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PDMP~ FORM <br /> <br />IS TANK ZN~NiO CONDITION? <br /> <br />BAFFLES O~ E~BOW~ IN PLACe? <br /> <br />IS DRAZNFZ~LD BACKING UP Z~TO TANK? <br /> <br /> NO <br /> <br />SEPTIC TANK MAT~.R~AL: Concrete Steel.__Other 6/ ~','~;~"4' 6¢¢4 ~.'~ <br /> <br />DIAG~ OF HOUSE AND <br />LOCATION OF TANK: <br /> <br />example <br /> <br />Rev 7/89 pb <br /> <br />SIGNATURE OF PUMPER: ,-~/~' ~ <br /> <br /> <br />