I do two things. If there is a lot of detritus buildup I might use something to stir up the sand and then siphon out what comes up. In some cases I just siphon some of the sand right out and depending on how well it rinses clean at the sink I either put it back or just toss it out. Every so often I'll top up with new sand. 
 
Disclaimer: I only do this in my smaller tank. In my larger tank the sand gets shifted around by the pumps and also has a VERY productive diamond goby. If I stir the sand up in there, nothing comes out, it's always clean. I am guessing it is the sand shifting in the current and the goby that is the explanation. Every so often I have to scoop up sand from the back and replace it at the front. 
		
	
		
		
		
		
			
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				 -- Tony 
 My next hobby will be flooding my basement while repeatedly banging my head against a brick wall and tearing up $100 bills.  Whee! 
 
			 
		
		
		
		
	
		
		
	
	
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