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INSPECTION RECORD <br />PUMPOUT RECORD <br />v <br />V <br />DATE COMPLIANCE DATE GALLONS YJ <br />.; <br />11-9 <br />NJ�S t —91 lA), ge'ri L� /;AIN / & 1 Ly , <br />Nem Y SRnrt rv-nA0 So- <br />(, CONFORMING S SUBSTANDARD N NONCONFORMING <br />LOCATION <br />r <br />de <br />01 <br />me <br />01 <br />01 <br />Include 1) Well location <br />2) Distance from house to <br />septic tanks, dist. box, <br />and drainfield <br />3) North arrow and road <br />