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~.. A & B SEPTIC SERVICE, INC. <br /> <br />PROPERTY OWNE.: <br /> <br />ADDRESS OF TANK PUMPED: <br /> <br />LOCATION OF LID <br /> <br />APPROXIMATE SiZE OF TANK: <br /> <br />GALLONS <br /> <br />TANK CONDITION? GOOD ~ ~ FAIR CONCRETE __~E~OTHER <br />ARE BAFFLES OR ELBOWS IN PLACE? YES ~¢ % NO <br /> <br />EFFLUENT PUMP ~O PUMP TANK <br />DRAINFIELD WORKING ~t~ SURFACING <br />SOLIDS: NORMAL EXCESSIVE <br />REPAIR NEEDS: INLET O/d OUTLET <br />T~LINE -~ LOT SIZE ¢~2 NO. BR <br />NUMBER OF PEOPLE IN HOME: PRESENT <br />NUMBER OF YEARS SINCE LAST PUMPING <br />RECOMMENDED PUMPING INTERVAL: <br /> <br />DOSING SYSTEM <br /> /IJ~' SLUGGISH <br /> <br /> OVER OUTLET ~,' <br />MAINLINE O,L" LID <br />HOUSE: VACANT OCCUPIED <br />/ PREVIOUS <br />~p <br /> <br /> V <br /> <br />SIGNATURE OF PUMPER: <br /> D,E.Q. <br /> LICENSE <br /> N~ B. BNO. 85813 <br /> <br /> <br />