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Mgr ed h ees. 2875-FOX 5►t .. t i 04117 3430003. <br /> c Qrono „ <br /> _ .:. �...8f ata: II�N 7Jp codes 55391 • <br /> g letli ttt eee Ieeky (Exsrnplb; c j 010 <br /> TF . DYes D No • V mew mod: <br /> Took fit:.Q lfai [}NO Veriftmow meta uesd <br /> �. 'avidatoic he toff <br /> Tank rpgilm t rth++ •Took Note ibpvtfok, i'::•doworood,crsdor0.unSrid,cr <br /> �Tcatk 13 Yes JRN Yea. f No _ ,+� <br /> rT Z �„� ❑Yes Nor Yel <br /> l t '►r No <br /> • <br /> Q Prae yt: nt Tsn c Cl Yes. fl No_ • Yen <br /> Q t:J Yeas `C1 ,.�'.�.�.". <br /> 7. ' of s>r( a firer rerrtored s' <br /> `I`atdc#i: 1000 .*Tank 10Q.0 Pnetreetment T * T Aim <br /> $,. :loom em rertita,ippro Wasfetvrber fear;D Land Q Olher <br /> Eigirmiton(Rift r+ De tog: _WaIen n, .r �..�.. <br /> fr'• fT*yc"y° ter 3 op••aar ol„t% c'or 8* r-4 �0 th* t*rliii100111'.g�lw7 <br /> 0 Yee ®No , If yes,entity t k artdf:exptaln:, . <br /> d eolert.95 ofne o€tsstio waste Q gaflte(s)bad QEffutiritleolon pc "i <br /> 0 a3 dit nkarfd`atMMMa h *).. <br /> AdY?fTer�D.hoie and extension ,condition. 0 ah6f orrs�> <br /> • t ,a*t t!ippoiri opi by bra: <br /> T m mn ., • R darned by <br /> Replaced alarm float switch in thepumptank <br /> .Cleaned effluent filter w/alarm in:2nd:tank outlet. : <br /> • <br /> Or for oerria':'s <br /> • <br /> .'PYlatpi record <br /> oftiviiratectd the gwioak rrat iits*crf AeAltaVofa i irrtesadi lk,�irrsed: T3.AiiM�MrJo►o Ap uoui yr pe <br /> E7 M o rionoMMhd indNidrmE+Mto 60o rooOlvo ' treinlrig,: *ark ro+rtsi0r.and pw(tiIdo moo++,o: <br /> .:)(!As 4designated wed Aldividto►i Oftlte kiiihess nst bedo r:. <br /> !Ns IffommOor cam ba ustd 1br the ptapo or prose tie forgo. c "°" ;.f6 the a .•for w19d�1�, tl fait <br /> a1►a!lh :oyi , codify the t =� rrri to bb tnaKr end <br /> Irotimpsay I:teffaWon On <br /> Comp r new Albin*s Septic Pumping, LLQ. P dt name •Peter Peterson <br /> �Np a rind* 3346 stir on number:4t 8227.•. :... ..r..: <br /> •'Enrae 'aibinsseptt um,in• �' shoo co r <br /> i +� Pttrru►t 612 �5�9 2458 ..�:.. •Eit* ,w;.:. <br /> t�sne tm r+lolyif7.,10 O2/2Q . I <br /> MIir,0 . • 651296.6300 • coo 73s64 �. 161�0ur0� hMtltl l �tftl*e +�. ____FiRlfllq !!}brAz i( <br /> •: t .. <br />