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HomeMy WebLinkAbout06/03/2022 Septic Maintenance ReportSeptic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE -3-Z2 Maintenance Inspection Form MPCA Lic. # 654 Maintainer Jim D Duane [&Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net INVOICE Pumping Fee: Scum/Sludge Measured Name: Reason For Pumping: ❑ Other (see attached) ❑ Yes Rr"No �s ❑ No 4 ❑ Risers leaking ❑ Risers leaking Long Pull Fee: ❑ Elevated drainfield Address: ❑ Baffles ❑ Baffles ❑ Pressure bed ❑ Non-domestic waste ❑ Non-domestic waste ❑ Electrical issues ❑ Trenches Other Repairs: City/State/Zip: ❑ Ponding/Surfacing ❑ Effluent Filter/screen /Vu,e 1 e. P Cleaned? ❑ Yes ❑ No Total Cost of Service:Payment Comments: 4 �r �-��t e�-3 `� S} 'CAA, u Method: 0 Check ❑ Cash 0 Credit 3 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 structurally unsound ❑ Septic/holding Tank #1 Gallons: ❑Yes Ifo ❑Yes I] Yes P_" ❑ Septiclholding Tank #2 Gallons; ❑Yes e'No El Yes quo ❑Yes 2 -Ivo ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Pump Tank Gallons: ❑ Yes I-_�No ❑ Yes Gd'No ElYes B No How Accessed:❑-Wintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) ❑ Yes Rr"No �s ❑ No 4 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 #1 ❑ Yes o Tank #2 ❑ Yes No Pump Tank ❑ Yes ffrNo System O 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: 4 �r �-��t e�-3 `� S} 'CAA, u LO .� SAYS 6-«)J J.5o Cle,,, 4-+P M:AAk"II Z-.4. 4/Z // Disposal: Band Application: ❑ Wastewater Treatment Plant Disposal Site: Lime: Gallons -2 PO Plowed: ❑ Yes ❑ No Time: q I 1 Temperature: S 7 pH: 12.3 > 12 Time: '941 Temperature: 5-`7 pH: 12.1 > 12 -�.� C������,� � • �, �� ® �'.-..� _ Com' ����„� �