3445 Watertow Rd Maintenance Inspection form, Aug 2023

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DVANE� Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 552376 M ATC Maintenance Inspection Form MPCA Lic. #L4286 Maintainer ❑,Jim Nick l • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net INV01r.F Pumping Fee: Name: Long Pull Fee: Address: I L G 5d w Other Repairs: City/State/Zip: Total Cost of Service: / Payment Method: ❑ Check ❑ Cash ❑ Credit r Tank (check i resent) 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 (eSeptic/holdip g Tank #1 ❑ Yes LYNO ❑ Yes E/No ❑ Yes ["lo Gallons: t27 0 eptic/holding Tank #2 Gallons: U, - f ❑ Yes QNo ❑ Yes O No ❑ Yes t/No ❑ Pretreatment Tank It, ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: Pump Tan�k._,_,�. � Gallons: 3a a ❑ Yes C///N0 ❑ Yes V"No ❑ Yes DIKO How Accessed: n Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) ❑ Yes -E No I EJ/Yes ❑ No n 'f"l Did you Identify any operational Issues or unsafe conditions while assessing the sewage tanks In this system, I.e., 14 F .,, ccinn hnrf)cc hrnlran rnuerc. etr.7 Tf so. EXnlaln In comments below. Tank #1 ❑ Yes 9 No 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: ❑ Land Application: VrWastewater Treatment Plant W AT-tr7bw'\. Disposal Site: Lime: Gallons Plowed: ❑ Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 ❑ "fit E.M.2`...��"��> ��►�'/ 1011v