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· ' 3AB PAGE <br /> ['1-/ 1 ,,. 96, 89: CIE: '263805:~, (-~{JEGON C:UST, <br /> <br />THE SEPTIC TANK AT: <br /> <br />WAS <br /> <br />DATE TANK PU~PED: <br />THE TANK WAS: <br /> <br /> [ ] F~LLED <br /> <br /> .......... <br />(licensed D.E,~. pu~lper) <br /> ~/~ <br /> <br />FILL MATERIAL; <br /> <br /> BAR RUN GRAVEL <br /> [ ] CRUSHED Rock <br /> <br />ENCLOSE A COPY OF THE PU~PING RECEIPT WITH THZS FORM. <br /> <br />SIT~ #: <br /> <br /> FEB 2 <br /> MARION COU <br />,FJUILQiN6 ,,,~ NTy <br /> '/~PECTION <br /> <br /> <br />