HomeMy WebLinkAbout06-29-22 Septic Maintenance InspectionDUANE*�
Septic Service, LLC
1205 LaBeaux Ave NE
St. Michael, MN 55376
DATE / D -,9/ q- 2L._
Maintenance Inspection Form
M P " C. # 654
Maintainer Jim
Duane
D Nick
• Phone: 763-497-2764
• Email: duaneseptic@centurylink.net
Pumping Fee: 1,31
� �
Tank #2 Cl Yes o
Name:
INVUlUh
"lut
Long Pull Fee: /0
❑ Structural integrity
Address:
1 � 6
ound
❑ Risers leaking
❑ Risers leaking
❑ Risers leaking
�
Other Repairs: g du
fes ()
City/State/Zip:
❑ Pressure bed
❑ Trenches
�
ttle
kovi,c
❑ Ponding/Surfacing
Total Cost of Servic
IV56
❑ Effluent Filter/screen
Payment Method: ❑ Check ❑ Cash ❑ Credit
Tank (check if present)
Tank leaks below the
Tank leaks above the
Comments:
Maintenance hole cover is damaged,
designed operating depth
designed operating depth
cracked, unsecured, or appears to be
structurally unsound
Septic/holdin Tank #1
Gallons: /
❑ Yes `❑ No
❑ Yes Iff-golo
❑ Yes .2-10
eptic/holding Tank #2
Gallons:- 2. �'Z3
❑ Yes Q-Pda—
❑ Yes CyPdtf
❑ Yes o
Ca'IV
❑ Pretreatment Tank
Gallons:
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
ump Tank
Gallons: /g.p
i
I -]Yes No
❑ Yes
❑ Yes -e'No
How Accessed:e"Maintenance Hole Scum/Sludge Measured Maintenance
Holes Securely Replaced: Reason For P ping:
El Other (see attached) ❑Yes a�Yes ❑ No
Y-- wcnui y an operanonai issues or unsare conditions while assessing the sewage tanks In this system, i.e.,
Pfl Ninllc. mi -1— h.ffi a h—&— .a
Tank #1 ❑ Yes o
Tank #2 Cl Yes o
_-....... ... - ............... ..
Pump Tank ❑ Yes o
...
System
❑ Structural integrity
❑ Structural integrity
❑ Structural Integrity
ound
❑ Risers leaking
❑ Risers leaking
❑ Risers leaking
❑ Elevated drainfleld
11 Baffles
❑ Non-domestic waste
❑ Baffles
❑ Non-domestic waste
❑ Baffles
❑ Electrical Issues
❑ Pressure bed
❑ Trenches
❑ Non-domestic waste
❑ Ponding/Surfacing
❑ Effluent Filter/screen
❑ Other:
Cleaned? ElYes ❑ No
Comments:
uisposal: u Land Application: ❑ Wastewater Treatment Plant
Disposal Site: _ Lime: Gallons Plowed: ❑ Yes ❑ No
Time: Temperature: pH: >12 ❑
Time: Temperature: pH: >12 0