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HomeMy WebLinkAbout05/04/2022 Septic MaintenanceDVANE*� Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE q `2'Z' Maintenance Inspection Form MPGA Lic. # 654 Maintainer EZJim Duane D Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net tnfvnlf%P Pumping Fee: Scum/Sludge Measured Name: 0l00c �'� t If1 s` Long Pull Fee: ❑ Yes UAo Address: ' •� ❑ Elevated drainfield ❑ Baffles ❑ Baffles 1 ❑ Pressure bed Other- Repairs: ❑ Electrical Issues City/State/Zip.- ity/State/Zip:0 ❑ Non-domestle waste ❑ Ponding/Surfacing 0 ❑ Effluent Filter/screen ❑ Other: Total Cost of Serv' 2� Payment Method: ❑ Check ❑ Cash ❑ Credit Tank (check if present) Tank leaks below the Tank leaks above the Maintenance hole cover is damaged, cracked, unsecured, or appears to be designed operating depth designed operating depth structural) unsound Septic/holding Tank #1 Gallons: Z 7S7� ❑Yes No ❑Yes o ❑Yes C�'FJo ❑ Septic/holding Tank #2 Gallons: ❑ Yes C]No ❑ Yes EINo C]Yes ❑ No ❑ Pretre ment Tank Gall ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Pump Tank Gallons: j 1 ❑ Yes No - ❑ Yes to - ❑ Yes •E7 No How Accessed Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For umping: 13Other (see attached) ❑ Yes UAo 9 -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, exolafn in comments below. Tank #1 ❑ Yes o Tank #2 ❑ Yes o Pump Tank ❑ Yes o System ❑ Structural integrity ❑ Structural Integrity ❑ Structural Integrity Mound El Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed ❑ Non-domestic waste ❑ Non-domestic waste ❑ Electrical Issues ❑ Trenches ❑ Non-domestle waste ❑ Ponding/Surfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Comments: Disposal: Land Application: ❑ Wastewater Treatment Plant Disposal Site: 3 Lime: Gallons e; ,�� Plowed: ❑Yes -171 -No, Time: f 11 Temperature: �u3 pH:i i , . > 12`-0- Time: r r, Temperature: pH: ; . >12 0 WOOM Aiggg, Or W40