HomeMy WebLinkAbout06-08-2023 Septic Maintenance Inspection Jim Eicher Maintenance Inspection Form
:4MPCA Lic. #654
•r�� i Maintainer I I Jim
ovhi..)
``�� "� I I Duane
1 Nick
MAWS !
Septic Service, LLC • Phone: 763-497-2764
1205 LaBeaux Ave NE
St. Michael, MN 55376 • Email: duaneseptic@centurylink.net
DATE Co—IC•• 2- 3 INVOICE
Pumping Fee: Name;
t..lk AS 7 Q CLL.. I
Long Pull Fee: Address: J
,s: LI 3 b 8-4-(A. b . R
ther Repairs: -c -City/State/Zip:
Total Cost of Sere' `'N 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
❑'Septic/holding Tank#1
Gallons: t s-c5- ❑ Yes E7T"�No_ El Yes C�'I' !o ❑ Yes a
E2'Septic/holding Tank#2 ,.-
Gallons: / -,r, ❑ Yes ! No ❑ Yes 0 Yes
❑ Pretreatment Tank
Gallons: ❑ Yes 0 No CIYes 0 No 0 Yes ❑ No
'Pump Tank
Gallons: t 't
❑ Yes No ❑ Yes C No ❑ Yes �1 No
How Accessed:ILb1"aintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping:
❑Other(see attached) ❑Yes iIo ®'Yes ❑ No vv-0H,,,
Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system,i.e.,
racked tanks,missing baffles,bro__ken,�c-overs,etc.?If so, explain In commen elow.
Tank#1 ID Yes f No Tank#2 ❑ Yes ❑.�vo Pump Tank ❑ Yes Er System''
❑ Structural integrity 0 Structural integrity 0 Structural integrity ��f"Mound
❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield
❑ Baffles El Baffles ❑ Baffles 0 Pressure bed
❑ Non-domestic waste ❑ Non-domestic waste 0 Electrical issues 0 Trenches
❑ Non-domestic waste ❑ Ponding/Surfacing
El Effluent Filter/screen 0 Other:
Cleaned? ❑Yes ❑ No
Comments:
Disposal: land Application: 0 Wastewater Treatment Plant
Disposal Site: 'i Lime: Gallons 3/0-0 Plowed: ❑ Yes .;1-Mo
Time: r'e9 i Temperature: ( 'L/ 1 pH: 12,L( >12 Er
Time: q i(c, Temperature: 1 5-, ., pH: t Z,y >12 -0'
4j AV 4.«......1, @Mt THANKS! Aiii ,,,,(�.., 0 AV
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