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HomeMy WebLinkAbout06-08-2020 Septic Pumping ReportSeptic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE C.3 - 2 ZO 2-0 Maintenance Inspection Form MPCA Lic. # 654. Maintainer Jim D Duane 9�1 ick • Phone: 763-497-2764 • Email: duanesepticCcenturylink.net Pumping Fee: Tank #2 ❑ Yes ❑-hto N e: IIV V VIIrC ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity Mound Long Pull Fee: ❑ Risers leaking A ress: C_CX O'S_ CV -C3 u �� 1 &I ' Other Repairs: ❑ Baffles City/State/Zip: ❑ Pressure bed ❑ Non-domestic waste ❑ Non-domestic waste orcovvl> ❑ Trenches Total Cost of Servi e: �'(_ , - L Payment Method: ❑ Check ❑ Cash ❑ Credit ' ❑ Effluent Filter/screen Tank (check If present) Tank leaks below the Tank leaks above the Cleaned? ❑ Yes ❑ No Maintenance hole cover is damaged, Comments: designed operating depth designed operating depth cracked, unsecured, or appears to be structuralIV unsound 0,ele-p­fic/holding Tank #1 Gallons: to-LTz ❑Yes E—No ❑ Yes El No ❑ Yes p' Ed-S'eptic/holding Tank #2 Gallons: Oh,--_17Oh,--_17�, � ❑ Yes ` --N ❑ Yes Eelo ❑ Yes No ❑ Pretreatment Tank Gallons: _F ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Pump Tank Gallons: ISO ❑ Yeso El Yes U1N0 ❑ Yes 0-- o How Accessed: RVaintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) ❑ Yes EHgb �� s ❑ No /.•. •",� Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., cracked tanks. missina baffles. broken rnverc_ arr_ 2 rf cn ovn/aln in rnmmcnta Fal ., Tank #1 ❑ Yes o Tank #2 ❑ Yes ❑-hto Pump Tank ❑ Yes ErNo 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 ❑ wak ✓•.. ^ f+yam ,—�� � �--��-'