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HomeMy WebLinkAbout11-10-2021 Septic Pumping ReportSeptic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 BATF 1 1— t a ---7 t Maintenance Inspection Form MPCA Lic. # 654 Maintainer Jim O Duane -Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net INVOICE Pumping Fee: Scum/Sludge Measured Maintenance Holes Securely Replaced: Name: ❑ Other (see attached) ❑ Yes ©HIT6 .J �� cry M Ct ^L 14 C .- ryl A �' c V\ ✓1 ❑ Risers leaking Long Pull Fee: ❑ Baffles ❑ Baffles Address::/ ❑ Pressure bed ❑ Non-domestic waste ❑ Non-domestic waste ❑ Electrical issues ❑ Trenches ZrJ (,- C �L-(e-.r� h,. %A V, ❑ Non-domestic waste Other Repairs: City/State/Zip: ❑ Other: Cleaned? ❑ Yes ❑ No / 6 �'YN� Total Cost of Servicer �C 4� Payment Method: ❑ Check ❑ Cash ❑ Credit ( 3 Z S— Tank leaks below the Tank leaks above the Maintenance hole cover is damaged, Tank (check if present) designed operating depth designed operating depth , crackedunsecured, or appears to be, structural) unsound ❑optic/holding Tank #1 -0 -No Gallons: t ZS ❑ Yes S- ❑ Yes Er ❑ Yes C -}—No C9-Septic/holding Tank #2 ❑Yes ❑Yes C]—No ❑Yes L�'h7o Gallons: ,� iZJ ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No dump Tank D Yes fo ❑Yes C—f�10 ❑Yes Cd'iVo Gallons: t Zs� How Accessed: EMaintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) ❑ Yes ©HIT6 Q-'�,es ❑ No M Ct ^L 14 Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., cracked tanks, missina baffles, broken covers, etc.? if so, explain in comments below. Tank #1 ❑ Yes o Tank #2 El 9,No Pump Tank ❑ Yes o System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ound E] 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 ❑ • I► r� ` / ,moi Q� :. ' • " � ._R • �.�.�