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HOLDING TANK SERVICING CONTRACT <br /> Contract Date 9 <br /> ��'� / This contract is made between the <br /> Holdin Tank Owners s <br /> ( )Name(s) and I Pumpers Name <br /> / a <br /> 6 -71 7 6P/77`E �� ij�j/iPf SAIL �f1Jl�'PS <br /> ,5 -nr 15 /J'o Aral �//S c 5V g li� 0 i � �zr 5,4 r <br /> We acknowledge the instillation of(a)holding tank(s)on the following property: (Provide legal descriptions:) <br /> Go p /_0 � / r? I T 3 71Y P zer4/ <br /> /,aec&I Z D Zq / Sal D / - 700 <br /> -------------------------------------------------------------------- <br /> 1. The owner agrees to file a copy of this contract with the local governmental unit th t has signed the pumping agreement <br /> required in Ch. ILHR 83.18(4) (b),Wis. Adm.Code and with the County of <,L �l s'V ' <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 <br /> to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the access road or <br /> drive so that the pumper can service the holding tank(s)with the pumping equipment. The owner further agrees to pay the <br /> 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 local governmental unit which has signed the pumping agreement required by s. ILHR <br /> 83.18(4) (b),Wis.Adm. Code, and to the County, a report for the servicing of the holding tank(s) on a semiannual basis. The <br /> pumper further agrees 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 local <br /> governmental unit 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) ^ Owner's Signature(s) Subscribed and sworn to me on this date: <br /> 3o, IggE <br /> l Todays Date <br /> I <br /> y <br /> Pumpers Name(Print) I Pumpers Signature Notary Public Signature <br /> t (� -�00c� <br /> Pumpers Registration Number Commission Expiration <br /> "N V-11011111111 ANIAMi <br /> MARTHA M. DEABREU <br /> NOTL <br /> uwo-M MOOTA <br /> Drafted by G ! Ex Int -$1.2000 <br /> r <br />