HomeMy WebLinkAboutPumping 11/09/23Sewer Services Inc.
25648 200th Street
Belle Plaine, NIN 56011
DBA-Swedlund's, Sullivan's, Thaemert's, Freiermuth,
Northern Cesspool, Dave's Custom Digging
Bill To: L
Mark Cibuzar
320 Wakefield
Wazyata, MN 55391
Date Invoice #
11/9/2023 I15101�
I Terms 1
Due on receipt
Pumping Report
Sewer Services Inc. Lice 2502
Date Serviced: Driver: FTypeas
Residential Commercial
Scheduled Maintenance: Emergency Services: Start time:
Stop time:
Name:
Phone:
City:
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
I ype or waste: uomestic - holaing
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:
❑ Type and age of system
❑ Number of people in the house
o Garbage disposal
❑ Tank history
PUMP REPLACEMENTS,
INSPECTIONS & REPAIR
State Certif ed
Billin� Information
Pumping (first 1000 gal.): ' �r
Additional gallons : --
Servicing Pump Tank
Exposing Manholes (12" deep or less no charge):
Excessive Distance (more than 120'):
EXCBSSIve Grade (more than 20' total lift):
Riser:
Emergency Charge:
Materials:
Labor:
Permit.
Filing Fee
Payment Method:
None
25648 200th St •Bell13 Plaine, MN 56011 • 952-873-3292
Fuel Surcharge �
Total Due: "
- Cash -Check