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995 Cliff Rd - Septic Maintenance Form 2017-07-12 5325 MANNING AVE. SO.,AFTON, MIN 55001 eye Family Owned Business Since 1976 fewer LANA MEYER SerVice (651) 459-0162 Liquid Waste Pumped•Portable Toilet and Sink Rental www.MeyerSewer.com CHECK CASH CfL4R.UE CREDIT CAftD CNARC3E5 DATE PLEA5E CALL _. NAME 38 7 PUMPED AND BACKFILUS 111()Vr'-(ffow Tank Cesspoof'--- Holding Tank Lift Station II Distribution or Junction Box Extra BackflUshing feet of hose(Extra charge for over 100 feet of hose) Aishington County Fee II PUMPED: Sandtrap Sump Other: Weekend or Evening Charge RECEIVED BY i. X TOTAL TOTAL GALLONS: Pumped through manhole or inspection pipe 0--) Septic tank: Pre,,cast -',Block-Plastic-Unknown Rf k , 1-1 r) Overflow tank 1,,Freadst-Block-Plastic-Unknown A- Condition of baffle: Cxpoq, Repair Needed,or Unknown Drainfleld: ,Meutlnd,Ttenich,or Unknown Effluent gurL Ncr, kqq_Acharge: Yes-or- Lift Station: Yes or No BBB T— Comments: Llo.nsed,Bonded•Insured Licensed by the Mw.sota.Pollution Control Agency