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SEPTI_~ TANK ABis. NDONM]~NT <br /> <br />N1ARION COUNTY <br />BUILDING ~NS?ECIION <br /> <br />WAS pUMPED BY: (l~i~e~e~ D.E'.Q. pb~mper) <br /> <br />THE TANK WAS: <br /> [ ] REMOVF~D <br /> <br />FILLED <br />(note: the bottom of the tank should be per- <br />forated or cracked to prohibit the accumula- <br />tion of surface water in the tank) <br /> <br />FZLL MATERIAL: <br /> <br />ENCLOSE A <br /> <br />[ ] REJECT SAND <br />[z-~ BAR RUN GRAVEL <br />[ ] CRUSHED ROCK~ _x /~ <br />~,~ oTHE~:~T ~ ,Z'~'7'-¢:~'~¢'-~ <br />COPY OF THE PUMPING RECEIPT WITH T}{IS FORM. <br /> <br />DATE:// <br /> <br /> <br />