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B SEPTIC SERVICE, INC. <br />WINDSOR ISLAND RO. NORTH SALEM, ORI[GON 97303 (S03) 393- [ 3 ~ I <br /> <br />APPROXIMATE $IZ£ OF TANK:,F/O~'~ GALLONS <br />TA~K CONDITION?, GOOD._~::~_ FA]'R.,..___ ¢ONCRETE~. OTHER .. <br />ARE ~AFFLES OR ELBOWS 1N PLACE?, YES_._~_ NO.....,__ <br />£FFLUENT PUMP~_ PUMP TANK~ DOSING SYSTEM <br />DRAINFIELD WORKING ~SURFACING~.,~/C) SLUGGISH~]C)_ <br />SOLIDS: NORMAL. --~E ~ <br />REPAIR NEEDS: INLET..O_L.~ OUTL£? D~MAINLINE_~..~CLID_.D~kC <br />HOUSE VACANT OCCUP1ED b/~ <br />NUMBER OF PEOPLE IN HOME: /PRESENT_~. PREVIOUS~_ <br />NUMBER OF YEARS SINCE LAST PUMPING~~ <br />RECOMMENDED PUMPING INTERVAL: ~?m.,c>~L .~ <br /> <br />$IGNAIURE <br /> <br /> <br />