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� <br /> Pumping Report � Sewer Services <br /> (Midwest TrenchlesstSwedlund/SullivanlThaemert) <br /> Date Serviced. � - ��" i� Driver's Name: <br /> Residential: Commercial: Start: Finish: <br /> Type of Service: Regular Maintenance: Emergency: <br /> Narne: � �•l <br /> .. - <br /> Address: �,Q�.V ��r+�,no.rcn,E .�� City: ��'t�v�a <br /> Gallons Pumped: Tank#1�T2�.5C� Tank#2 �•�U Pump Tar�k � Total �CtOC�- <br /> Access Used for Pumping: anhole Standpipe{Explanation): <br /> Tank Condition: ��, Evidence of Problems: ,�n ,,, <br /> Comments: <br /> Filter. Yes/� Type of S�stem: __��u,r� <br /> Disposal Location: Chanhassen Blue Lake eS e Watertown � <br /> Waste Type: Commercial Waste ���ie.ti Wa t Holdin�Tank <br /> Ncxt Recommended Pumping Date: ��-��� � � <br /> Septir t�tnks should be panrped e�ery 1 to 3 yeor� B�lling Informatiun <br /> Many dif�`'erent v�riabtes deternain�how o,ftrn pumping(first 1000 gal.): Z'$ <br /> a tank needs pumping: Additional gallons t�s.00�rcma�t.�: 1•�,(� <br /> ❑ Type and age of system Expasing Manholes�a"dr.ep ot leas oo c6arge): <br /> o Number of people�'tt th�house EXCCSSiVC Dl3tariC8{muce t1�an 120�>: ' �' <br /> ❑ Garba$e d�sposal Excessive Grade c���Zo�r��i rft>: <br /> o Tatsk h�stoTy Riser: <br /> New Cover: <br /> PUMP REPLACEMENT5 M��'�S� <br /> DESIGNS & INSPECTI4NS Labc>r: � <br /> Penmit: <br /> REPAIRS & NEW INSTALLATIONS Paytnent Method: Tota1 Due: <br /> Nvne -Cash -Check (# ) <br /> Stat¢Cert�fted Cre�ift Csrd= <br /> Type � �p• <br /> 25648 200`�Si�Belle Plaine,MN 56011 �952-873-3292 <br />