HomeMy WebLinkAbout2024 Pumping ReportPumping Report
Sewer Services Inc. Lic: 2502 _
Date Serviced: ab Driver �� Ylc�(e t{ Type Residentia Commercial
Scheduled Maintenance: / Emergency Services: start time: J / 2
Stoo time:
Yk
Address: a b 0 -0 S I- .
Did you measure the accumulation of scum and sludge?
Phone:
Cit :'' rr7r1
No, pumped regardless
Tank 1 ITank 2
Tank 3
Tank 4
Pretreatment
Pump Tank
Gallons Billed 00 040
�Jrcec
Scum i
Sludge IA.
% full 7' .
Operating Depth i
Access used
Depth to lid (G
7
1 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 ,�r-e�-e�as Block oncret Plastic - Other
F•lt r Ye. C 0 Type of system 4ow ce Gravity - Holding Tank • Elevated Trench/Bed
Type of waste- omeJ Holding
Are tanks leaking above or below flow line? Yes No If yes, where:
Did you obsennrve sewage discharging to the ground surface fo Yes,
Pump Size: r� s 1 Electrical_ ondition: Op
Are all of the covers securely replaced? a No,
Safety concerns: 0 (AC 1 CtiCQ e 0
D"ispp
osall site: U W
Next recommended pumping J,l4 n • Length of hose required: f
Comments/ 1 rour
f'• �r't �„��
t+ Location of tanks
Iczc
. Pekr-w—i- 4owef 5 i rl
Sewer Services Inc. 25648 2UOth Street - Belle Plaine, MN 56011- 952-873-3292
Septic tanks shordd be pumped every I to 3 years.
Many different variables determine how often
a tank needs pumping:
u Type and age of system
u Number of people in the house
u Garbage disposal
:r Tank history
PUMP REPLACEMENTS,
INSPECTIONS & REPAIR
State Certified
25648 200'h St • Belle Plaine, MN 56011 1952-873-3242
Billine Information
of
Pumping (first 1000 gall.. Q.
Additional gallons : 94:51,
Servicing Pump Tank :'�'8 . e
Exposing Manholes S 12" dccp or kss no uhargcj: ti
Excessive Distance I.— th-12o•1:
Excessive Grade (mom imn 2o•„ ai imm:
Riser:
Emergency Charge:
Materials:
Labor: E Ca55i Sc
Permit:
Filing Fee , �� Fuel Surcharge 1 i.
Payment Method: Total Due: $`a2 • 't
None - Cash _- Check (4 )
Sewer Services Inc.
25648 200th Street
Belle Plaine, MN 56011
DBA-Swedlund's. Sullivan',, Thaemert's, Freiermuth,
Northern Cesspool, Dave's Custom Digging
Bill To:
Q�
Westling, Lori
2640 Fox Street
Orono, MN 55391
612-562-7401
Description
Residential Pumping 1st 1000 gals 1 /26/23
Additional gallons pumped (per 1000)
Service pump tank
Excessive distance / elevation
Service/ Excessive Scum
Filing fee
Residential Fuel
Sales Tax
Invoice
Date Invoice #
112712D23 n2aa5
Terms
Due on receipt
Rate
Qty Amount
440.00
440.00
193.00
1.5 289.50
88.00
88.00
15.00
l 5.00
30.00
30.00
9.00
9.00
11.00
11.00
0.00%
0.00
11;
Payments/Credits V -$882.50
Balance Due $0.00
_ .. • a --- --- - -- -- .- r—v— Iv LWLUAMFL kFUU C 11117E FLU I. f j .