Langlade County Pumping Report

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Please fill out the following information to submit a pumping report in Langlade County.

Email *

Pumper Name *

Pumper License Number *

Permit Number

Permit numbers are required for all submissions. The permit number is located on the pumping notice sent to the contact of record for the system. (You can attempt to find a permit number for a holding tank here: Holding Tank Spreadsheet for Pumpers

Property Address where tank is located

Is the system being pumped a Holding Tank? *

Yes

Is the alarm functioning properly?

Yes

Clear selection

Pumping Date *

YYYY

Estimated gallons pumped? *

Please enter "0" if the system will be deferred.

Was pumping deferred? *

If pumping was deferred, please indicate pumped gallons as "0".

If pumping was deferred, please explain why:

What is the Tank Material?

Concrete

Plastic

Steel

Other:

Clear selection

Is the system ponding? *

Any other notes:

A copy of your responses will be emailed to the address you provided.

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