HomeMy WebLinkAbout680 Old Creamery Rd - 210508303005 - 2018.06.04 Cleaners ReportwucouNN Eagle County OWi'S Systems Cleaners Reporting Form
NOTE: Required to be submitted to Environmental Health within 10 days of cleaning an OWTS system
Systems Cleaner Company Snowbridge Inc. License Number
Email Address jan@snowbridgeinc.com Phone 970-453 2339
Service T6chnician _ I , t,k ,Z
Tax Parcel d 2� I1��3-D3 LY>S Address of Service
Person Requesting
Property Owner /;f
970-453-2339
Phone -�77e- CI76 %7Lf7
Phone <�17e 9A5- 1101
Septic System PermitNumber/% - 97 Tank Size
Date of service lD Z` %-j / Tank Material
Sewage Disposal Site 6J` A u
General Condition and Functionality of the System u VI 6 c O V1 �ttA c�
Recommended Repairs po!g
Site sketch showing location of the septic tank access lids measured from at least 2 fixed points
(Photos Encouraged)
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Signed ' " ' s�- Date
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