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08-31-2022 Septic Maintenance Inspection
Jim Eicher D Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 .- CT rt 1 .7 .3 Maintenance Inspection Form MPCA Lic. # 654 Maintainer D Jim [� Duane 'Nick • Phone: 763-497-2764 `' • Email: duaneseptic@centurylink.net INVOICE vr� a_ 0 v r Pumping Fee: •Name, r Tank #2 ❑ Yes o �- System F% _63_o ❑ Structural integrity ❑ Risers leaking I? . �L 5 ❑ Baffles Long Pull Fee: ��� ❑ Baffles Address: ❑ Non-domestic waste ❑ Non-domestic waste �� c9-7 ❑ Trenches ❑ Ponding/Surfacing Ua ❑ Effluent Fllter/screen Other Repairs: City/State/Zip: Cleaned? ❑ Yes ❑ No Comments: ��n 3 5• r—A �,,�. � .-,,vl e �v,���-J,�.��I�-s tiw �`Ir�.s i�wl��. t,���es 47"+ we otZs=' C:t j/Ok C- ¢ ttl1 3-2 �I �yJL J Total Cost of Service: - Payment Method: ❑ Check ❑ Cash ❑ Credit 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 Septic/holding Tank #1 ❑ Yes a Jho ^ ❑ Yes U -No ❑ Yes ❑' 10 l Gallons: 57l9p eptic/holding Tank #2 ❑ Yes E No ❑ Yes 0'No ❑ Yes No Gallons: ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: ET'Pump Tank 11 Yes C� No ❑ Yes C_ No ❑ Yes ,/ n No Gallons: f How Accessed:9,9,ntenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) ❑ Yes B<o es ❑ No L'v Reason Did you identify any operational Issues or unsafe conditions while assessing the sewage tanks In this system, I.e., ..tee..,. a.,an.... k..&- r , ah- 7 iF en pvnlaln In rnmments below. Tank #1 ❑ Yes ETNo Tank #2 ❑ Yes o Pump Tank ❑ Yes No System ❑ Structural integrity O Risers leaking ❑ Structural integrity ❑ Risers leaking ❑ Structural integrity ❑ Risers leaking Lei Mound ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed ❑ Non-domestic waste ❑ Non-domestic waste ❑ Electrical Issues ❑ Non-domestic waste ❑ Trenches ❑ Ponding/Surfacing ❑ Effluent Fllter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Comments: ��n 3 5• r—A �,,�. � .-,,vl e �v,���-J,�.��I�-s tiw �`Ir�.s i�wl��. t,���es 47"+ we otZs=' C:t j/Ok C- ¢ ttl1 3-2 F "_" Disposal: El'Cand Application: ❑ Wastewater Treatment I lant Itr Disposal Site: Lime: Gallons 2 4:70 Plowed: ❑ Yes o Time: �(`� Temperature: (v pH: 2�5 > 12 Time: n ( Temperature: Cao, pH; _t,2- > 12 NBuie