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HomeMy WebLinkAbout04-16-2023 Septic Maintenance Inspection Jim Eicher Maintenance Inspection Form -4MMPCALic. # 654 !j Maintainer ! 1 Jim �.ArI Z . I 1 Duane WANES�� , 't ick Septic Service, LLC • Phone: 763-497-2764 1205 LaBeaux Ave NE St. Michael, MN 55376 • Email: duaneseptic@centurylink.net DATE �(-i(- a 3 INVOICE Pumping Fee: 7fff ✓ Name: I, f-1-1-cisq ( _, Long Pull Fee: Address: Li --e_6 s c. Ix , pp e-,, .. L ,. -�.. Other Repairs: I c City/State/Zips flo4,B ,. _ . 0,rca.0 Total Cost of Service: Payment Method: ❑ Check ❑ Cash ❑ Credit $L/33. LO Maintenance hole cover is damaged, Tank leaks below the Tank leaks above the cracked,unsecured,or appears to be Tank(check if present) designed operating depth designed operating depth �---- structurally unsound C�t`Septic/holding Tank#1 ❑ Yes Ills No ❑ Yes C7 No ❑ Yes EIT Gallons:lcQ2 El"Septiclholding Tank#2 ❑ Yes Ci•lao ❑ Yes �YNo ❑ Yes ❑No Gallons:Lam-, . El Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: ❑ Pump Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: How Accessed: Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑Other(see attached) ❑Yes 't7 No r Yes ❑ No 'rl'`e , Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., cracked tanks,missing baffles, broken givers,etc.?If so, explain in comment elow. Tank#1 ❑ Yes 1:3-101 Tank#2 ❑ Yes ❑l No Pump Tank CI Yes rgeNo SystemSystem ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity "Niound ❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed ❑ Non-domestic waste ❑ Non-domestic waste ❑ Electrical issues 0 Trenches ❑ Non-domestic waste ❑ Ponding/Surfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑Yes ❑ No Comments: Disposal: ❑ Land Application: ‘Vastewater Treatment Plant Disposal Site: Lime: Gallons } Plowed: 0 Yes ❑ No Time: Temperature: pH: >12 ❑ Time: Temperature: pH: >12 ❑ ,� _ Jr 414 . C� THANKS! �. �,,�''�'�;.�..� Cyr !`./,/�- '�..t i�+f . ,`♦„r�"f, _ �. .�_ ,�� --�"`"��►rifir.r.d.�� . 4/'�''"� —..d-4"�r --�, S