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HomeMy WebLinkAbout05/06/2022 Septic Maintenance InspectionSeptic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE 5--6-22— Maintenance Inspection Form MPGA Lic. # 654 Maintainer Jim Duane D Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net l \\►!rl r'Ami Pumping Fee: J SCS. Scum/Sludge Measured Name: j� •�'e Reason For,umping: ❑ Other (see attached) ❑ Yes ❑-flo G) f'►" ` .o v� rl Long Pull Fee: ❑ Baffles ❑ Baffles ❑ Baffles Address: Other Repairs: ❑ Electrical issues ❑ Trenches City/State/Zip: ❑ Non-domestic waste ❑ Ponding/Surfacing ❑ Effluent Filter/screen v r0 -� Cleaned? ❑ Yes ❑ No Total Cost of Service: Comments: 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/holdln,gnk #1 Gallons: I Z_✓ E3 Yes 2-K-0 11 Yes ©'Ro ❑Yes to Septic/holding Tank #2 Gallons: f 'Z) -o ❑ Yes 11 -No ❑ Yes 9_1q0__ ❑ Yes l -No ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 19419m—p Tank Gallons: j ZJ—D ❑ Yes K No ❑ Yes No ❑ Yes ['-]�o How Accessed: aintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For,umping: ❑ Other (see attached) ❑ Yes ❑-flo 2 es ❑ No ❑ Risers leaking Old you Identify a Operational Issues or unsafe conditions while assessing the sewage tanks In this system, Le., acked tanks, missing baffles, broken gwertetc.? Ifso, explain In comments below - Tank #1 ❑ Yes ET No Tank #2 ❑ Yes No Pump Tank ❑ Yes o System ❑ Structural integrity ❑ Structural Integrity ❑ Structural integrity ound ❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed ❑ Non-domestic waste ❑ Non-domestic waste ❑ Electrical issues ❑ Trenches pH: ❑ Non-domestic waste ❑ Ponding/Surfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Comments: Disposal: -Land Application: ❑ Wastewater Treatment Plant Disposal Site: 3 R Lime: Gallons 6 ,,.,<, Plowed: ❑Yes --CI-No Time: t 3 ra Temperature: s ? pH: ( 7, > 12--a- Time: 2 r Temperature: c y pH: ? > 12 `El- '...�-'.TUI