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SepticAudit Service & Inspection Report

Official septic maintenance and inspection log.

Contact Name

Contact Email

Contact Phone

Your role

WNY County

What brings you to the ledger?

A
B
C
D

How many people live there most weeks?

A
B
C
D

About how old is the system?

A
B
C
D
E

What kind of system is in the ground?

A
B
C
D
E

When was the tank last pumped?

A
B
C
D
E
F

When was it last opened by a professional?

A
B
C
D

What are you seeing or smelling?

What goes down the drains besides ordinary use?

What sits near the system?

Parcel / tax map ID

Property Address

City, State, ZIP

Tank Size

Gallons Pumped

Observations / Notes

Attach Site Photos

Acknowledgment

SepticAudit Compliance Statement: This report is prepared in accordance with standard county health department requirements for septic system maintenance and inspection records. Retain this document for a minimum of 5 years.