Loading...
HomeMy WebLinkAbout05-09-2023 Septic Maintenance Inspection Jim Eicher Maintenance Inspection Form MPCA Lic. # 654 .4 Alb Maintainer I I Jim -- `'' '��� � I l Duane DIPA L$ ! , Nick Septic Service, LLC • Phone: 763-497-2764 1205 LaBeaux Ave NE St. Michael, MN 55376 • Email: duaneseptic@centurylink.net DATE S i- 2 3 INVOICE Pumping Fee: 4 3. v Name: 4 J ."_, A 1,-`3a.-1 Long Pull Fee: Address: r6C3s ,..54 f1 ,4,; 54-. Other Repairs 'City/State/Zip: ...0 t...-me Total Cost of Service: Payment Method: LI Check ❑ Cash ❑ Credit t-Ae,.3—,cx, 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 P"Septic/holding Tank#1 ❑ Yes ErN CI Yes ❑No ❑ Yes C 1-11- Gallons: !-- ❑rSelo�pticlholding Tank#2 ❑ Yes 24 ❑ Yes C-1"No ❑ Yes 13-1vo Gallons: •73 o El Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes Cl No Gallons: ❑P p Tank ❑ Yes o ❑ Yes Er No ❑ Yes f2 Gallons: /0,9- How Accessed:" Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: El Other(see attached) ❑Yes J.;hvo ©'‘s ❑ No j' c.= " Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system,i.e., racked tanks,missing baffles, broken covers,etc.?If so, explain in comment elow. Tank#1 ❑ Yes Iff—No Tank#2 ❑ Yes Ca''IGo Pump Tank ❑ Yes No System El Structural integrity ❑ Structural integrity El Structural integrity lend ❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed El Non-domestic waste ❑ Non-domestic waste ❑ Electrical issues ❑Trenches ❑ Non-domestic waste Cl Ponding/Surfacing • ❑ Effluent Filter/screen ❑ Other: Cleaned? 0 Yes ❑ No Comments: Disposal: ❑ Land Application: i2'Wastewater Treatment Plant LmkK„ `-''t Disposal Site: Lime: Gallons Plowed: ❑ Yes ❑ No Time: Temperature: pH: >12 ❑ Time: Temperature: pH: >12 ❑ ` e - t � THANKS! . +l.,t 4' / `