HomeMy WebLinkAbout2024 pumpingSewer Services Inc.J
Date Serviced: (p� 71 a4 Driver:
Scheduled Maintenance:
Name
Address: � a,l C, �
Pumping
Lic: 2502
Em
Report
Services:
Did you measure the accumulation of scum and sludge?
Type:<r%_: dent a Commercial
Start time: 67J Z7 L
Phone:
3
Stop time: / t7 :
F ' I> _ 1e.V8c3?
No, pumped regardless
Tank 1
Tank 2
Tank 3
Tank 4
Pretreatment
Pump Tank
Gallons Billed
Scum
("
Sludge
1,
''
I -
% full
cl"In
L
Operating Depth
r --
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
N f
Type of waste: po mestic - Holding
Are tanks leaking above or below flow line? Yes IVo� If yes, where:
Did you observe sewage discharging onto the ground surface? o Yes,
Pump Size: �"% Electrical condition:
Are all of the covers securely replaced?(Yes, No,
Safety concerns: ; \ , b
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:
❑ Type and age of system
❑ Number of people in the house
❑ Garbage disposal
❑ Tank history
PUMP REPLACEMENTS,RIR
INSPECTIONS &
=Statc Certified i::: ::
25649 20011, St • Belle Plaine, MN 56011 • 952-873-3292
Billing Information
Pumping (first 1000 gal.): `"
Additional. gallons
Servicing Pump Tank:
EXposing Manholes (12" deep or less no charge):
1 xcessive Distance (more than 120'):
EXC8SS1Ve Grade (more than 20' total lift):
Riser:
Emergency Charge:
Materials: 0 �
Labor:
Permit: __
filing Fee Jt`%a JD
Payment Method:
- Cash
None
Fuel Surcharge � �(.�00
Total Due: � i
- Check (# )