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HomeMy WebLinkAbout09-02-22 Septic InspectionJim Eicher D Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE I- i_ -2e - Maintenance Inspection Form MPCA Lic. # 654 Maintainer Jim Duane Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net ' itivnir_t= Pumping Fee: Scum/Sludge Measured Name: Reason For Pumping: El Other (see attached) E] Yes i Nl ❑'Yes ❑ No MCL ❑ Risers leaking ❑ Risers leaking ❑ Risers leaking Long Pull Fee: ❑ Baffles ❑ Baffles Address: ❑ Pressure bed ❑ Non-domestic waste 0.0-C, ❑ Electrical issues ❑ Trenches a��(7 �� � ilk ❑ Non-domestic waste Other Repairs: City/State/Zip: ❑ Other: Cleaned? ❑ Yes ❑ No Comments: Total Cost of Service: •—r ( �i k Payment Method: 2 Check L1 Cash ❑ Credit l'^ X31370 Tank (check if present) Tank leaks below the Tank leaks above the Maintenance hole cover is damaged, cracked, unsecured, or appears to be designed operating depth designed operating depth structural) unsound — � 9-Septic/holding Tank #1 Gallons: Lr ❑ Yes ❑—P ❑ Yes ❑Yes [1V0 e: holding Tank #2 Gallons: El Yes Q No El Yes 11:1,_<01:1,_<0 13 Yes � ,� ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Pump Tank ❑ Yes ZNo ❑ Yes E2 No ❑ Yes C3�o Gallons: jxvco How Accessed: aintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: El Other (see attached) E] Yes i Nl ❑'Yes ❑ No MCL Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., Wicked tanks, missing bafFles, broken cyvers, etc.? If so, explain in comments below. Tank #1 ❑ Yes ONo Tank #2 ❑ Yes No Pump Tank ❑ Yes 21To System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ound ❑ 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: E't'aind Application: ❑ Wastewater Treatment Plant Disposal Site: L( Lime: Gallons Plowed: ❑ Yes e -No Time: j p Z ? Temperature: (� pH: f L .1 > 12 R-" Time: t 051 Temperature: pH: Z-1 > 12 E;-'