HomeMy WebLinkAbout901 Red Canyon Cr Rd - 194125102007 - 2015 Cleaners ReportE Cosa my System s C l an rs port] ng Form (Please Print Name of Systems Cleaner, Name of Service Person Date of Servi.ee = r Date of System Installation Property Owner. Property Address ail& WIJ Lot Block Estimated Tank Sipe Q-50 0 ( UV W, vuu Tel e lion o go, oFa (a— 71 SUI]dIVl510F1 R�d �V'�y0-►'l _ �5 �L�'�'-S Tank Material ofManholes � - Depth to M'anhole Covers Estimated Volume Pumped 9 15�6 0 # of Compartments f Sludge Thickness haches Scum Thickness - Baffle or Sanitary Tee in Place Inlet 0 ut] et UNK IMF Effluent Filter in Place? _( D_ _�D Dosing Mechanism Pump _Siphon ("*Non Dosing M lianisrn/Alarm Functioning Properly? Higher Level Treatment System? Previous Pumping Date, if known. Location of Septage Disposal 14 i General Comments i n l ode any signs- of failure and all If Yes -Type rk done 'in addition to pumping inclies Sketch (Location of Tank) I certify that. to the be%t o ny k-im a Iedge. On above information is true and enfWd. Signed Date (�a-otm� LCA � 71-6