiche WebLink
RE IVEO <br /> SEPTTC TANK EVALUATION 4U~ 6 1~2, <br /> ~I~LDI~ IHSPqCTION/, <br />AOI}RESS/LOCATION OP EVALUATION <br /> <br /> -To Be Completed By Licensed Septic <br /> <br />?":£('~PANY NAME ~ ~' ~ " <br /> LICENSE NUMBER ~' '~ ~---' <br /> <br />Pumper Only- <br /> <br /> CAPACITY OP TANK,.../.~_~.~ <br />...::~ YES NO <br /> <br />IS TANK IN GOOD CONDITION? <br /> <br />ARE BAFFLES AND ELBOWS IN PLACE? /~ YES NO <br />IS DRAiNFIELD BACKING UP INTO TANK? YES Ik/ <br /> <br />GALS. <br /> <br />NO <br /> <br />-Diagram Of HouselAnd Location Of Tank- <br /> <br />i i.}ur:lped and inspec'ted this sep'~'ic kal-lk and found condi~t'ior}s as not, ed <br />~b~v~ as of' '[h~s ~la'l:r~. ~.~' <br /> // <br /> S'.[GNATURE OF SEPT]:C TANKPUM.PER __.~__~~--/~'~ ................... <br /> <br /> <br />