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HomeMy WebLinkAbout09/14/2021 Septic Pumping informationJim Eicher Maintenance Inspection Form CA Lic. # 654 Maintainer [�� Jim Duane 0 D Nick Septic Service, LLC 1205 LaBeaux Ave NE - Phone: 763-497-2764 St. Michael, MN 55376 - Email: duaneseptic@centurylink.net DATE �--1161- 0 � INVOICE Pumping Fee: Name: � �"i �,5 rt ✓'i � Long Pull Fee: Address: ,La;..— 6� �°�� q• CLQ � � Other Repairs: City/State/Zip: Total Cost of Service: Payment Method ❑ Check I Cash ❑ Credit te�Septic/h IdWank #1 Gallons: 7(,Z ❑Yes moo` ❑Yes f,�-fdo ❑Yes [o 2'9`5`ptic/ oldin Tank #2 Gallons: 10 V ❑ Yes o ❑ Yes ❑ Yes o ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 12 Pomp Tank Gallons: ��} ^ � ❑YesVo ❑Yes 11 Yes o How Accessed: aintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: p g: ❑ Other (see attached) ❑ Yes 944-0 9,16s- ❑ No Did you identify any operational Issues or unsafe conditions while assessing the sewage tanks in this system, i.e., cked tanks, missing baffles, brokencguera Tank #1 Yes etc.? If so, explain in comments low. ❑ No Tank #2 ❑ Yes ❑ No I PumD Tank n YaG F -9 -an i c"etnw Risers leakin ""' " ----"- '- ILUy"Lr �'mouna 9 ❑ Risers leaking ❑ Risers leaking ❑Elevated drainfieid ❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed ❑ Non-domestic waste ❑ Non-domestic waste ❑ Electrical issues ❑ Trenches ❑ Non-domestic waste ❑ Ponding/Surfacing Cl 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 0