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HomeMy WebLinkAbout07-12-2022 Septic Maintenance InspectionSeptic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE 7- 7.2 _ Z 2 Maintenance Inspection Form MPCA Lie. # 654 Maintainer Jim Duane Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net ` intvnrr� Pumping Fee: 3 70 ��,, Scum/Sludge Measured Name: 2D Reason For Pumping: ❑ Other (see attached) El Yes D<O tis ❑ No Vii• "V4— ❑ Risers leaking ❑ Risers leaking Long Pull Fee: ❑ Baffles ❑ Baffles Address: ❑ Pressure bed ❑ Non-domestic waste ❑ Non-domestic waste ❑ Electrical Issues ❑ Trenches /05-0 Ftt r WN ❑ Non-domestic waste Other Repairs: City/State/Zip: ❑ Other: Cleaned? ❑ Yes ❑ No Comments: Total Cost of Service: �t..w k Payment Method: ❑ Check ❑ Cash ❑ Credit 0LA Tank check if resent 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/holding lank #1 Gallons: t Z.., o ❑Yes EI -M57 ❑ Yes 2 -Nu- ❑ Yes ❑� Gallons: holding Tank #2 Gallons: � ❑ Yes 0 -IN o ❑ Yes t�'No ❑ Yes Z,.� � ❑ Pretreatment Tank Gallons: E)Yes ❑ No ❑ Yes ElNo ElYes ElNo [3 -Pump Tank ❑ Yes Cf Gallons: t -Z S� No ❑ Yes C3`No ❑Yes E1 No How Accessed: LWaintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) El Yes D<O tis ❑ No Vii• "V4— 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.? Ifso, exnlaln In comments below. Tank #1 ❑ Yes ETNo Tank #2 ❑ Yes El No Pump Tank ❑ Yes ET No System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity Mound • 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: ❑'Cnd Application: ❑ Wastewater Treatment Plant Disposal Site: Lime: Gallons 2 Plowed: ❑ Yes -.«blo lime: Z Temperature: Le pH: f 2_:'3 > 12 P- rime: 10111 Temperature: Gr t pH: 2_1 > 12 Cfi