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HomeMy WebLinkAbout06-19-2019 Septic Pumping ReportJIM EICHER 1205 LaBeaux Ave. N. E. • St. Michael, MN 5537.6 p , Phone: (763) 497-2764 • e-mail: duaneseptic@centurylink.net ``Septic Service, LLC MPGA Lic. # 654 Date l�'���� 1Zt11tPMP"1 Pumping Fee: Name: Long Pull Fee: Address: •- 6;x ..S I� Other City/State/Zip: Risers: ❑ Yes ❑ No Total Cost of Service Septic Tanks & System Condition Access: ❑ Maintenance Hole - # of Tanks: -1-71 (,a"D Type of System: ❑ Other Volume pumped: Risers: ❑ Yes ❑ No Manholes to surface: Reason For Pumping ❑ Yes ❑ No Baffles ❑ Yes ❑ No Effluent screen: Noticeable surfacing: ❑ Yes ❑ No ❑ Yes ❑ No Tank Access & Structurally Safe: 'rank type: ❑ Precast Ponding: ❑ Yes ❑ No ❑ Cesspool ❑ Yes ❑ No Tanks water tight:: ❑ Yes ❑ No Piping checked`. Signs of non-domestic waste: ❑ Yes ❑ No ❑ Yes ❑ No Length of Pull: Pump or Wiring Faulty: Manholes Securely replaced: ❑ Yes ❑ No ❑ Yes ❑ No Comments regarding system: -------------------•--------- OFFICE USE ONLY------------- --------- Disposal: ❑ Land Application ❑ Wastewater Treatment Plant Disposal Site: Lime: Gallons: Plowed: : 0 Yes 0 No Time: Temperature: pH: Time: Temperature: pH: