HomeMy WebLinkAboutpumping record twi�� Ende Septic Service, LLC
�' �� 24910 Territorial Road • Rogers, MN 55374
`\1 Iii Phone: 763-428-4489 • e-mail: info(c7endeseptic.com
'" - MPCA License #: L2654
Date: `,l, — )- )- `�—' Invoice
Reason for Pumping: vierxiA cx Pumping fee: 3 S 0
Long pull fee:
Name:Z h el de,l- e 5 Other:
Address: )6 (f, 9 fc , to. Total Cost of Service: 3 5 0
City/State/Zip:0 Payment Method:
foiA6 KA .Q, ❑ Check ❑ Cash ❑ Credit
Septic Tanks & System Condition
'
Access: E'Maintenance Hole # of Tanks: / Type o System:
❑ Other Volume pumped:I,(jam j I�'�. `n J
Risers: Z Yes ❑ No Ma?)oles to surface: S stem Watertight:
C6 Yes ❑ No ] Yes El No
Baffles Yes ❑ No Effluent sc. Fr en: Noticeable st acing:
❑ Yes C04:No ❑ Yes No
Tank Acce & Structurally Safe: Tank type: [. Precast Ponding:
Yes ❑ No ❑ Cesspool ❑ Yes iNo
Tanks water tight: : jYes ❑ No Pi ng checked: Signs of no -domestic waste:
Yes Eil No ❑ Yes ® No
Length of Pull: N. l Pu ip or Wiring Faul�: M9tiholes Securely replaced:
(.... A Yes ❑ NA,' 'o,,,, Yes ❑ No
Comments regarding system: ,Q 5 y J tQL __.-
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I ••e_ •e -• . _ - oinmensea a is in . . _es ■ i'o
OFFICE USE ONLY
Disposal: 0 Land Application ❑ Wastewater Treatment Plant
Disposal Site: Gallons: Plowed: : 0 Yes ❑ No
Time: Temperature: pH:
Time: Temperature: pH: