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INSPECTION RECORD <br />pate compliance <br />AJo «;tigcAC/A<<*. 2. <br />‘~7~^6j A>0 suiggAr/zo/^ 3 ^ <br />PUMPOUT RECORD <br />DATE GALLONS <br />NS t*J fy>«S.,j>yd^ .Jfc. <br />4-, CiU0L‘^ A-e»f« <br />^ C-CONFORMING S «SUBSTANDARD N - NONCONFORMING <br />CM'ii/F*. CI4AAiC>n> Tt> 3 Rl'CA i^jc on ^h / -ry^AiK: ^S.;;rf <br />/ <br />9>g7 T <br />71 <br />ekc^*' <br />|i <br />LOCATION <br />SKETCH ‘V^ <br />I <br />Include: 1) Well location <br />I 2) Distance from house to <br />f septic tanks, dist. box, <br />I and drainfield <br />, 3) North arrow and road <br />bays 10e /CoAio <br />A