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AUTHORIZATION NOTICE/EX~TINC ~¥STEM EYALUATION <br /> <br />If your ~ew~ge sy~te~ ~ ~or~ %hah riva (~ y~a=~ o1~ or has n~t <br /> <br /> You mu~t have th~ sep~i= %ank pumped. <br /> <br />S~ZE OF SZ~TIC TA~K~ ~'~'~ gallon~ <br /> <br /> ~B;~NO <br /> <br />ARE BAFFLES OR ELEOWS tN PLAC=? <br /> <br />IS DgA~NFI~L0 BACKING g~ INTO TANK? <br /> <br />$~PTIC TANK ~4AT~RIAL: COn~rete ~/ <br /> <br />, . Steel O~her <br /> <br />~IAG~40F ~OUS~ AND <br />LOCATION OF TANK~ <br /> <br />example: <br /> <br />Rev 7/89 pb <br /> <br />SIGNATURE OF PUMPER ,,<~ <br /> <br /> <br />