HomeMy WebLinkAbout05/27/2022 Pumping ReportSewer Services Inc.
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Date Serviced: �(n
Scheduled Maintenance:
Pumping Report
,� Lic:2502
Driver: 'v'
Emergency Services:
---------------------------
Name:
Address: V;
,..
Did you measure the accumulation of scum and sludge?
Type;
Commercial
Start time: -7: 1
Stop time: 50
Phone:
City: Qy
Yes No, pumped regardless
Tank 1Tank
2 Tank 3
Tank 4
Pretreatment P mp TaQk
Gallons Billed`C10'3
Scum ti
Sludge
%full
Operating Depth;
.
Access used
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 method of solids removal and does not fulfill the solids
removal requirements of Minn. R. 7080.2450 and 7082.0600
Owner's Signature: 1A i �k
Tank Type -Precast - Block - Concrete - Plastic - Other
Filter: Yes No—,. --Type of system: Mound - Gravity - Holding Tank - Elevated Trench/Bed
Type of wast' : DomescHolding
Are tanks leaking above or below flow line? Yes o If yes, where:
Did you observe sewage discharging onto the ground surfac
Pump Size:'(; I Electrical condition:
Are all of the covers securely replaced�Y s No,
Safety concerns:
Disposal site:
Yes,
Next recommended pumping: PQA_ 2,r)ra Length of hose required:
Comments/Troubleshooting/Repairs:
Location of tanks in yard:
Sewer Services Inc. 25648 200th Street - Belle Plaine, MN 56011- 952-873-3292