HomeMy WebLinkAbout1840 Fox Street - Septic Pumping ReportSeptic Tank Pumping/Maintenance
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Owner Information
Date: Phone: /02 - 7 -3,2 yY
Owner: 4,,,k�n ��j� Email:
Property Address: Owner's Address (if different)
/glib Fx S4
�Way Zk4zx /YIN
Tank Information
Reason for Pumping: ❑ ComplinaceInspection ❑ Holding Tank (Maintenance
Method of Access: Manholes ❑ Inspection Pipe (holding tanks only)
(Owner's signature req'd if refusing to allow pumping through maintenance hole)
Condition of Tanks:
Filter Cleaned Yes Baffles good: Ys Alarm working: As
No No No
I/A N/A N/A
Tank Leakage Observed: Above operating depth Yes/yo (repairs recommended)
Below operting depth Yes9eo (failing to protect groundwater)
Gallons Removed:
#1 p #2 #3 #4 Pump tank c:r"Ov Total 07
Disposal Method: Municipal: Location: Watertown Wastewater Facility
Land Applied: ❑ Location:
I Safety Concerns:
lRecommended Repairs:
(Comments:
1 hereby certify that 1 have completed this work in accordance with MN 7083.0770 and any local requirements.
No determination or guarantee offuture system perfomance has been nor can be made.
Chip's Septic Service, LLC & SSTS
Swartzer's Sewer Services License
16762 Babcock Avenue Maintaner Signature #2064
Lester Prairie, MN. 55354
(952) 200-3176
chipsepticna. nail.com
revised 312025