HomeMy WebLinkAbout06-08-2023 Septic Maintenance Inspection Jim Eicher Maintenance Inspection Form
MPCA Lic. #654
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�a i Maintainer I I Jim
q., �-%
WAV�.."� I I Duane
ES t;— Nick
Septic Service, LLC
1205 LaBeaux Ave NE •Phone: 763-497-2764
St. Michael, MN 55376 • Email: duaneseptic@centurylink.net
DATE Cf 1-2
INVOICE
Pumping Fee: N e.
Long Pull Fee: Address:
3CoCac1'
Oth .. Repairs: ' City/State/Zip:
913,
7-)
Total Cost of Se ce: ` Payment Method: ❑ Check ❑ Cash ❑ Credit
1 43 t/0-c-,0
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: a, ❑ Yes Er-Flo ❑ Yes 0 No 0 Yes rt No
C r eptic/holding Tank#2 � �
Gallons: 1 ❑ Yes VU ❑ Yes l�,L.l 6' 0 Yes o
❑ Pretreatment Tank
Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No
, ❑ Pump Tank
Gallons: ❑ Yes 0 No ❑ Yes ❑ No ❑ Yes ❑ No
How Accessed:Ortagtenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping:
El Other.(see attached) ❑Yes Ergo 2'Yes ❑ No r1-t c:1t.-'
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 0 Yes 0 No System
0 Structural integrity ❑ Structural integrity ❑ Structural integrity 0 Mound
❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield
❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed
0 Non-domestic waste ❑ Non-domestic waste 0 Electrical issues 0 Trenches
❑ Non-domestic waste 0 jading/Surfacing
0 Effluent Filter/screen ZII Othe :
Cleaned? 0 Yes 0 No (-4•P I ik
Comments:
&rQ- - , `J cL1i by Ire vo. 1.7 0 G tk
Disposal: 2"fand Application: ❑Wastewater Treatment Plant
Disposal Site: Lime: / Gallons r 5— Plowed: ❑ Yes 110
Time: t 6 f Temperature: j 2._`"? pH: 12,t( >12 , '
Time: i/ 1.._, Temperature: t 5,3 pH: 11, -`" >12 E-
.• J _ Q THANKS! r .. 2.A.,
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