Laserfiche WebLink
THE SEPTIC TANK AT: <br /> <br />ACTMTY NUMBER: <br />WAS PI.~dPED BY: <br /> <br />DATE TANK pUMPED: <br /> <br />(licensed D.E.Q. pumper) <br /> <br />THE TANK WAS: <br /> [ ] REMOVED <br /> <br />FILLED <br />(note: the bottom of the t~Vlc should be perforated or cracked to <br />prohibit the accumulation of surface water in the tank) <br /> <br />FILL MAT~..RIAL: <br /> [ ] REJECT SAND <br /> [ ] BAR RUN GRAVEL <br /> [ ] CRUSHED ROCK <br /> [ ] OTHER: <br /> <br />ENCLOSE A COPY OF THE PUMPING RECEIPT WITH THIS FORM. <br /> <br />Marion County Buildiag Impection <br />3150 Lancaster Dr. NE, Suite C <br />Salem, Oregon 97305-1398. <br /> Phone: 588-5147 <br /> <br />abandon.mk 4/97 <br />MC-15-S2 <br /> <br /> <br />