Laserfiche WebLink
THE SEPTIC TANK AT: <br /> <br />DATE TANK PUMPED: <br /> <br />THE TAI~IK WAS: <br /> [ ] REMOVED <br /> <br />FILLED <br />(note: the bottom of the tank should be per- <br />forated or cracked to prohibit the accumula- <br />tion of surface water in the tank) <br /> <br />FILL <br /> <br />ENCLOSE A <br /> <br />MATERIAL: <br />[ ] REJECT SAND <br />[ ] BAR RUN GRAVEL <br />[ ] CRUSHED RO~K .I <br /> OTHER: <br /> <br />COPY OF THE PUMPING RECEIPT WITH THIS FORM. <br /> <br />DATE: <br /> <br /> <br />