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HOLDING TANK SERVICING CONTRACT <br />Contract irate. <br />This contract is made between the Holding Tank Owner and the Pumper_ <br />Holding Tank Owner(s) Name(s): Pumper's Name: <br />W a knowledge the i�}stallation of (a) holding tank(s) on the following property (Provide legal <br />discption and comp ter number): fµ? ,-;^'��,'.1,1, <br />_ ( C ,I� Loffa .tet .. bct iv ( io <br />1. The owner agrees to file a copy of this contract with the County of Burnett, as required under W1 <br />Code SPS 393.21(2)5, <br />2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the <br />pumper to l a�;e accespand to enter -upon dre property for the purpose of servicing the holding tank(s). <br />The owner agrees to maintain the all-weather access road 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 County, reports for the servicing of the holding tank(s) in, manner <br />specified by the County. 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 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 />& The disposal sites to which the contents from the holding tank were delivered. <br />h. Condition of holding tank and components at time of inspection. <br />4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event <br />of a change in this contract, the owner agrees to file a copy of any changes to this service contract or a <br />copy of a new service contract with the municipality and the County named above within ten (14) <br />business days from the date of change to this service contract- <br />Owner(s) Nam (� (fit} <br />Owner's Signature(s) <br />I` _ <br />Pumper's Name (Print) <br />Puner's Signature <br />--y . <br />Pumper's Registration Number -i, <br />