HomeMy WebLinkAbout06-06-2023 Septic Maintenance Inspection Jim Eicher Maintenance Inspection Form
4 MPCA Lic. #654
J� Maintainer z Jim
s. 01 `7 I I Duane
MANES I
M � 1Nick
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Septic Service, LLC
1205 LaBeaux Ave NE • Phone: 763-497-2764
St. Michael, MN 55376 • Email: duaneseptic@centurylink.net
DATE 6-6-2_3
INVOICE
Pumping Fee: Name:
4-`tf 13 r ,• ,, ,..)C,i
Long Pull Fee: Address: 7 ----
7
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Other Repairs: City/State/Zip:
Total Cost of Service: Payment Method: ❑ Check ❑ Cash ❑ Credit
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
eptic/holding Tank#1
Gallons: CIYes ❑ No ❑ Yes ❑ No ElYes ❑ No
.P`Septic/holding Tank#2
Gallons: CIYes 0 No ❑ Yes ❑ No ❑ Yes ❑ No
❑ Pretreatment Tank
Gallons: 0 Yes ❑ No ❑ Yes 0 No 0 Yes ❑ No
❑ Pump Tank
Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No
How Accessed:❑Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping:
El Other(see attached) 0 Yes ❑ No Cl Yes ❑ No Are IAJ 57c7r P...
Did you Identify any operational issues or unsafe conditions while assessing the sewage tanks in this system,i.e.,
cracked tanks,missing baffles, broken covers,etc.?If so, explain in comments below.
Tank#1 ❑ Yes ❑ No Tank#2 ❑ Yes ❑ No Pump Tank El Yes 0 No System
❑ Structural integrity ❑ Structural integrity 0 Structural integrity ❑ Mound
❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield
❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed
❑ Non-domestic waste El Non-domestic waste ❑ Electrical issues ❑Trenches
❑ Non-domestic waste ❑ Ponding/Surfacing
El Effluent Filter/screen ❑ Other:
Cleaned? ❑Yes 0 No
Comments:
Disposal: —-D"Land Application: ❑Wastewater Treatment Plant
Disposal Site: LI Lime: t/ Gallons t, 0,, Plowed: ❑ Yes ❑ No
Time: t Temperature: pH: l , £-.: >12..,.0
Time: ,, ,}, Temperature: pH: -; >12 ID
'w. C.P'. V ,, .. THANKS! ,., ? , ...*