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D.E.¢ LZCEPSE NO.~OOgP-! ~.~, NO.BS~!~ <br /> <br />ADDRESS Of TANK PU~PED: ...~m ~/ ~_~n~.~ ~ ,, <br /> .. 'o, .... <br /> <br />APPROXIMATE SIZE OF TANK: ~"l.) ~A~LO~S <br />TANK CONDZT]ON? 600D~S FAIR,, ~. COnCrETE ' OTUER~/ <br />ARE 9AFFL~S OR EL~OgS IN PLACE? YES~ N~, <br />EFFLUENT'PU~PZJD.,, PU~P ~ANK~ DOSING SYSIE~D <br /> <br />SOLIDS: NOR~AL~ E~C~SS]VE <br />REPAIR NEEDS: I~LET~ OUTLET~AINLiN~ LID ~ <br />HOUSE VACANT~ OCCUPIED~~ <br />NUMBER OF PEOPLE IN HO~E: 'PRESENI~ PREVIOUS. <br />NU~ER OF YEARS S~CE LAST PU~P[~G /~ <br />R'ECO~mENDED PUMPING INTERVAL: /~% <br /> <br />RECEiVED <br /> <br />NOV 1 2 19~5 <br /> <br />MARION COUNTy <br /> <br />TOT.~L ~. ~ <br /> <br /> <br />