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TANK <br /> <br />THE SEPTIC TANK AT: <br /> <br />WAS PUMPED BY: <br /> <br />· ~ioensed D.E.(~. pumper) <br /> <br />THE TANK WAS: <br /> [ ] REMOVED <br /> <br />FILLED <br />(note: the bottom of the tank ~hould be per- <br />forated o~ cracked to prohibit the accumula- <br />tion of surface:wmter in th~ tank) <br /> <br /> FILL <br />ENCLOSE A <br /> <br />MATERIAL: <br />[ ] REJECT SAND <br />[ ] BAR RUN GRAVEL <br />~ CRUSHED ROCK ~_ <br /> <br />SITE <br /> <br /> <br />