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11 �4 � S",x-�-, �.� � �/ . <br /> , , <br /> LOCATION <br /> INSPECTION RECORD `� PUMPOUT RECORD SKETCH <br /> i ? <br /> DATE COMPLIANCE DATE GALLONS —" � � / � <br /> NoCiob�( lb�'�t€� SYSTt�rh, <br /> 7'E3O N�'T CO C4'f'"E'� — � \ � � <br /> p /'_ � ..� r/.+rut�..- D���z b �� '� <br /> (�j—�L� Loc;q��j� /,-� S,t�Uro� �_ — — — ��� <br /> Arre�s -r�% NAv� Be �uw�Pcb nEcew.r�y >� � <br /> �- �,�-�'l(�, Na .S c<RFi¢c i.i^� it/Z TEn o2 -i-� <br /> � �t0 <br /> 7-2�3f1A N� Su�eFnc�n�C� 2 <br /> �L� � ' .2 � � <br /> �?�� - i r �- S , I '���. <br /> 5 � <br /> � <br /> ��� <br /> `. �"��\ � <br /> , � <br /> `� `�,.� � <br /> \�� ��,�/ /`� <br /> Include: 1) Well location <br /> 2) Distance from house to <br /> septic tanks,dist.box, <br /> and drainfield <br /> C— CONFORMING S—SUBSTANDARD N —NONCONFORMING 3) North arrow and road <br /> __ __ . _._ _. <br />