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HomeMy WebLinkAbout2240 Devin Lane, Maintenance Inspection Form, Aug 2023Jim Eicher A Septic Service, LLC 1205 LaBeaux Ave St. Michael, MN 55376 n AT= 5z' 7, a -2 3 Maintenance Inspection Form MPca IL4286 Maintainer Jim J Duane C'Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net 1Nvnit^F Pumping Fee: 3.7 ` Name: �- � t 5 � Long Pull Fee: Addres �Z2�o � ev► � � Other Repair , 29 City/State/Zip: Total Cost of Servi Payment Method: 076heck ❑ Cash ❑ Credit .� Yq �— Tank (check if present) Tank leaks below the Tank leaks above the Maintenance hole cover is damaged, cracked , unsecured, or appears to be designed operating depth designed operating depth structural) unsound Septic/holding Tank #1 ❑ Yes .e''� �— El Yes 13 No ❑ Yes Cho Gallons: g�� Septic/holding Tank #2 / ❑ Yes C3 No �- ❑ Yes ©-N"o ❑ Yes 0" No Gallons: ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ER"P"u Tank ❑ Yes ff No ❑ Yes 2' No ❑ Yes .®'Iqo Gallons: q 0 0 How Accessed: aintenance Hole Scum/Sludge Measured Maintenance oles Securely Replaced: Reason For Pumping: ❑ Other (see attached) es ❑ No ®'Yes ❑ No�' Did you identify any operational Issues or unsafe conditions while assessing the sewage tanks In this system, Le., oFarllPfl tanlec mieeinn h gff7Pc_ hmiep..n rnvpm. Ptr.7 If SO. PXDIaln In comments -below. Tank #1 ❑ Yes JOINo Tank #2 ❑ Yes 9,fl o Pump Tank ❑ Yes Erno System ❑ Structural Integrity ❑ Structural integrity ❑ Structural integrity Mound ❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfieid ❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed ❑ Non -domestic waste ❑ Non -domestic waste ❑ Electrical issues ❑ Trenches ❑ Non -domestic waste ❑ Ponding/Surfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Comments: Disposal: LiLarld Application: ❑ Wastewater Treatment Plant Disposal Site: `1 Lime: Gallons Z rOO Plowed: ❑ Yes EWo Time: p 2 Temperature: ( 7. YpH: 2.'L_ > 12 B" Time: y Temperature: ( ey. :5r pH: I Z,, Z,, > 12 0' wswim � I I v WMENJI� W-P., Raw�-1. �''" sue- '0000 �- � s�-