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HomeMy WebLinkAbout09-08-22 Septic Maintenance InspectionSeptic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATF Maintenance Inspection Form MPCA Lic. # 654 Maintainer 0 Jim vane 0 Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net n iNvnirF Pumping Fee: 6c) Maintenance Holes Securely Replaced: ©'Yes ❑ No Name: ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ound O Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles Long Pull Fee: , ❑ Pressure bed Address: ❑ Non-domestic waste ❑ Electrical issues ❑ Trenches ❑ Non-domestic waste ❑ Ponding/Surfacing ❑ Effluent Filter/screen Other Repairs: City/State/Zip: Comments: Total Cost of Service: G a Payment Meth ❑ heck ❑ Cash ❑ Credit 2�� L J -76 a� f 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 structurally unsound 11 Septic/holding Tank #1 Gallons: ❑Yes IIQ`o ED Yes �'FJo ❑Yes CEJ—tV`o E�'Septic/holding Tank #2 o Gallons: ❑ Yes E"o ❑ YessR-No ❑ Yes E - ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No p Tank ❑ Yes ©_<o L1N tlo ElYes Yes No Gallons: How Accessed: aintenance Hole ❑ Other (see attached) �Scum/Sluclge Measured ❑ No Maintenance Holes Securely Replaced: ©'Yes ❑ No Reaso or Pumping: Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., cracked tanks, missino baffles, broken covers, etc.? If so, explain in comments below. Tank #1 ❑ Yes o Tank #2 ❑ Yes E -N -c Pump Tank ❑ Yes o System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ound O 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: and Application: ❑ Wastewater Treatment Plant Disposal Site: L--- Lime: _ Gallons �> 6 C Plowed: ❑ Yes O-nto Time: e, Temperature: pH: 12- _,3 > 12 Time: a - Temperature: Z pH: / 2 -3 > 12 ❑ ,_/�.'�, �✓� sem. -�-' ,.,/�'�-�, �'''�".s�-