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HOLDING TANK SERVICING CONTRACT <br /> Contract Date: i .) <br /> This contract is made between the Holding Tank Owner and the Pumper. <br /> Hol ing Tank O er(�tea e(s): Pumper's Name: <br /> p-wN /�✓N�Ti� <br /> We acknowledge the installation of(a)holding tank(s)on the following property(Provide legal <br /> description and gDmputer number): <br /> &Iatl'Wd � <br /> 5� Zl �Puo Q/6 w <br /> 2637 frenr5 <br /> I. The owner agrees to file a copy of this contract with the local governmental unit hereinafter called the <br /> "municipality',which has signed the pumping agreement required in Ch.ILHR 83.18(4)(b),Wis. <br /> Adm.Code and with the County of Burnett. <br /> 2. The owner agrees to have the holding tank(s)serviced by the pumper and guarantees to permit the <br /> pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). <br /> The owner agrees to maintain the all-weather access mad or drive so that the pumper can service the <br /> holding tank(s)with the pumping equipment. The owner further agrees to pay the pumper for a <br /> charges incurred in servicing the holding tank(s)as mutually agreed upon by the owner and pumper. <br /> 3. The pumper agrees to submit to the municipality which has signed the pumping agreement required by <br /> s. ILHR 83.18(4)(h),Wis.Adm.Code,and to the county,a report for the servicing of the holding <br /> tank(s)on a semiannual basis. The pumper further agrees to include the following in the semiannual <br /> report: <br /> a. The name and address of the person responsible for servicing the holding took; <br /> b. The name of the owner of the holding tank; <br /> c. The location of the property on which the holding tank is installed; <br /> d. The sanitary permit number issued for the holding tank; <br /> e. The dates on which the holding tank was serviced; <br /> f The volumes in gallons of the contents pumped from the holding tank for each servicing; <br /> g. The disposal sites to which the contents from the holding tank were delivered. <br /> 4. This agreement will remain in effect until the owner or pumper temrinates this commCL In the event <br /> of a change in this contract,the owner agrees to file a copy ofany changes to this service contract ore <br /> copy ofanew service contract with the municipality and the County named above within ten(10) <br /> business days from the date of change to this service contract. <br /> Ow s)Names(s)(Print) Owner's Signatures) <br /> t / _c lire <br /> um is Name(Print) Pumper's Signature <br /> Pumper's Registration Number <br /> Zy <br />