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07-08-2022 Septic Maintenance Inspection
Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE %-9-2L Maintenance Inspection Form MPCA Lic. # 654 Maintainer Jim -0Duane 7Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net IhIVP\1/'�c Pumping Fee: _ ,3 �. Scum/Sludge Measured Nam : -- �� Cly ; ' I t Long Pull Fee: 2-1-5-s ❑ No ound Address: ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfleld ❑ Baffles . 7 _T- Cry ❑ Baffles Other Repairs: ❑ Non-domestic waste ❑ Non-domestic waste City/State/Zip: ❑ Trenches ❑ Non-domestic waste 0 0'0 v�- 0 Total Cost of Service: ❑ Other: -� % Payment Method: Check L1 Cash El Credit Cleaned? ❑ Yes ❑ No Comments: J E.G. �. ~�---,.1 �2.�-�. �:,� .��- x. e�5 �6✓� �- -j'(,.� -�-4,� % . �l / - Li C 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 D-geptic/holding Tank #1 Gallon • �" ❑ Yes ff No ❑ Yes ❑No ❑ Yes 1f No Septic/holding Tank #2 ❑Yes _ Gallons:� E Q� No EJ Yes 1 No ❑ Yes i❑—Mo ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ump Tank ElC� Yes Gallons: l �.� No ❑ Yes Cr No ❑ Yes ❑�!s How Accessed: ET Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) ❑ Yes Eir 2-1-5-s ❑ No ound Did you Identify any operational Issues or unsafe conditions while assess/ng the sewage tanks in this system, I.e., cracked tanks, missina baffles, broken covers. etc.? If so. exnialn in rnmmenhc helnw. Tank #1 ❑ Yes ❑ o Tank #2 ❑ Yes o Pump Tank ❑ Yes ff No System ❑ Structural Integrity ❑ Structural integrity ❑ Structural integrity ound Q Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfleld ❑ 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: J E.G. �. ~�---,.1 �2.�-�. �:,� .��- x. e�5 �6✓� �- -j'(,.� -�-4,� % . Disposal: (77"Land Application: ❑ Wastewater Treatment Plant Disposal Site: I Lime: Gallons L Z -cc Plowed: ❑ Yes •❑ No Time: /60f Temperature: H pH: I L. 3 > 12 a' Time: 1639 Temperature: 4-& pH: i 2. 3 > 12 CT'