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ADDRESS OFTANKPUMPED: ql~ ~ ~~~ ~ <br /> <br />LOCATION OF LID ...... <br />APPROXIMATE SIZE OF TANK~ GALLONS <br />TANK CONDITION? GOOD_ I FAIR ~¢? CONCRETE ~. OTHER <br />ARE BAFFLES OR ELBOWS IN PLACE? YES ~/~ NO <br />EFFLUENT PUMP~ PUMP TANK ~ DOSING SYSTEM. ~ <br />DRAINFIELD WORKING ~ SURFACING ~ SLUGGISH ~ <br /> <br />REPAIR NEEDS: INLET ~ OUTLETS[ MAINLNEO~ LD ~ D. BOX <br />TILE LiNE ~ LOT SiZE NO. BR .. HOUSE:VACANT ~ ~UPIED <br />NUMBER OF PEOPLE IN HOME: PRESENT PREVIOUS_ ~ <br /> <br />NUMBER OF YEARS SINCE LAST PUMPING .. ,~ <br />RECOMMENDED PUMPING ~NTERVAL: /P~e ~ & ff~, <br /> <br />MARION COUNTY <br /> <br />BUILDING iNSPECTION -,~ <br /> . . . ~B.~, NO. 85B~'3 ~ <br /> <br /> <br />