781 Hackmore Dr - Sepitc Maintenance 11/16/22jVleyer�
5325 MANNINGAVE. SO., AFTON, MN 55001
Sewer t
Family Owned Business Since 1976
LANAMEYER
,Serviice
11Liquid
(651) 459-0162
Waste Pumped • Portable Toilet and Sink Rental
www.MeyerSewer.com
dF ® 0
CHECK
J1—
3 q
CASH
CHARGE
CREDIT CARD CHARGES
PLEASECAu_
DATE
/
NAME
y
ADDRE55
PUMPED AND BACKFLUSHED:
Septic Tank
Overflow Tank
s5Pool
61 g ank
Lift Station
Distribution or Junction Box
Extra Backflushing
/�� feet of hose (Extra charge for over 100 feet of hose)
Washington County Fee
PUMPED:
Sandtrap
Sump
Other: •.y' �j7,{ (l
Weekend or Evening Charge
RECEIVED By
TOTAL
X
TOTAL GALLONS:
Pumped through manhole oprigpecti Tp,
Septic tank: Precast lock astir - Unknown
Overflow tank: Precast - Block - Plastic - Unknown
Condition of baffle: Good, Repair Needed, or nkno n
Drainfield: Mound, Trench, or Unknown
Effluent surface discharge: Yes 0tlQ0
Lift Station: Yes oo
ro)
BM
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Comments: CC..
uoe eeo • aotuded • ensued
Licensed by the
Minnesota Pollullon Co,ro'ol Agency
81676
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