08-11-2021 Septic Inspection - Laserfiche WebLink

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Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE �(—tI Z/ Maintenance Inspection Form MPCA Lic. # 654 Maintainer D Jim D Duane Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net Pumping Fee: 2- u� IIV V VILrG Name: ' lx'e Long Pull Fee: 's 4 Address: Other Repairs: 3 City/State/Zip: ❑ Structural integrity ovo"\ ry Q Risers leaking Total Cost of Service: Payment Method: eck ❑ Cash ❑ Credit ❑ Elevated drainfleld ❑ Baffles Talk c_hsc if se) � E,� '�an�i leaks below he t -fin �te�ks pgo.(e #hers V nancQolasco, � cd, ciama p }, - -1 J ._ _� tlesl rietl'o eralln1epdredor�appears 5 p � deslgnedopGr�Ungdepth �,,.�- �to be' 0-Septic/holding Tank #1 ,: ❑ Ponding/Surfacing v urisountl Gallons:) 2,;'> ❑ Yes [T Nc ❑ Yes C�'No� ❑ Yes ❑ ` El'S"eptic/holding Tank #2.. Gallons: t L —d ❑ Yes 171 No ❑ Yes I No ❑ Yes ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑<ump Tank �_j ❑ Yes No Gallons; 2 S `� ❑Yes 01KO ❑ Yes C�tQo How Accessed: ErMaintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) ❑ Yes ©-ITO— 9-1res ❑ No Old you Identify any operational Issues or unsafe conditions while assess/ng the sewage tanks In this system, I.e,, rrArkPrl hanlrc mlccinn h,mn h..J.. .,. ..F,- v ra„ Tank #1 ❑ Yes o Tank #2 ❑ Yes o Pump Tank ❑ Yes No System ❑ Structural Integrity ❑ Structural Integrity ❑ Structural integrity ound Q Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfleld ❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed ❑ Non-domestic waste ❑ Non-domestic waste ❑ Electrical Issues ❑ Trenches ❑ Non-domestic waste ❑ Ponding/Surfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Comments: Disposal; ❑ Land Application: ❑ Wastewater Treatment Plant