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POSTER FO~ <br /> <br /> order to prop~r~ evaluate your exis~in~ s~wage ~y~tem~ th~ foll~ <br /> information will be Deces~ary: <br /> <br /> a~ approved record of ~h~ system, we ~an <br /> <br /> COUN]~ <br /> <br />S~ ~11 City & Silvan <br />CO~N~ ~: ~tiC~C~ DEQ LICENSE NO. 34916 <br /> <br /> PROPZRT~ OWN~R= James E. D~ncan <br /> <br /> ~DR=SS ~R~ TANK PU~ED: 9033 West Stayton Road <br /> <br />Aumsville, Oregon 97.32__5 <br /> <br />APPROX~MAT~ SZZ= OF SEPTIC TANK: <br /> <br />IS TANK IN GOOD CONDITION? <br /> <br />;%R~ I~FFLES O~ ELBOWS IN PLACE? <br /> <br />IS DRAINFIELD ~ACKING UP ~NTO TANKS <br /> <br />1 200 gallons <br /> <br /> X YES; NO <br /> X ~ YES; NO <br /> X ~ES: ~NO <br /> <br /> If y~, ~Xp~in; Bad drainage -or- Bad drainfield <br /> <br />SEPTIC TANK M2%TERIAL: Concre~s X ~el Other <br /> <br />DIAGRAM OF HOUSE AND <br />LOCATION OF TANK: <br /> <br />example <br /> <br />Rev 7/89 pb <br /> <br />DATE OF PUMPING: January 5, 1993 <br /> <br /> <br />