Septic Tank DecommissionSNOHOMISH
HEALTH DISTRICT
WWW.SNOHD.ORG
ld
7615 201,ST ST SW
EDNIONDS
Tax 10: 00407700100601
TANK PUMPING REPORT
�'.020 Rocks S_:itt? 104 -- fEvo-sett, WA 98201 425.339,5250
Service Company:
A Wesco Septic
e, E30 f SR 9 S E
Srinhornish, tA!A g8296
360-668-6561
Serviced:0111112022 by: Lewis Bunt Submitted 0111212022 by.,Lewis Bunt
I enlco In, -
COMMENTS
Jurisdiction ID,00407700100601
septic tank was dec3rnmissianed in Place. VVe purnped the septic tank out. VVe broke out a hole in xne botom cat the septic tank. We fillad and
lThus
conTparted the septic tank v.,fth pea gravel. We remwedlthe main IA of the_ septic tangs and fined it in wjih concrete. 3 hrs house ts being serv;ced by
public sewer.
11111 11 qIIIIII Pill III - - --------- ..................................... ...
3
P,KTTE: THIS 'TANK VVAS ONLY PARTIALLY SERVICED
?urnped
YES
,,...,.Tank
r F(N 7r�beTcnly, no text.)
900
tcent ievel within opeiationai hmits (if NO explain in commenis),
YES
I Tc.al Gallons purnnea from ;?Ink (Number 00y, no te-A).
900
!Effloe �,,nt retsrning back into tank after pumping.
NO
lank alepit, beiavt., grade (inches):
12
access Risei:s installed to grade (N,!A. if not present):
TankConztructior, -----
-
Tank k,,ondiiicn Good:
NO
See Comments
I Baffles in good conditon (NA if not present).
N A
tPlillient screen (;leaned (NIA if not present):NA
r�,_Fient surfacing around site components (NA if not
T_ NO
I Fank abaandoned after punmina-
YES
Tank or Tank Goirnponents? (if YES explain in comments):
N 6)
comparb-nent 1 Scut; accurnuiation (Inches, if other specifp).-
0
1-nmg)artment I Sludge alc'U M Lila 60n (inches, if , ether s p edf�j):
. . ... ... .. ....... . ......... I .... . .......... . . . .. . ........................ . . . .... . ------ - --
20
Tr_-; a g' .V01 e: 'A' f
. ..... — ------
ReportID'. 563956 iepo!ts cw-,)jpe at,%Avva nnhneirie^orn Page I of 1
A Wesco Septic Service, Inc.
16607 SR 9 SE
Snohomish, WA 98296
360-668-6561
Cheri@awescoseptic.com
www.awescoseptic.com
Customer
Genet Gebre
7615 201 st ST SW
Edmonds, WA98026
Septic Tank Pumping
Decommission
Invoice Invoice # 183196
Invoice Date 1/7/2022
Ext. Inv. #
A X91 Due on Receipt
Mgtl020-teAddress
� Phone
ON Genet Gebre 206-981-1421
7615 201 st ST SW
Edmonds, WA98026 Alt. Phone
Description
This is a report of a septic tank decommissioned in place. We pumped the
septic tank out. We broke out a hole in the bottom of the septic tank. We filled
and compacted the septic tank with pea gravel. We removed the main lid of
the septic tank and filled it in with concrete. We recorded the decommission
report on Snohomish County RME. This house is being serviced by public
sewer.
Sales Tax 10.4%
Thank you for using A Wesco Septic Service.
We appreciate your business!
Please note to help offset our card terminal
processing fees, invoices paid by credit card will be
subject to a 2.0% surcharge.
Total
Payments/Credits
Balance Due
Total
490.00T
4,400.00T
$53398.56
-$5,398.56
$0.00
A WESCO SEPTIC SERVICE, INC.
16607 SR 9SE
Snohoinish, WA 98296
P11, (3 60) 668-655 61
X. (425)645
jin'Lojl'��q�K.5ssls �C-L, Lo m
DECOMMISSION IN PLACE
Owner: Gebre Genet / Yaecob Samuel
Site Address: 7615 201,';, St. S,W, in Edmonds, Wa. 98026
Parcel: 00407700100601
Date: 1=11-22
Type of tank decommissioned: Septic tank
Gallons pumped: 900 gallons
Number of coinpartments, Single
Snohomish County RME report. Yes
Septic tank Filled & compacted: Yes
This is a report of a septic tank decommissioned in place. We pumped the septic tank out.
We broke out a hole in the bottom of the septic tank. We filled and compacted the septic tank with
pea gravel. We removed the main lid of the septic tank and filled it in with concrete.
We recorded the decommission report on Snohomish County RME. This house is being
serviced by public sewer.
Lewis Bunt
Master Installer
A Wesco Septic