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MarionCou~ty si~ #; <br /> s~P~ic ~ANK PUM~NO ~ ~NSP~C~O~ FO~ .~:~,,,~ ~'~" <br /> <br /> Of ~atisfaeto~ completion has been i,sued for the system, the ~X~% <br /> <br /> a. Au=horization Notice~ ~ no~. re~i~e a field ins~ction <br /> system. A re~rt can be issued bas~ on a review of our files. <br /> b. E~i~ttng Sy~t~ ~valua=ions ~ require a field inspection of <br /> entire system an~ a re~rt will ~ <br /> <br /> If your ~ewage system i~ ~e......~han ~.ive (5) veals old and the <br /> tank has not ~en p~d within the last five (~) years, ~ollow <br /> <br /> within the last five (5) years, ~e=~ion (a) will not be require~. <br /> a. The ~eptiC tank must ~e pum~d by a D.E.Q. licensed septic tank <br /> <br /> fie~d inspection to verify the location and condition of the <br /> septic <br /> <br /> *fo~ septi¢ pum~ um~ only~ <br /> S~on. ~11 ~ty & <br /> <br /> ..... 1067 ~ ~d <br /> ~ville,.,...~ ..97325 <br /> <br />PROPSRT¥ OWNER: <br /> <br />PROPERTY ~DDR~SS: <br /> <br />APPROXT~TE SIZE OF TANK: 500 <br />I$ T~K IN G~D CONDITION? ............. YeS X ; <br /> <br />gallons <br /> <br />Other <br /> <br />NO <br /> <br />ARE INLET & OUTLET FITTINGS IN PLACE?., <br /> <br />I$ DISPOSAL F~ELD BACKING INTO T~NK? ... Yes <br /> <br />; No X NOT~: HAS BAD INL~TBAFFLE <br /> AND LID <br />___; No X <br /> <br />DIAGRAM OF HOUSE AND SEPTIC TANK; <br /> N <br /> <br />(503) 588-$147 ~o~o, ~;l~;.s <br />~^x (503} ~88-7948 220 Hi8h $~, N~ - ~l~m, o~ 97~-]670 <br /> <br />(show detail with measurements) <br /> <br /> J%me 25, 199,Q <br />DATE OF PUMPING <br /> <br /> F ~pgR/ <br /> <br /> MClS-S19 <br /> REV 1/93 <br /> <br /> <br />