HomeMy WebLinkAbout09-28-2021 Septic Pumping ReportSewer Services Inc.
Date Serviced: y/ 2
Pumping Report
Lic: 2502
Driver: &Juc
Type: Residential Commercial
Scheduled MaintenanceX Emergency Services: Start time: /; U
Stop time:
Name: 5 Phone:
Address: R,2,0CyX-fj(p M 2/�. �ON� SS2.5(, City:
Did you measure the accumulation of scum and sludge? Yes No, pumped regardless
refuse to allow the removal of the solids and liquids through
the maintenance hole. I understand that removal of solids and liquids through other access
points is not considered a compliant me hod of solids removal and does not fulfill the solids
removal requirements of Minn. R. 702450 and 7082.0600
Owner's Signature:
Tank Type - Preec_a_st- Block 'Concrete - Plastic - Other
Filter: Yes No Type of system: Mound Gravity - Holding Tank - Elevated Trench/Bed
Type of waste: Domestic - Holding
Are tanks leaking above or below flow line? Yes No If yes, where:
Did you observe sewage discharging onto the ground surface? No
Pump Size: Electrical condition:
Are all of the covers securely replaced? Yes No,
Safety concerns:
Yes,
Disposal site: LnE'Gib
Next recommended pumping: S Length of hose required:
Comments/Troubleshooting/Repairs:rLe—W�� k -s
Location of tanks in vard:e
Tank 1
Tank 2
Tank 3
Tank 4
Pretreatment
Pump Tank
Gallons Billed
( &V -V
1 0 -r -V
d1 C e
Scum
Sludge
full
Operating Depth
Access used
5 �'
Depth to lid
refuse to allow the removal of the solids and liquids through
the maintenance hole. I understand that removal of solids and liquids through other access
points is not considered a compliant me hod of solids removal and does not fulfill the solids
removal requirements of Minn. R. 702450 and 7082.0600
Owner's Signature:
Tank Type - Preec_a_st- Block 'Concrete - Plastic - Other
Filter: Yes No Type of system: Mound Gravity - Holding Tank - Elevated Trench/Bed
Type of waste: Domestic - Holding
Are tanks leaking above or below flow line? Yes No If yes, where:
Did you observe sewage discharging onto the ground surface? No
Pump Size: Electrical condition:
Are all of the covers securely replaced? Yes No,
Safety concerns:
Yes,
Disposal site: LnE'Gib
Next recommended pumping: S Length of hose required:
Comments/Troubleshooting/Repairs:rLe—W�� k -s
Location of tanks in vard:e