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ON-SITE SEWAGE SYSTEM <br />SEPTIO TANK PUMPING AND <br /> INSPEOTION FORM <br /> <br />^ <br />B. <br />¢, <br /> <br />. __ . · .... FOR .SEPTIC PUMPER USE ONL..Y, <br /> <br /> ..... <br /> <br />Pmpe~ 0w~er: .... gert Yee ........ Size <br /> <br />Se~ Tank Miter~lt; Concrele~ S~ee~ C~e,' ..... <br /> <br />Are inlet & outlet f~,ngs m ~{ace? Yes X No~ <br /> <br />Il d~lNsal ~ld Oa~king into tank? Ye, ~NO~_' 11 Ye~ e~C a,~ .............. <br /> <br />DIAGRAM OF HOUSE AND SEPTIC TANK. ShOW OETAIL AND MEA~,UREMENT$: <br /> <br /> <br />