HomeMy WebLinkAbout04-19-2022 Septic Maintenance Sewer Services Inc. Invoice
25648 200th Street Date Invoice#
Belle Plaine, MN 56011 4/19/2022 19814
DBA-Swedlund's, Sullivan's, 7 Thaemert's Freiermuth, 01 Northern Cesspool, Dave's Custom Digging V .
91
posiA
Bill To: 41LIS
Harmann, Dave
505 Old Crystal Bay Road S
Long Lake, Minnesota 55356
952-404-0720
Terms
Due on receipt
Description Rate Qty Amount
Residential Pumping 1st 1000 Gallons-4/18/22 387.00 387.00
Additional Gallons Pumped(per 1000) 162.00 162.00
Service Pump Tank 80.00 80.00
Materials 35.00 35.00
Residential Fuel 10.00 10.00
Filing fee 8.25 8.25
Sales Tax 0.00% 0.00
Payments/Credits -S682.25
Balance Due $0.00
Pumping Report
Sewer Services Inc. Lk: 2502
Date Serviced: Driver: Type: Residential Commercial
Scheduled Maintenance: Emergency Services: Start time:
Stop time:
Name: Phone:
Address: City:
Did you measure the accumulation of scum and sludge? Yes No, pumped regardless
Tank 1 Tank 2 Tank 3 Tank 4 Pretreatment Pump Tank
Gallons Billed
Scum
Sludge
%full
Operating Depth
Access used
Depth to lid _,
I , 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:
Tank Type - Precast - 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 Yes,
Pump Size: Electrical condition:
Are all of the covers securely replaced? Yes No,
Safety concerns:
Disposal site:
Next recommended pumping: 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
Septic tanks should be pumped every 1 to 3 years. Billing Information
Many different variables determine how often Pumping(first 1000 gal.):
a tank needs pumping: Additional gallons(S130.00 per 1000 gal):
Servicing Pump Tank(soo.00):
❑ Type and age of system Exposing Manholes(12"deep or less no charge):
❑ Number of people in the house Excessive Distance (more than 120'):
(❑ Garbage disposal Excessive Grade (more than 20'total lift):
❑ Tank history Riser:
Emergency Charge:
PUMP REPLACEMENTS, Materials
INSPECTIONS & REPAIR Labor:
Permit:
r----�
Filing Fee $7.00 Fuel Surcharge $5.00
State Certified Total Due:
Payment Method:y
None - Cash - Check (#
25648 200th St • Belle Plaine, MN 56011 • 952-873-3292