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HOLDING TANK SERVICING CONTRACT <br /> Contract Date <br /> This contract is made between the holding tank owner&the pumper. <br /> Holding Tank Owner(s)�Name($) fPu-mpers Name <br /> hs <br /> We acknowledge the installation of(a) holding tank(s)on the following property: (Provide legal description) <br /> 2� O1r\ 1�R/gC'�U� �0 "V Dr. ue ��et�Ulc � �)T <br /> aJa S -ool z a l a� 5 S �j l <br /> 1. The owner agrees to file a cop--1-�is contract with the local governmental unit that has signed the pumping <br /> agreement with the County of <br /> 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to <br /> have access and to enter upon the property for the purposes of servicing the holding tank(s). The owner agrees <br /> to maintain the access road or drive so that the pumper can service the holding tank(s)with the pumping <br /> equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tanks) <br /> as mutually agreed upon by the owner and pumper. <br /> 3. The pumper agrees to submit to the local govemmental unit which has signed the pumper agreement required by <br /> Comm. 83.55(2), Ws.Adm.Code, and to the County,a report for the servicing of the holding tank(s)within 30 <br /> business days. The pumper further agrees to include the following in the report. <br /> a. The name and address of the person responsible for servicing the holding tank; <br /> b. The name of the owner of the holding tank; <br /> C. The location of the property on which the holding lank 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. The agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change <br /> of this contract,the owner agrees to file a copy of any changes to this service contract or a copy of a new service <br /> contract with the local governmental unit and the County named above within ten(10)business days from the <br /> date of change to this service contract. <br /> Owner's Name(s) (Pant) Owners rr 51% <br /> r <br /> Ne \ <br /> CA-, <br /> Pumper's Name(Print) umper's Signature <br /> —r f-r 11. Sb- L(S i <br /> Pumper's business License Number /W <br /> neiv - .nmm <br /> oenanr zwInvg on�amainl m• M.wi1 <br /> M110 <br /> 0/wxmdlnfo zmwwsvwlmam:w.dmg`r.$n,xss.wmnNm11 <br /> va <br />