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HomeMy WebLinkAbout09-17-2021 Septic Pumping ReportovaNE*�, Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 nnTE 9-(7- L/ Maintenance Inspection Form MP • A Lic. # 654 MaintainerJim [__1 Duane = Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net INVO[CE Pumping Fee: Scum/Sludge Measured ❑ Yes ,0'No Maintenance Holes Securely Replaced: ❑ 0--s ❑ No Name: 1 �$ ❑ Structural integrity Long Pull Fee: ❑ Structural integrity PT Mound Address; —755.- urrr 't• (2 d, Other Repairs: ❑ Elevated dralnfield Cl Baffles City/State/Zip: ❑ Bellies ❑ Pressure bed ❑ Non-domestic waste ❑ Non-domestle waste (� i^a V1 v ❑ Trenches - Total Cost of Service: ❑ Non-domestic waste ❑ Ponding/Surfacing Payment Method: ❑ Check ❑ Cash ❑ Credit ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No '•'•.Riia kjit resent � �' '; ' r` Tank leakstielowth�::v�• �,;. ,11' �; f•r - ; ;Tanklaaksabove,the1 `' depth?' '..M�Iritonance,htile.coVef Is damaged, a ,. `Cracked; unsecdreSd, Rr.' appears to be. ten r, r. f�' .' .+ deslgned'oper depth _ designe�:oparaQng sl uolurai u 'sound Septic/holding Tank #1 ❑ Yes 42- Co ❑ Yes 1 � ❑ Yes ®'No Gallons: (2j't'� Q- ptic/holding Tank #2 /Z) ❑Yes R--N--o ❑ Yes o ❑ Yes U.-1 Gallons: ❑ Pretreatment Tank Gallons: Cl Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No tl-Aurnp Tank Gallons: 12 Y ❑ Yes .rte No ❑Yes No EI Yes o How Accessed: OWNIntenance Hole ❑ Other (see attached) Scum/Sludge Measured ❑ Yes ,0'No Maintenance Holes Securely Replaced: ❑ 0--s ❑ No Reason For umping: Did you Identify an�ry operational Issues or unsafe conditions while assessing the sewage tanks In this system, he', mocked tanks, misslna baffles, broken covers, etc.? If so, exnlaln In comments below. Tank #1 ❑ Yes ONo Tank #2 ❑ Yes 94,No Pump Tank ❑ Yes 1511NO System ❑ Structural integrity ❑ Structural Integrity ❑ Structural integrity PT Mound l7 Risers leaking ❑ Risers leaking ❑ Rlsers leaking ❑ Elevated dralnfield Cl Baffles ❑ Baffles ❑ Bellies ❑ Pressure bed ❑ Non-domestic waste ❑ Non-domestle waste ❑ Electrical issues ❑ Trenches ❑ Non-domestic waste ❑ Ponding/Surfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Comments; Disposal; ❑ Land Application: O Wastewater Treatment Plant Asposal Site: Lime: Gallons Plowed: ❑ Yes ❑ No ime: Temperature: pH: >12 ❑ time; Temperature: pH: >12 ❑ �Q�® •�.-.�. Chir .r'� ' ���/ .� ..,..�