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Marion County <br /> OREGON <br /> <br /> SEPTIC TANK ABANDONMENT <br /> <br />RECEIVED <br /> <br /> SEP 0 9 1999 <br />MARION COUN'I~ <br />BUILDING INSPECTION <br /> <br />THE SEPTIC TANK AT: ,933o3 ~vFba,'o~ ~xz~o/~: Ng-,q-e- <br /> <br />ACTMTY NUMBER: <br /> <br />WAS pUMPED BY: <br /> <br />DATE TANK PUMPED: <br /> <br />THE TANK WAS:, <br /> [ ] REMOVED <br /> <br /> ~2ns~D.E.Q. pumper) ~' ~ > <br /> <br />FILLED T~la~ "~A't eotb".W~d- A~ ~//I aS dw~ <br />(note: the bottom of the tank should be perforated or cracked to <br />prohibit the accumulation of surface water in the tank) <br /> <br />[] <br />[ ] BAR RUN GRAVEL <br />[ ] /"CRUS~D ROCK <br /> ora'va: <br /> <br />ENCLOSE A COPY OF THE PUMPING RECP_IPT ..wrr. H THIS FOPd'g. <br /> <br />COMPANYNAMIii: "fq~9'- t~,c}C-.~ g~<c.. ,~c . <br />STONED: ~F DATE: <br /> <br />q-O 7 <br /> <br />abandon.ink 4197 <br />MC.I5-S2 <br /> <br />Marion County Building Inspection <br />3150 La.neaster Dr, NE, Suite C <br />Salem, Oregon 97305-1398 <br /> Phone: 5884147 <br /> <br /> <br />