HomeMy WebLinkAbout735 Mountain View Rd - 239122202005 - 2020.09.08 Pump ReportEagle Coun�y OWTS Systems Cleaners Reporting Form
NOTE: Required to be submitted to Environmental Health within 10 days of cleaning an OWTS
system /
EAGLE COUNTY Systems Cleaner Company /-0 (�a��4./ ...r P(r� Y S � License Number
Email Address b( Y nn S- LOYr/ChJj- (Phone 67y-3,)Cr 33e7ry
Service Technician 1 A, YA ,]Jr nt,....-
Tax Parcel q
Person Requesting Sei
Property Owner-y
Septic System Permit I
Date of service A -
Sewage Disposal Site_
General Condition and
of Service 7 3 z K1 de,, ,
LISP -4L Tank Size lZO
Tank Material C O✓I r,
of the System
Recommended Repairs S cc 6 Un
Site sketch showing loca ion of the septic tank access lids measured from at least 2 fixed points
(Photos Encouraged)
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