HomeMy WebLinkAbout2770 Rainey Road - Septic Pumping ReportSeptic crank Pumping/Maintenance
Owner Information
Date: 5 - ` Phone: =V ` 601k
Owner: Email:
Property Address: Owner's Address (if different)
-10
Tank Information
Reason for Pumping: ❑ Complinace Inspection ❑ Holding Tank '0 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 goodies Alarm working:
es
No �'0 No
,/ A N/A N/A
Tank Leakage Observed: Above operating depth Yesyl o (repairs recommended)
Below operting depth Yesyo (failing to protect groundwater)
Gallons Removed:
# 1 /dU[> #2 &0 #3 #4 Auj 7-v,4, r P&-ef� 0-
4-
Disposal Method: Municipal:
Land Applied:
Safety Concerns:
lRecommended Repairs:
(Comments:
Pump tank Total jloo
Q Location: Watertown Wastewater Facility
O Location:
I 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
chipsepticQgmail.com
revised 312025