HomeMy WebLinkAbout05-12-2022 Septic Maintenance Reportr
9"
12175 County Road 51
Cologne, MN 55322
Andrew Kleindl L2926
www jims excavatinca.com
852j-442-9282
�' Property Owner � C%�� l i �' u �Z la's
Date,
at �_�-- n AA
A
Address:.
Email Address:
Service Record
Reason:
Pump Se-- emergency
i� _
Access Used to Remove Sepia Majnt�'nance tial Other
Leaking Observed YesJ
Disposal Site atertown Treatment FacHi ,Blue Lake
Concerns
Quantity
#Gallons______
v€3c—, .l,tt,ivn
pumping/Disposal
Repairs -Parts
Other
Amount
� 7,
Septic Compliance Inspection
Gould'i3urnp Replaced PIE41, € E61
Effluent Filter Cleaned
TOTAL
Gt'-;V
If owner refuses to allow SSTS to be Pumped through the maintenance hate, sign this statement,
I _refuse to allow the removal of the solids/liquids through the maintenance hole.
Date:
owner's Signature:
Maintainer Information The work was personally conducted by Andrew Kleiondlunty keeps these Excavating.
This report will be filed with your appropriate reporting agency. Typically city
records on file. outnwama*2M