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12l1612608 22:4� 7634975011 SPTESTINGINC PAGE 16/13 <br /> Comments: <br /> Pexson Res�pnsiUle for Monitoring: - P T�eS-�i . <br /> Address: "�S � � d . Ny, <br /> City/Zip Code: � � ' c4�.a.aa 5S <br /> Telephone: � 3— 7 —3 S�o +C-� <br /> Signature a�IPerson Responsible for moni or�r�g: � �` � <br /> 3. Maintenanc�Requurements: (List any ad itional r.equixe�nents�or this sy�tem. Ex�ump �s may <br /> iz�ctude Effluent f�lter Cleaning/repladem nt or�um�and atar�n components.) <br /> Septage All septic s � <br /> RemovaUmea�sure�ne�t <br /> �`'''�a"'` �,�,.o ' . �..S'- <br /> S el,:,�'4,0 -�,�acln Sa 90 <br /> Comm�nts: <br /> Person Res I sible i'br l�Iaintenance: � " T� '"" � ""�� � ^ <br /> �� � <br /> Addr�ss• � <br /> City/Zip Cvd : r�J � <br /> Telephor�e; � � R'� — (o <br /> Signatur�of erson Responsible far Mo�t�i o�ing: ' <br /> q�. Mitigation Pl�: (List any additiQnal com vnent in boxes provided.) � <br /> pump/al atm. c� — � 1�o .�p <br /> '�v�w�e.n S- 7 0..0 ,�Sa. v� <br /> O�a�rot�Gn S 7 �'ab .o'o <br /> � <br /> 2 <br /> I <br />