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08-02-22 Septic Maintenance report
Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE'q- 2- 2,2 - Maintenance 2 -- Maintenance Inspection Form MPCA Lic. # 654 Maintainer 0 Jim Duane Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net infvnirF Pumping Fee:Na. Scum/Sludge Measured Maintenance Holes Securely Replaced: : El Other (see attached) Long Pull Feer tomes ❑ No - '4, t Address: ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed ❑ Non-domestic waste thr;Rep irs: ❑ Electrical issues ❑ Trenches City/State/Zip: ❑ Non-domestic waste ❑ Ponding/Surfacing ❑ Effluent Filter/screen ❑ Other: Total Cost of Service, Comments: Payment Method: ❑ Check D<ash ❑ Credit i`% J Tank leaks below the Tank leaks above the Maintenance hole cover is damaged, Tank (check if present) designed operating depth designed operating depth cracked, unsecured, or appears to be structural) unsound eptic/holding Tank #1 — Gallons: j�O ❑ Yes 7'CTo ❑Yes C5 No ❑Yes �No� 95"Septic/holding Tank #2 Gallons: ❑ Yes f _No ❑ Yes �- - ❑ Yes =_N_0 ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ump Tank Gallons: i.�� ❑ Yes No ❑ Yes C�,'No ElYes How Accessed. aintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: El Other (see attached) El Yes l� M- tomes ❑ No - '4, t Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., clacked tanks, missing baffles, broken covers, etc.? If so, explain in comments below. Tank #1 ❑ Yes o Tank #2 ❑ Yes o Pump Tank ❑ Yes o System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ound El 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: [?"Land Application: ❑ Wastewater Treatment Plant Disposal Site: Lime: / Gallons t -1a-0 Plowed: ❑ Yes -tno Time: 1 L(C1Temperature: -70 pH: 12 > 12 A Time: 2.161 Temperature: "7 1 pH: 1-2.1 > 12 ��l .fit �• r/!'^� �r/ '� � � �� �,,� ��l ��L �, ✓! ��,�,/ �