825 Hunt Farm Rd Maintenance Inspection Form 2023

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Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE Si- -Z-2"3 Maintenance Inspection Form MPCAL4286 Maintainer = Jim Duane Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net intvnirF: Pumping Fee: Name: ti Long Pull Fee: Address: o Other Repairs: City/State/Zip: pu-u '&'0 Total Cost of Servi �' Payment Method: ❑ Check ❑ Cash ❑ Credit Tank (check if present) Tank leaks below the Tank leaks above the Maintenance hole cover Is damaged, cracked, unsecured, or appears to be designed operating depth designed operating depth structural) unsound ptic/holding Tank #1 ❑Yes C�t-iVo ❑Yes No ❑Yes No Gallons: t Z Si? Ej'geptic/holding Tank #2 Yes n Gallons: I -a j)-v ❑ No ❑ Yes No ❑ Yes t=T No ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ump Tank ❑ Yes l9' No ❑ Yes ❑ Yes E;I_i oo Gallons: 1 2 S-b ..01No M How Accessed. Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) ❑ Yes ❑ o ❑ No Ylst: 'r,� 4 - Did you Identify any operational Issues or unsafe conditions while assessing the sewage tanks In this system, 1. e., -cracked tanks, missing baffles, broken covers, etc.? Ifso, explain In commentsbelow. Tank #1 ❑ Yes 2rNo Tank #2 ❑ Yes o Pump Tank ❑ Yes No System ❑ Structural integrity ❑ Structural integrity ❑ Structural Integrity ound ❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ 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: and Application: ❑ Wastewater Treatment Plant Disposal Site: Lime: Gallons Plowed: ❑ Yes ❑-N6 Time: 3 -7 Temperature: ) of pH: -a , 2-- > 12 Time: 9 2 Temperature: j pH: t Z, _2 > 12 El - moor-_- sue. -�.'"`" ,.•�, .rr- sue,,