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HOLDING TANK SERVICING CONTRACT <br /> Contrast Date <br /> This contract is made between the <br /> Holding Tank Owner(s)Name(s) and I Pumper's Name <br /> I <br /> ChAi.5 UJitzany I Dantet Ctendening <br /> I <br /> We acknowledge he installation of a)holding tank(s)on the follovyIng property: <br /> (Provide, <br /> oavi9de6�astBYsc7rJip.r.tIiro.,•nEr <br /> .) <br /> 4171/'14��� vba�cs� � <br /> � <br /> /7`/.11+�t 4/ , tJusr�c..-Qoc,-c,G i i ' <br /> •Q-s*c.e�k- t thsn G!/ -o' .? B. s�a�t/xnes_ 7J.rtr.E �v �,�,�. �ta•C'yre.EQo� <br /> r.1— B. — — — — — — <br /> 1. The owner agrees to file a copy of this contract with the local governmental unit hereinafter called the "municipality", which has <br /> signed the pumping agreement required in Ch. ILHR 83.18(4) (b),Wis.Adm. Code and <br /> with the County of Buhnett <br /> 2. The owner agrees to have the holding tank(s)serviced by the pumper and guarantees to permit the pumper to have access and to <br /> enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the all-weather access <br /> road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay <br /> the pumper for all 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 s. ILFiR 83.18 (4) (b), Wis. <br /> Adm. Code, and to the county, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees <br /> to include the following in the semiannual 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 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 terminates this contract. In the event of a change in this contract, <br /> the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with the municipality <br /> and the County named above within ten (10)business days from the date of change to this service contract. <br /> Owner(s)Name(s)(Print) �p I Owner's Signature(s) <br /> Subscr' and sworn to bky6re me on this date: <br /> I AVK. <br /> I <br /> I <br /> I <br /> Pumper's Name(Print) I Pumper's Signature Notary Public <br /> I My commissi p' ems <br /> Q�►nit ) '�t'ndG►�//� 1 7/ice <br /> Pumper's Registration Number ion Jouphson <br /> so" of Wisconsin <br /> SBD-7574(R.09/88) This instrument was drafted by the State of Wisconsin Department <br /> of Industry, Labor and Human Relations <br />