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2970 Dodd Rd - Septic Maintenance Form 2012-05-05DAKOTA COUNTY SEWAGE SYSTEM MAINTENANCE LOG Pumper Name X - 4 45 & MPCA # Month/Yr Report Land Appl ication:' 'Hsa dded:.:.::., Date Pumped: / 57 1 L No. of Tanks Pumped: 2 Owner: Municipality/Township: ri vate Residence ❑ Rental ['Commercial (Owner described type of tank(s) ❑ Yes ],,No) Septage Disposal Location: -W C1 Condition of Baffles: 0! Type of Tank(s) 1 C.- r i( 2 eC✓ ( 3 (septic tank, holding tank, cesspool, pump tank, sand trap, flammable water trap, etc.) Size of Tank(s) 1, / 5 Xk) - ./C..- 2 /060 3 Pumped through: Comments: Municipality/Township: Comments: o:pumpform initial: Total Gallons Pumped: 2006 Site Address: G'7 4 // Owner Address: an -hole ❑ Inspection Pipe Effluent Surface Discharge: ❑ Yes c'Area:' Date Pumped: 6 /2 / r ? _ No. of Tanks Pumped: { Total Gallons Pumped: 1 2t55 Owner: !r J < <' 1 Site Address: gT7 t Ice )*1 /s Owner Address: r "- rivate Residence ❑ Rental ❑Commercial (Owner described type of tank(s) ❑ Yes ( I©) e ptage Disposal Location: * , _ 12)/ C. L //G Condition of Baffles: 6 r Type of Tank(s) 1 ,__.C7 C 2 3 (septic tank, holding tank, cesspool, pump tank, sand trap, flammable water trap, etc.) Size of Tank(s) 1 ) .2-6O 2 3 Pumped through: an-hole ❑ inspection Pipe Effluent Surface Discharge: ❑ Yes Land Application Area :; ; Alkaline Maternal '.: Added: Ibs added: ph initial ph after Minutes . Gal Applied ,. Totai;; l.iquki t ied to Area YTD Date Pumped: / /� No. of Tanks Pumped: Total Gallons Pumped:. Owner: Site Address: Municipality/Township: Owner Address: ❑ Private Residence ❑ Rental ['Commercial (Owner described type of tank(s) ❑ Yes ❑ No) Septage Disposal Location: Condition of Baffles: Type of Tank(s) 1 2 (septic tank, holding tank, cesspool, pump tank, sand trap, flammable water trap, etc.) Size of Tank(s) 1 2 3 Pumped through: ❑ Man -hole ❑ Inspection Pipe Effluent Surface Discharge: ❑ Yes 0 No Comments: Land Application Area ibs added ph Initial 3 Alkaline Material Used Added :Dry Liquid " ph after 30 Minutes Gal Applied Total`GaiAppiied to Area YTO