HomeMy WebLinkAbout09-27-19 Septic Tanks & System Condition DUANE BARTHEL
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., 1205 LaBeaux Ave.N.E. •St.Michael,MN 55376
DUA IS Phone:(763)497-2764•e-mail:duaneseptic@centurylink.net
Septic Service, LLC MPCA Lic.#654
Date 9--2 7- 19 Statement
Pumping Fee:4:
3� •.-g Ni�nne:
Long Pull Fee: llrivb
Other $...,,,.....•------ Ci fState/Zipi
.avl c...4..
Total Cost of Service I. o ..p
�/�� Septic Tanks&System Condition
Access: Matntenance Hole #of Tanks:
l7Type of System:
OOther Volume pumped: 0 tkek
Risers: CJ Yes 0 Nolto surface: Reason For Pumping
el Yom 0 No yvtLt.okf.
Baffles Q Yes 0 No Effluent scr st Noticeable surfacing:
O Yes CrNo 0 Yes C31Vo
Tank Access& tructurally Safe: Tank type: H1rrecast Ponding:
t'Yes O No/ 0 Cesspool D Yes
Tanks water tight: : Yes 0 No Piping check' Signs ofnon-domestic waste:
DYes Mai No OYes Ol o
Length of Pull: t Pump or Winjg Faulty: Manholes Securely replaced:
1 S D Yes l 1io 8ofes ❑No
Comments regarding system:
OFFICE USE ONLY--
Disposal: 0 Land Application 0 Wastewater Treatment Plant
Disposal Site: Lime: Gallons: Plowed: : 0 Yes 0 No
Time: Temperature: pH:
Time: Temperature: pH:
..40
.-.t '' 1 L.4 A It al .-,' THANKS
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