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HomeMy WebLinkAbout06-29-22 Septic Maintenance InspectionDVANE*� Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE �4 —Z Maintenance Inspection Form MP Lic. # 654 Maintainer Jim O Duane D Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net Pumping Fee: Tank #2 ❑ Yes OK0 Name: ❑ Structural integrity IIVVVIIit Long Pull Fee: b ❑ Risers leaking Address: ❑ Risers leaking ❑ Elevated drainfield Other Repairs: 4- iD+ IT` ❑ Baffles City/State/Zip: ❑ Non-domestic waste ❑ Non-domestic waste C•JJ` JL4 o r -o .,A o ❑ Non-domestic waste ❑ Ponding/Surfacing Total Cost of Service:- y60 Payment Method: ❑ Check ❑ Cash ❑ Credit Tank (check if present) Tank leaks below the Tank leaks above the Maintenance hole cover is damaged, designed operating depth designed operating depth cracked, unsecured, or appears to be Septic/holdingink #1 structural) unsound Gallons: /-7,jU S lir, ❑ Yes ❑ Yes ❑ Yes ❑d1�o ❑ Septic/holding Tank #2 Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Pretreatment Tank Gallons: ❑ Yes EI No ❑ Yes ❑ No ❑ Yes ❑ No I�-Purrlp Tank ❑ Yes C'No I Gallons: --]Yes 0 No ❑ Yes e- 0 How Accessed: aintenance HoleScum/Sludge Measured' Maintenance Holes Securely Replaced: Reason For Pumping: El Other (see attached) ❑ Yes 4j o la� ❑ No Did you Identlry an peratlonal Issues or unsafe conditions while assessing the sewage tanks in this system, I.e., ed tanks. miscinn hnfFloc hrnleon -a mr, 7 ra — � int. Tank #1 ❑ Yes No Tank #2 ❑ Yes OK0 __...-- ----- --. .. Pump Tank ❑ Yes E11 14 -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: ❑ Land Application: ❑ Wastewater Treatment Plant Disposal Site: Lime: Gallons Plowed: ❑ Yes ❑ No Time: Temperature: pH: >12 ❑ Time: Temperature: pH: >12 0