2811 Farview Lane - Septic Pumping Report

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Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE 7-L� Maintenance Inspecti n Form MP Lic. #L4286 Maintainer Jim Nick 0 Sam • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net /�10Lyle] Cr7:11 Pumping Fee: Name: ScC-i r�S Address: Long Pull Fee Other Repair City/State/Zip: C f v" Total Cost of S Payment Method: ❑ Check ❑ Cash ❑ Credit Ta ec ank leaks below the Tank leaks above the Maintenance hole cover is damaged, cracked, unsecured, or appears to be igned operating depth designed operating depth structural) unsound �Ilepticllholdinq Tank #1 Yes No El Yes � El Yes No Gallons: El eptic/holding�Tank #2 ❑Yes No ❑ Yes lo — El Yes No Gallons: 1 ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallon ump Tank �❑ No Gallons: � j �% ❑ Yes No El Yes No El Yes How Accessed: 7Gaintenance Hole Scum/Sludge Measured Maintenannc,.e--Hoolle`s�Securely Replaced: Reason For Pumping: ❑ Other (see attached) ❑ Yes No eC��S' s ❑ Now Did you identify operational issues or unsafe conditions while assessing the sewage tanks In this system, f.e., acked tanks. missino baffles, broken co etc.? Ifso, explain in comments bell Tank #1 ❑ Yes No Tank #2 ❑ Yes o Pump Tank ❑ Yes o 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: ..10 Land Application: ❑ Wastewater Treatment Plant Disposal Site: Lime: Gallons Plowed: ❑ Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 ❑