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SYSTEM PUMPING RECORDib�F,,oMORGTN` QAF-`-�`-("
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DATE:
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SYSTEM OWNER & ADDRESS
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deo Say jqsll
SYSTEM LOCATION
(example: left front of house)
DATE OF PUMPING: QUANTITY PUMPED: b GALLONS
CESSPOOL: NO YES S DTIC TANK: NO YES
NATURE OF SERVICE: ROUTINE EMERGENCY
OBSERVATIONS:
GOOD CONDITION
HEAVY GREASE
ROOTS
EXCESSIVE SOLIDS
SOLIDS CARRYOVER
FULL TO COVER
BAFFLES IN PLACE
LEACIFIELD RUNBACK
FLOODED
OTHER (EXPLAIN)
SYSTEM PUMPED BY: Bateson Enterprises, Inc.
COMMENTS:
coNTEmrs TRANsFERRED To: G.L.S.DLowell Waste