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SEPTIC TANK AB~kNDONMENT <br /> <br />THE SEPTIC TANK AT: <br /> <br />WAS PUMPED BY: <br /> <br />DATE TANK PUMPED: <br /> <br />(licensed D.E.Q. pumper) <br /> <br />THE TANK WAS: <br /> [ ~ REMOVED <br /> <br />FILLED <br /> <br />FILL MATERIAL: <br /> REJECT Sg~ND <br /> BAR RUN GRAVEL <br /> [ '] CRUSHED ROCK <br /> <br />ENCLOSE A COPY OF THE PUMPING RECEIPT WITH THIS FORM. <br /> <br /> <br />