HomeMy WebLinkAbout05-17-2023 Septic Maintenance Report 3457
azzavefinii
12175 County Road 51
Cologne, MN 55322
Andrew Kleindl L2926
www.jims-excavating.com
(952)-442-9282
Date: Property Owner to\l— PecA"
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Email Address:
Service Record
Reason Cezoutine Pump Service Call Emergency
Access Used to Remove SeptageraintenalideTRYtes Other
Leaking Observed Yes
Disposal Site atertown Treatment Facile Blue Lake Other
Concerns
Quantity � � Description Amount P
#Gallons #Tanks Pumping/Disposal $ 'l5i
Repairs-Parts
Septic Compliance Inspection
Gould Pump Replaced PE41 PE51
Effluent Filter Cleaned
Trip- Labor
TOTAL 7
If owner refuses to allow SSTS to be pumped through the maintenance hole, sign this statement,
1, refuse to allow the removal of the solids/liquids through the maintenance hole.
Owner's Signature: Date:
Maintainer Information The work was personally conducted by Andrew Kleindl, of Jim's Excavating.
This report will be filed with your appropriate reporting agency.
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