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Pumping Report <br />Sewer Services Inc. Lice 2502 <br />Date Serviced: Driver: FTypeas <br />Residential Commercial <br />Scheduled Maintenance: Emergency Services: Start time: <br />Stop time: <br />Name: <br />Phone: <br />City: <br />Yes No, pumped regardless <br />Tank 1 <br />Tank 2 <br />Tank 3 <br />Tank 4 <br />Pretreatment <br />Pump Tank <br />Gallons Billed <br />- <br />Scum <br />Sludge <br />%full <br />Operating Depth <br />Access used <br />Depth to lid <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 -Precast -Block -Concrete - Plastic - Other <br />Filter: Yes No Type of system: Mound -Gravity -Holding Tank -Elevated Trench/Bed <br />