HomeMy WebLinkAbout 06-29-2023 Septic Maintenance Inspection Jim Eicher Maintenance Inspection Form
.4 MPCA Lic.# 654
,.�.rtai� 4,4% Maintainer I I Jim
�, '� 1 1 Duane
► l ,. 11,,, ick
DVANE� ;a-
septic Service, LLC • Phone: 763-497-2764
1205 LaBeaux Ave NE
St. Michael, MN 55376 • Email: duaneseptic@centurylink.net
DATE (0—21 - 2 3 INVOICE
Pumping Fee: F +-�/ \[^ Name:
,4,--,t2 *.e.-4,--
Long Pull Fee: Addres • 14
Other Repairs: City/State/Zip:
O/"' s 1,4...cs
Total Cost of Servic . Payment Method: ❑ Check ❑ Cash ❑ Credit
--
cracked,------ r k le below the Tank leaks above the Maintenance hole cover is damaged,
Tank(check i cracked,unsecured,or appears to be
designed operating depth designed operating depth structurally unsound
C ptic/holding Tank#1
Gallons:L C ❑ Yes Lr 11 ❑ Yes ❑ El Yes C'TV�o
®'Septic/holding Tank#2 // ,.�-' ,,.�
Gallons: ❑ Yes 0'No Cl Yes C-i�No ❑ Yes iii
L000
❑ Pretreatment Tank
Gal��ions: ❑ Yes ❑ No ❑ Yes CI No ❑ Yes El No
Pump Tank ❑
Gallons: *� Yes �''No 0 Yes ®'No ❑ Yes ,�]"'5o
How Accessed:P1"Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced:laced: Reason For Pumping:
❑Other(see attached) 0 Yes CE'No s ❑ No ~
Did you identif any operational issues or unsafe conditions while assessing the sewage tanks In this system, Le.,
cracked tanks,missing baffles,brokenn givers,etc.. If so, explain in comments elow.
Tank#1 ❑ Yes No Tank#2 ❑ Yes C .No Pump Tank ❑ Yes CP"No System
❑ Structural integrity ❑ Structural integrity ❑ Structural integrity 0 Mound
❑ Risers leaking Cl Risers leaking ❑ Risers leaking 0 EipThiated drainfield
❑ Baffles ❑ Baffles 0 Baffles ressure bed
O Non-domestic waste 0 Non-domestic waste 0 Electrical issues ❑Trenches
El Non-domestic waste ❑ Ponding/Surfacing
0 Effluent Filter/screen 0 Other:
Cleaned? 0 Yes ❑ No
Comments:
Disposal: Er"Land Application: ❑Wastewater Treatment Plant
Disposal Site: 1 13 Lime: Gallons te."-- ' Plowed: 0 Yes Cho
Time: 2 3 -7 Temperature: f-7..'- pH: t � -; >12 .'"--
Time: a i f Temperature: I a.. I pH: ( Z,3 >12 ge-
-' .-.4 C '. r , ...0.
s HA NKS! - .-.� Cam''. .4.Ad
illb'``s
Rom. • .-. r.. r/!-'‘*-� �''-^u ,..` ti...10 h R% �---' �!'"� r llr!
ir0