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HomeMy WebLinkAbout09/20/2021 Septic PumpingEIIde Septic Service, LLC 24910 Territorial Road • Rogers, MN 55374 Phone: 763-4284489 • e-mail: info(ri�endeseptic.com Maintenance Inspection Form MPCA License #: L2654 �, , Maintaitxer name: ❑ Tristanl!Brandon ❑ Scott ❑ Dvlan ❑ Keven Date: Invoice Name: Description: Address: _ Total Cost of Service: CitAltocvzip: Payment Method: ❑ Check ❑ Cash ❑ Credit TAok (check if present) Tank leaks below the Tank leaks above the Maintenance bole: ever is ❑ Structural integrity designed operating designed.operating damaged, cirs>t A: ❑ Risers leaking depth , depth unsecured, or Opp .to be ❑ Baffles ❑ Baffles ❑ Baffles structurain- JEi4eptic/holding Tank #1 ❑ Yes Y.No ❑ Yes A5No ❑ Yes )KNo Gallons: Logo ❑ Non-domestic waste ❑ Ponding/surfacing FLSeptic/holding Tank #2 ❑ Yes �0. No ❑ Yes ,LNo ❑ Yes Az�0 Gallons: jCW Cleaned? ❑ Yes ❑ No ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: A5tump Tank ❑ Yes J -NO ❑ Yes Mio ❑ Yes J(No Gallons: tft Did you measure the accumulation of scum and sludge? kYes ❑ No If the maintenance hole was used, were covers secured in place? *Yes ❑ No Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., cracked tanks, missing baffles, broken covers, etc.? If so, explain in comments below. Tank 41 ❑ Ye No Tank #2 ❑ Yes,4&No Pump Tank ❑ Yes'g.,No System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity emound ❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfeld ❑ 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: Nemred St 4/I►. ' .Y# of stud A% r� tla� a.)"- Is a mound cleaning recommended at this time: 0 Yes -OkNo Next Service: 0 1 yr IK2 yr 13 3 yr