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� LOCATION <br /> INSPECTION RECORD PUMPOUT RECORD SKETCH <br /> DATE COMPLIANCE DATE GALLONS <br /> /L_-G�—�3Z��Su�?FsEein�c� No•��_ �'�}~ /ZQL <br /> 8��—BB �'�/o �Scc2G4Cii►� � Q��' � �,t� <br /> � a ���/ "' � ;� <br /> -�N .��' v i o�n�S � J�� <br /> i <br /> � � <br /> , � <br /> � , �� � <br /> l + ,' ' <br /> = _ \�`���� <br /> _ � <br /> �- � -- <br /> � � <br /> � � <br /> Include: 1) Weil locatlon( <br /> 2) Distance f om house to <br /> septic tan�Cs, ist.box, <br /> and drainfielc� <br /> C— CONFORMING S—SUBSTANDARD N — NONCONFORMING 3) North ar ow nd road <br /> B�f�Y� I'e� <br />