HomeMy WebLinkAbout2024 pumpingSewer Services Inc.
Date Serviced: Driver:
Pumping Report
Lic: 2502
Type: Residential Commercial
Scheduled Maintenance:
Name:
Address:
Emergency Services:
Did you measure the accumulation of scum and sludge?
Start time:
Stop time:
Phone:
City:
Yes No, pumped regardless
Tank 1 Tank 2
ITank 3
Tank 4
Pretreatment I Pump Tank
Gallons Billed
Scum
Sludge
full
Operating Depth
Access used
Depth to lid
I 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
Type of waste: Domestic - Holding
- Holding Tank - Elevated Trench/Bed
Are tanks leaking above or below flow line? Yes No. If yes, where:
Did you observe sewage discharging onto the ground surface? No
Pump Size: Electrical condition:
Are all of the covers securely replaced? Yes , No,
Safety concerns:
Disposal site:
Next recommended pumpi
Comments/Troubleshooting
Location of tanks in yard:
irs:
Yes,
Length of hose required:
Sewer Services Inc. 25648 200th Street - Belle Plaine, MN 56011- 952-873-3292
Septic tanks should be pumped every I to 3 years.
Many different variables determine how often
a tank needs pumping:
o Type and age of system
o Number of people in the house
❑ Garbage disposal
❑ Tank history
PUMP REPLACEMENTS,
INSPECTIONS & REPAIR
State Certified
Billing Information
Pumping
(first 1000 (Vill.):
Additional
gallons
Servicing
Pump Tank
Exposing
Manholes (i2�•deep orless noehatve):
Excessive
DiStailCe (mowthan
Excessive
Grade (mutv than 20, t„uji stl
Riser:
Emergency Charge:
Materials:
/(G,
Labor:
Permit:
Tiling Fee � Fuel Surcharge
Payment Method: Total Due:
None - Cash - Check (##
25648 200`h St • Belle Plaine, MN 56011 • 952-873-3292
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