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Brown's Septic Service <br /> Call "Brown's"for all the "Brown Stuff" in your tank! <br /> (715) 392-6039 <br /> Name: Jr i Calm p p p Date: -2-02 0 3 <br /> Address: 54 4) (4 P <br /> Dil n e o r t5 co; 5 Phone: 6 5"6 - 7 d(,2, <br /> -- orwh 5wi5J <br /> Receipt for System Maintenance <br /> Tasks Performed <br /> ❑ Locate Tank <br /> Open Manhole Depth: <br /> ❑ Check: <br /> ❑ Tank Level Acceptable Problem: _ <br /> N Scum Depth Acceptable Problem: <br /> © // Sludge Depth Acceptable Problem: <br /> ❑ Baffle Integrity Acceptable Problem: _ <br /> -inlet <br /> -outlet Filter: yes/no Type: <br /> ❑ Tank Integrity Acceptable Probler=i: . <br /> Remove Content Acceptable Problem: <br /> Back Flush Acceptable Problem: <br /> El Manhole Acceptable Problem: <br /> ❑ Inspection Pipes Acceptable Problem: <br /> • Close Manhole Manhole location and depth <br /> El Clean-up <br /> El Locate System 1 <br /> El System Overview o ) Tank Volume: ep gal <br /> Your system has been properly maintained and should be visited again in <br /> This will insure the proper operation and treatment of the wastewater at your site. If <br /> you have any questions,please feel free to contact us. <br /> � <br /> / sadv I � f LI) �, � S ,S).4 Fl �� � <br /> Total amount collected: ' <br /> Additional work neccesarry: <br /> ❑ Where will septage go: ()-I . L. <br /> 1,11‘5 C�Yt S v\ .",?- Saber so 3-coo <br /> b7 / / -- Mc/ <br /> no s_e pl c �P111 n i� <br /> put ,ors c opyy Lt) ,mince <br />