HomeMy WebLinkAboutApril 2024 septic reportPumping Report
Sewer Services Inc.
Date Serviced:
Driver:
Lic: 2502
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
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.
Many different variables determine how often
a tank needs pumping:
j Type and age of system
Number of people in the house
❑ Garbage disposal
❑ Tank history
PUMP REPLACEMENTS,
INSPECTIONS & REPAIR
> J State Certified
25648 200" St • Belle Plaine, MN 56011 • 952-873-3292
Billiniz Information
Pumping (first 1000 gal.):
Additional gallons :
Servicing Pump Tank:
Exposing Manholes 02" deep or less no charge):
Excessive Distance (more than tea°):
Excessive Grade (more than 20' total lift):
Riser:
Emergency Charge:
Materials:
Labor:
Permit:
Filing Fee
Payment Method:
None - Cash
Fuel Surcharge
Total Due:
- Check (#