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I ype or waste: uomestic - holaing <br />Are tanks leaking above or below flow line? Yes No If yes, where: <br />Did you observe sewage discharging onto the ground surface? No Yes, <br />Pump Size: Electrical condition: <br />Are all of the covers securely replaced? Yes No, <br />Safety concerns: <br />Disposal site: <br />Next recommended pumping: Length of hose required: <br />Comments/Troubleshooting/Repairs: <br />Location of tanks in yard <br />Sewer Services Inc. 25648 200th Street -Belle Plaine, MN 56011- 952-873-3292 <br />Septic tanks should be pumped every, 1 to 3 years. <br />Many different variables determine how often <br />a tank needs pumping: <br />❑ Type and age of system <br />❑ Number of people in the house <br />o Garbage disposal <br />❑ Tank history <br />PUMP REPLACEMENTS, <br />INSPECTIONS & REPAIR <br />State Certif ed <br />Billin� Information <br />Pumping (first 1000 gal.): ' �r <br />Additional gallons : -- <br />Servicing Pump Tank <br />Exposing Manholes (12" deep or less no charge): <br />Excessive Distance (more than 120'): <br />EXCBSSIve Grade (more than 20' total lift): <br />Riser: <br />Emergency Charge: <br />Materials: <br />Labor: <br />Permit. <br />Filing Fee <br />Payment Method: <br />None <br />25648 200th St •Bell13 Plaine, MN 56011 • 952-873-3292 <br />Fuel Surcharge � <br />Total Due: " <br />- Cash -Check <br />