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SEPTIC T~/~K <br /> <br />THE SEPTIC TANK AT: <br /> <br />WAS PUMPED <br /> <br />DATE TANK PU~4PED: <br /> <br />pumper) <br /> <br />THE TANK WAS: <br /> [ ] REMOVED <br /> <br />FILLED <br /> <br />FILL PLkTERIAL: <br /> REJECT SA~D <br /> BA~ RUN GR~VEL <br /> [ '] CRUSHED ROCK <br /> <br />ENCLOSE A COPY OF THE PUMPING RECEIPT WITH THIS FORM. <br /> <br /> <br />