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Home My WebLink About06-12-2023 Septic Maintenance Inspection Jim Eicher Maintenance Inspection Form -4)• MPCA Lic. # 654 ,,,,�,�tffj Maintainer I I Jim •� '."� U Duane MA A n Nick Septic Service, LLC 1205 LaBeaux Ave NE • Phone: 763-497-2764 St. Michael, MN 55376 •Email: duaneseptic@centurylink.net DATE 6'I 2-`- INVOICE Pumping Fee: . . Name: - "C," }ter , n; Long Pull Fee: Address: Other Rep(4e $ p i{ Q�n� City/State/Zip: 4 74>e,-4,0 Total Cost of Service: Payment Method: ❑ Check ❑ Cash ❑ Credit 4'37(2..e.,-\.> Tank leaks below the Tank leaks above the Maintenance hole cover is damaged, Tank(check if present) cracked,unsecured,or appears to be designed operating depth designed operating depth structurally unsound ®-Septic/holding Tank#1 Gallons: ,$"-b ❑ Yes p--t�(o ❑ Yes No ❑ Yes -t�To ❑ Septic/holding Tank#2 Gallons: ElYes ❑ No EllYes ❑ No ❑ Yes ❑ No ❑ Pretreatment Tank - Gallons: ❑ Yes ❑ No ClYes CINo ❑ Yes ❑ No 0 Pump Tank Gallons: CIYes ElNo ❑ Yes ❑ No ❑ Yes ElNo How Accessed:maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑Other(see attached) El Yes ❑ No ❑ Yes El No e_�� . Did you identify any operational Issues or unsafe conditions while assessing the sewage tanks in this system,1.e., .-cracked tanks,missing baffles,broken covers,etc.?If so, explain in comments below. Tank#1 0 Yes ff No Tank#2 0 Yes ❑ No Pump Tank 0 Yes 0 No System ❑ Structural integrity El Structural integrity 0 Structural integrity ❑ Mound ❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles 0 Baffles ❑ Baffles ❑ Pressure bed 0 Non-domestic waste 0 Non-domestic waste ❑ Electrical issues 0 Trenches ❑ Non-domestic waste 0 Ponding/Surfacing 0 Effluent Filter/screen 0 Other: �yy Cleaned? 0 Yes 0 No Comments: -i. �a eu•ikk e �'t .,,a+ti 4•,ti..k ' +-' ee,o...,-e C A (2,„ ti,,c,.. e"-w-e 5 Disposal: i3'"Land Application: ❑Wastewater Treatment Plant V. Disposal Site: i Lime: Gallons 5-7,-.0 Plowed: El Yes iNo Time: (2.33 Temperature: lc,.0 pH: I 2,_ 3 >12 C Time: Ir,9 Temperature: .10 pH: t�-3 >12 EJV • 4" ",,..„.t-,-...N./. NWrI @Me THANKS! -.400,... ,.,.4, ., �� r 4Ei....i.) 4.11 ,, x/ 14 A4ep.p-.-* ..,~,~ S , a ; ,. ,""'►�..,,,, re1„11171.1c1...* .