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Septic Pumping Maintenance Form Elmer J. Peterson Co License # 219 763-972-2420 Property Address: 3025 Wayzata Blvd. Owners Names: Dumas Date Pumped: 6/5/2024 # of Tanks: 1 Gallons Removed: 1000 Manhole Covers: No Dump Station: Watertown Comments/Concerns: N/A