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INSPECTION RECORD <br />DATE COMPLIANCE <br />MOdiaoH //oA<g' sYsrty^ ajcST <br />locA^rvti <br />Z^/S^SZ^ g y^TtW LXXA ^ AJQ <br />^bt<epAC/A)& At>TC2i <br />paf*tp rMtii yeAii <br />2^ <br />^(Pa j-/ <br />PUMPOUT RECORD <br />LOCATION <br />SKETCH <br />DATE GALLONS <br />V-Tig-g/ /S^O <br />S±i:27_SaD- <br />C-CONFORMING S - SUBSTANDARD N ~ NU CONFORMING <br />Include: 1) Well locttion <br />2) Distance from house to <br />septic tanks, dist. box, <br />and drainfteld <br />3) North arrow and road