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3457 <br /> azzavefinii <br /> 12175 County Road 51 <br /> Cologne, MN 55322 <br /> Andrew Kleindl L2926 <br /> www.jims-excavating.com <br /> (952)-442-9282 <br /> Date: Property Owner to\l— PecA" <br /> 7P-5 tL4e7h14I/Address. � � ..lf�, �? V <br /> Email Address: <br /> Service Record <br /> Reason Cezoutine Pump Service Call Emergency <br /> Access Used to Remove SeptageraintenalideTRYtes Other <br /> Leaking Observed Yes <br /> Disposal Site atertown Treatment Facile Blue Lake Other <br /> Concerns <br /> Quantity � � Description Amount P <br /> #Gallons #Tanks Pumping/Disposal $ 'l5i <br /> Repairs-Parts <br /> Septic Compliance Inspection <br /> Gould Pump Replaced PE41 PE51 <br /> Effluent Filter Cleaned <br /> Trip- Labor <br /> TOTAL 7 <br /> If owner refuses to allow SSTS to be pumped through the maintenance hole, sign this statement, <br /> 1, refuse to allow the removal of the solids/liquids through the maintenance hole. <br /> Owner's Signature: Date: <br /> Maintainer Information The work was personally conducted by Andrew Kleindl, of Jim's Excavating. <br /> This report will be filed with your appropriate reporting agency. <br /> Leave us a review ors Facebook or Goog/e <br />