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HomeMy WebLinkAbout06-28-2023 Septic Maintenance Report Pumping Report Sewer Services Inc. Lic: 2502 Date Serviced: % $/4..3 Driver: Type: Residential Commercial Scheduled Maintenance: Emergency Services: Start time: Stop time: Name: Phone: Address: �.��r© ►,,,�`;. �/- 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 too° Serv►cec Scum 0 Sludge a/a %full Lf% Operating Depth Access used /11H H 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: Tank Type -recast Block - oncret Plastic - Other Filter: Yes 40 Type of system. - Gravity - Holding Tank - Elevated Trench/Bed Type of waste: ores s' - Holding Are tanks leaking above or below flow line? Yes No If yes, where: Did you observe sewage discharging onto the ground surface Yes, Pump Size: WOE Electrical condition: 3 eie - Are all of the covers securely replaced? es No, Safety concerns: --- Disposal site: uoa-te(.- uvn Next recommended pumping: .)_3ay ozcs Length of hose required: 1 0 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.): Li 40, a tank needs pumping: Additional gallons : -- Servicing Pump Tank: P5 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: Filing Fee Fuel. Surcharge /l. co State Certified Payment Method: Total Due: /C a",.:. None - Cash - Check (# ) 25648 200th St • Belle Plaine, MN 56011 • 952-873-3292