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Property Owner;- A-- �.�, ; ,� <br />Street Address: Q C( t`� -V;jrc, 5 <br />City / Zip Coder ti . ,,,A y-,,�J ( <br />Septic Site Address if Different from Homeowner's Address: <br />Street Address: <br />City / Zip Code: <br />Number of Tanks Pumped: Type of Tanks: Tanks Pumped via: Total Volume Pumped: GALLONS <br />91 CaPrecast / Concrete E -Manhole / Riser Manhole(s) to Grade? Yes No <br />❑ 2 O Combo ❑ Inspection Pipe Manhole Covers Secure? / No <br />❑ 3 ❑ Plastic Baffles: / No <br />Other: ❑ Cesspool <br />Pumping Date: A< MPCA License #: Maintenance Provider Name -)w' <br />Septic stem comments: C2(5 <br />p Y _ - <br />*Minnesota state taw requires septic tanks to be evaluated every 3 years. <br />**This postcard does not require postage and our address is pre -addressed. Please call (612) 543-5200 with any questions. Thank you. <br />