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System Details <br /> 3 �n Owner's Name,Address,Phone: System Address,if Different than Owner's Address: <br /> v <br /> — o <br /> � 0 <br /> m a <br /> m o <br /> x ;� <br /> Ej Contractor's Name,Address,Phone: Engineer's Name,Address,Phone: <br /> (n1< <br /> (n =, <br /> m o <br /> CL <br /> :E_. m <br /> m m <br /> o <br /> o a <br /> 3 c <br /> nContractor's License Number: Engineer's License Number: <br /> o Installation Date: Code Gallons/Day/Bedroom: <br /> z � <br /> C o Number of Bedrooms: Number of Occupants: <br /> m <br /> D o Design Flow in Gallons/Day: Septic Tank Filter: ❑No ❑Yes,Location: <br /> D_ _ <br /> Number of GSF Modules: Type of GSF Modules: <br /> it <br /> Number of Rows: GSF Modules per Row: <br /> No o System Design: ❑Level Bed ❑Trench ❑Serial Distribution ❑Pumped ❑Other: <br /> co "' <br /> co System Type: ❑ Repair/Replacement ❑New Construction ❑Upgrade <br /> Structure Type: ❑ Residential ❑Commercial <br /> System Use: ❑Year-Round ❑Seasonal <br /> 14 <br />