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HomeMy WebLinkAbout07/20/2022 Septic Maintenance InspectionSeptic Service, LLC 1205 LaBeaux Ave NE St, Michael, MN 55376 `?. '-n . -? 2 Maintenance Inspection Form MPCA Lic. # 654 Maintainer Jim [� Duane Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net INVOICE Pumping Fee: �7D Name: (C Pump Tank ❑ Yes Fffo Long Pull Fee: ❑ Structural integrity Address: ❑ Structural integrity ❑ Risers leaking Mound 11 Elevated drainfield Other Repairs: ❑Risers leaking City/State/Zip; El Pressure bed ❑ Baffles ❑ Non-domestic waste ❑ Baffles ❑ Non-domestic waste ❑ Electrical Issues ❑ Trenches ❑ Non-domestic waste Total Cost of Service: Payment Method: ❑ Check ❑ Cash ❑ Credit Cleaned? ❑ Yes ❑ No Comments: Maintenance 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 eptic/h l ing Tank #1 ❑ Yes ❑ Yes es ❑ Yes U -111o' Gallons: eptic/hold' g Ink #2 El Yes l�� ElYe s U -M El © 10 Gallons: a ❑ Pretreatment Tank ❑ Yes Cl No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: �Jo Pump Tank Gallons:Id- ❑ Yes o ❑ Yes ❑ Yes How Accessed: aintenance Hole Scum/Sludge Meassureedd - Maintena_nce�Holes Securely Replaced: Reason Fo umpmg: T ❑Other see attached) El Yes C�"No Cd'i'es ❑ No c Did you Iden'16y ry operational Issues or unsafe conditions while assessing the sewage tanks In this system, I, e., 1n r —Pntc halnw. Tank #1 EI Yes o Tank #2 ❑Yes o Pump Tank ❑ Yes Fffo System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ❑ Risers leaking Mound 11 Elevated drainfield O Risers leaking ❑Risers leaking ❑Baffles El Pressure bed ❑ Baffles ❑ Non-domestic waste ❑ Baffles ❑ Non-domestic waste ❑ Electrical Issues ❑ Trenches ❑ Non-domestic waste ❑ Ponding/Surfacing ❑ Effluent Fllter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Comments: Disposal: O Land Application: u wastewater ireatmuin main Disposal Site: +-f Lime: Gallons Z duc> Plowed: ❑ Yes ,Q -No Time: `l °U Temperature: —iv pH: t L, > 121-ff Time: 5< o cr Temperature: -1 t pH: t-2 3 > 1 21-E]