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Pumpers may use the form below to submit pumping information on a monthly basis as required by the conditions of your annual license. If you enter your information in a spreadsheet, such as Microsoft Excel, just send the file via email. The required information are: name of pumper, address pumped, date of pumping, gallons pumped, and disposal site. Indicating the system type (septic, aeration, etc) and whether risers are present is also helpful information. This form will accept 10 entries. If you have more than 10, submit the first ten and then repeat. If you are a registered pumper and your name is NOT on the list, please call the environmental office @ (740) 653-4489.
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