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HomeMy WebLinkAbout06/07/2022 Septic Maintenance ReportSeptic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE 6- -- •7-'2 z Maintenance Inspection Form MPCA Lic. # 654 Maintainer O Jim Duane dg,Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net INVnIrF Pumping Fee:Name: 4 3 S-0 e Scum/Sludge Measured %a v Reason For Pumping: El Other (see attached) Long Pull Fee: Erl�e-s ❑ No Addre s: _ r R ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles el ❑ Baffles Other Repairs: ❑ Non-domestic waste City/State/Zip: ❑ Electrical issues ❑ Trenches VrC9 " Total Cost of Service: 71- Payment Method: Check ❑ Cash O Credit Comments: 3J� 4370 3700,0 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 P-S-e-ptic/holding Tank #1 Gallons: [Z 0+ ❑ Yes 0 o- ❑ Yes 20— 0 Yes O'IQo EF,5eptic/holding Tank #2 Gallons: t Z X10 ❑ Yes �o ❑ Yes 2-11TO, ❑ Yes ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No l�'ump Tank Gallons: t ZS ❑ Yes ❑'No ❑ Yes C3'N0 ❑ Yes C1-Ido— How Accessed: aintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: El Other (see attached) ❑ Yes ❑'No Erl�e-s ❑ No ound Did you identify any operational Issues or unsafe conditions while assessing the sewage tanks in this system, i.e., hacked tanks, miss/ng baffles, broken_govers, etc.? If so, explain in comments -below. Tank #1 ❑ Yes CA o Tank #2 ❑ Yes 6No 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 ❑ Non-domestic waste ❑ Ponding/Surfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Comments: Disposal: D-E-a-nd Application: ❑ Wastewater Treatment Plant Disposal Site: Lime: Gallons Z /sJ Plowed: ❑ Yes ❑ No Time: ©Z t Temperature: pH: ( 2 - $ > 12 El - Time: 10,5-1 Temperature: C0 v pH: ( z - j > 12 is