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If your sewage ~y~tem i~ les~ ~han five (5) yesr~ old, a~d we do <br /> <br />or; <br /> <br /> thc ~ocation and ~o~ditlon of the ~eptic ~ystem. <br /> <br />Stayton/Mill City & Silverton <br /> <br />ADDRESS W~KRE TANK PUMPED: 898~ We~t Stayton Road~ SE <br /> Aumsville, oR 97325 <br /> <br />AP~OXI~T~ SlZ~ O~ ~?~C TANK: !000 gallons <br />IS TANK ~N OOOD CON~ZTION? X YES; NO <br /> <br />IS DRAINFIELD ~ACK~NG UP INTO TAN~? X YES; NO <br /> . . At t~ime_of~ pumpin-~-~ had surface water running back <br /> <br />DZAGR~M O~ ~OUS~ AND <br />LOCATXON OD TANK: <br /> <br />example <br /> <br />Rev 7/89 pb <br /> <br />SIGNATURE Ol~ PUMPER: / ~ ~ ' <br /> DATE OF PUMPiNg: 12/26/90 <br /> <br /> <br />