HomeMy WebLinkAbout07/18/2022 Septic Maintenance InspectionJim Eicher
i
Septic Service, LLC
1205 LaBeaux Ave NE
St. Michael, MN % 55376
nA - � . 1�i 7_ v"
Maintenance Inspection Form
MPCA Lic. # 654
Maintainer Jim
Duane
[� Nick
• Phone: 763-497-2764
• Email: duaneseptic@centurylink.net
INVOICE
✓P I — • -
Pumping Fee:Name:
sz)
J v
Tank #2 ❑ Yes [5 --No
Pump Tank ❑ Yes o
C j_ t
I'-'7��`�
S / U -
Long Pull Fee:
❑ Structural Integrity
RrUound
Address: q r
❑ Risers leaking
Other Repairs, q
4� ��
❑ Baffles
City/State/Zip:
❑ Baffles
!!
❑ Non-domestic waste
❑ Non-domestic waste
0 Hyl
❑ Trenches
Total Cost of Servic
❑ Non-domestic waste
Payment Method: Check ❑ Cash ❑ Credit
❑ Effluent Filter/screen
❑ Other:
Cleaned? ❑ Yes ❑ No
Comments:
Maintenande hole cover Is damaged,
Tank (check if present)
Tank leaks below the
designed operating depth
Tank leaks above the
designed operating depth
cracked, unsecured, or appears to be
structural) unsound
Septic/din Tank #1
ElYes
ff No
[IYes _21, -Vo
C1Yes .6
Gallons: ;1,
eptic/holding Tank #2
Gallons:la
❑ Yes
�'
t No
LiYes er_fTo
❑ Yes - T� No
❑ Pretreatment Tank
❑ Yes
❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
ump Tank
❑ Yes
No
❑ Yes No
_�
❑ Yes ❑ No
Gallons:,'�i
-how Accessed;RVaintenance Hole Scum/Sludge Measured Maintenance H les Securely Replaced: Reason For Pumping:
❑ Other (see attached) ❑ Yes W90 es ❑ No = �-✓
Did you Identify an}_ operational issues or unsafe conditions while assessing the sewage tanks in this system, I.e.,
......a,_ --i" ... n i. fflne hmLan rnv PYr-.7 rf M. AYnlaln In comments bWew.
Tank #1 ❑ Yes nNo
Tank #2 ❑ Yes [5 --No
Pump Tank ❑ Yes o
System
❑ Structural integrity
❑ Structural integrity
❑ Structural Integrity
RrUound
O Risers leaking
❑ Risers leaking
❑ Risers leaking
❑ Elevated drainfield
❑ Baffles
O 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
211CWO
Plowed: ❑ Yes
❑._No
Time: t ,
Temperature:
k t '3,
pH: i 3
>12 -_0
Time:
Temperature:
1
pH:
> 12-0