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HomeMy WebLinkAbout08-31-2021 Septic Pumping ReportJim Eicher Septic Service, LLC / 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE '2 - -3 J - Z f Maintenance Inspection Form MPCA Lic. # 654 Maintainer Jim Duane ['Nick • Phone: 763-497-2764 • Email: cluaneseptic9centurylink. net Pumping Fee: Scum/Sludge Measured Na Reason For Pumping: IIVVVIIa Long Pull Fee: _E�es ❑ No 71� Vjtk- Addres ❑ Elevated drainfield ❑ Baffles C3 Non-domestic waste ❑ Baffles ❑ Baffles ❑ Non-domestic waste ❑ Electrical issues V0,5 C4 "I ❑ Non-domestic waste Other Repairs: City/State/Zip: ❑ Other: Cleaned? ❑ Yes ❑ No Comments: Total Cost of Service: Payment Method: B -C -heck ❑ Cash ❑ Credit 3 X'5- Tank (check if present) Tank leaks below the Tank leaks above the Maintenance hole cover is damaged, designed operating depth designed operating depth cracked, unsecured, or appears to be � _P Septic/holding Tank #1 structurally unsound Gallons: j� ❑ Yes 1_3-ido ❑ Yes -Cam ❑ Yes �� ❑ Septic/holding Tank #2 Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 3"Pump Tank Gallons:y�iOL2 ❑Yes 0 --No ❑ Yes 13'No ❑ Yes No low Accessed: BMaintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) ❑ Yes EAN-o _E�es ❑ No /j y Did you identl�any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., dtA!'Lad tan Lc —,*-'-1-M__ h... b.... .. . Tank #1 ❑ Yes No ....................... Tank #2 ❑ Yes _0> Pump Tank ❑ Yes ErNo System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ❑ Mound O Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles C3 Non-domestic waste ❑ Baffles ❑ Baffles ❑ Non-domestic waste ❑ Electrical issues ❑ Pre�sssure bed 1 renches >12 0 ❑ Non-domestic waste ❑ Ponding/Surfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Comments: uisposal: u Land Application: ❑ Wastewater Treatment Plant )isposal Site: Lime: Gallons Plowed: ❑ Yes ❑ No time: Temperature: pH: >12 ❑ Time: Temperature: pH: >12 0