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LOCATION i � <br /> PUMPOUT RECORD SKETCH I�� �— <br /> INSPECTION RECORD Y <br /> ! � w <br /> DATE COMPLIANCE DATE GALLONS W W <br /> il ' <br /> (,'_., £�• 78 a:v s.A,;��,K:. �ss��e.;kz� .� 2 z S-�8 12�c. � _ - c,�,e J <br /> ������ �" <br /> �'l���y /liQ 3URFAGi�vC. iuc:rcd �.� "�- � �n <br /> �4SE m <br /> IL-3 -Y-7 •� „ :, � �/-27-8% �tX� � <br /> 7 3l-if� ., �` 7-�, _ ����:�� u; <br /> f,� ����� o <br /> � <br /> �-�-�! " '' -l� n Tn� �� 5-$9 1 to�a , 3� <br /> �-9D ' � yc�+�� �o� 7a'd� F� I <br /> � w�, �, <br /> � <br /> Q��` �_ 3s �P ��� <br /> 3�-91 _L�—. � ����� <br /> z ?°� � <br /> —� � � F 30 F�' � I <br /> �) r �i� <br /> � � <br /> � a .��_ , �� <br /> �,,�3as t�Y <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 /> � �,r ,,.i C C V c'L G � c '� <br /> ���1��� /�� c.'i� �c�.(.� �'4"ee` � �.S �' ��f�%r��L�tit <br />