Laserfiche WebLink
SEPTIC TANK EVALUATION <br /> <br />PROPERTY OWNER <br /> <br />ADDRESS/LOCATION OF EVALUATION <br /> <br /> -To Be Completed By Licensed Septic Pumper Only- <br /> <br />~Eo LICENSE ~UMBER ~,~/q .~ ~ <br /> <br />SEPTIC TANK MATERIAL ~ CAPACITY OF TANK /~' <br />IS TANK IN GOOD CONDITION? ~YES NO <br />ARE BAFFLES AND ELBOWS IN PLACE? __~_~YES NO <br /> <br />IS DRAINFIELD BACKING UP INTO TANK? <br /> <br />YES <br /> <br />-Diagram Of House And Location Of Tank- <br /> <br />NO <br /> <br />I pumped and inspected th~s septic ta'n <br /> ~ ' and [ouna,'~onditions <br />above as of this date. ~,/~,~%~ /~~ <br /> SIGNATURE OF SEPtiC TANK PUMPER q <br /> <br />as noted <br /> <br /> <br />