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Sewer Services <br />Date Serviced: 9/ <br />Scheduled <br />f 1( Driver: <br />Pumping Report <br />ucl 2502 <br />Srrvlres: <br />Name: dt t,l f"tiA <br />Address: <br />Did you measure the accur ttdatiun of scum and sludge? <br />Residpntlal Commercial <br />Start time: J Z; p <br />tlme: <br />Phone: <br />City: vrh 4 <br />ys's� ' No, pumped regardless <br />Tank t lank 2 lank l <br />lank A <br />Pretreatment Pump Tank <br />Gallons Billed (6'd '– <br />Scum — <br />Sludge r it <br />%full <br />Operating Depth s <br />Access used f <br />Depth to lid &6 <br />(� <br />refuse to allow the removal of the solids and liquids through <br />the maintenance hole.I understand that removal of solids and liquids through other access <br />points is not considered a compliant method of solids removal and does not fulfill the solids <br />removal requirements of Minn. R. 7080.2450 and 7082.0600 <br />Owner's Signature: <br />Tank Type - Placast - Block cn rrata - Plastic • Other <br />Filter: Yes No Type of system: mound • Gravity - Holding Tank - Elevated Trencw8ed <br />Type ofwastc: DymwAMc - Hoiding <br />Are tanks leaking above or below now fine? Yes yo- If Yes, where: <br />Did you observe sewage discharging onto the ground surfa5e7.tp Yes, <br />Size: <br />Are all of the covers securely replaced? YZ No, <br />Safetv concerns: _ <br />Next recommended pumping: 7-1 vet Length of hose required: /srjl <br />Sewer Services Inc. 25648 200th Street - Belle Plaine, MN 56011- 952-873-3292 <br />