Laserfiche WebLink
PROPERTY OUNER:. /~¢r"~ ....... ~'~)~ ~,,~ . <br />ADDRESS OF TANK PUMPED: ~ <br />LOCATION OF LID ~~ l~'cc~-~- I~' ~'~'~,,~ <br />APPROXIMATE SIZE OF TANK:~.~O GALLONS <br />TANK CONDITION? GOOD_.~_~_~FAIR ,,, CONCRETE~ OTHER_____ <br />ARE BAFFLES OR ELBOWS IN PLACE? YESES5 NO' <br />EFFLUENT PUMP~ PUMP 7ANK~ DOSING SYSTEM,~. <br />DRA]NFIELD WORKING ~<~ SURFACING ~ , SLUGGISH~ <br />SOLIDS: NORMAL , ~EXCESSIVE~~ - <br />REPAIR NEEDS: INLEIDC OUTLE~O~ MA]NLINE~ <br />HOUSE VACANT~ OCCUPIED~ <br />NUMBER OF PEOPLE IN HO~E: 'PRESENT ~ PREVIOUS..,,~, <br />NUMBER OF YEARS SINCE LAST PUMPING~~ <br />RECOMMENDED PUMPING INTERVAL: <br /> <br />SIGNATURE OF PUMPER: <br /> <br /> <br />