04/29/24 septic report - Laserfiche WebLink

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Jim Eicher D Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE "' - � Maintenance Inspection Form MPCA Lic. #L4286 Maintainer ®`Jim ❑ Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net Ifill 1Y1161 C601 Pumping Fee. b (3 t , J Name: 1 t dl r (,, Long Pull Fee: ' 0 Address: f l � 1 Other Repairs: - City/State/Zip: 0 Total Cost of Service. Payment Method: ElCheck El Cash ❑ Credit tj _ S0 Z-7. Tank leaks below the Tank leaks above the Maintenance hole cover is damaged, Tank (check if present) designed operating depth designed operating depth cracked, unsecured, or appears to be structurally unsound ❑r Septic/holding Tank. #1 Gallons: ❑Yes ❑``No El Yes ❑ No El Yes 0`}No ❑Septic/holding Tank: 42 Yes ElGallons: Of No ` ElYes ❑,No ElYes ❑"No < . ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: Pump Tank El Yes ❑ No ❑Yes ❑'No El Yes No Gallons: :. . How Accessed:E3IMaintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) ❑ Yes ❑-No ❑`Yes ❑ No Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., ,,cracked tanks, missing baffles, broken covers, etc.? If so, explain in comments below. Tank #1 ❑ Yes ❑'No Tank #2 ❑ Yes ❑ No Pump Tank ❑ Yes EY No System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ❑' Mound ❑ 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: ❑ Wastewater Treatment Plant Disposal Site: Lime: Gallons Plowed: ❑ Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 ❑ �`� .mot �r � ..�'! :,�;��/ '� •�`"�' •'vt�� "� '� w��` ',�;��/UTZ .� �.�.7� ..,/�`