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HomeMy WebLinkAbout 4-23-24 septic pumping report richer Maintenance Inspection Form MPC ic. #L4286 Maintainer Jim ❑ Nick Service, LLC •Phone: 763-497-2764 aBeaux Ave NE hael, MN 55376 • Email: duaneseptic@centurylink.net INVOICE • ig Fee: 1157.CD Name: V-2 1 h T ull Fee: Address: � - t 2%1 `i 1=4(i vi{ 1— iepairs: City/State/Zip: Ci CO" ost of Serv' : Payment Method: Cl Check 0 Cash 0 Credit Lg ' 5b Tank leaks below the Tank leaks above the Maintenance hole cover Is damaged, ank(check if present) cracked,unsecured,or appears to be designed operating depth designed operating depth structurally unsound /holding Tank#1 ❑ Yes r�No� ❑ Yes Cad^ 0 Yes ❑ c/holding Tank#2 Cl Yes t7 No 0 Yes ❑ Yes CYI10 aatment Tank 0 Yes 0 No 0 Yes 0 No 0 Yes 0 No Tsk-- 0 Yes 0 Yes Et'No ❑ Yes iff No cesse . Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: 0 Other(see attached) , ❑Yes �❑ No .tlr Yes ❑ No Did you Identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, I.e., /ticked tanks,missing baffles,broken ers,etc.?If so, explain In comme Blow. I 0 Yes t�`No Tank#2 0 Yes No Pump Tank 0 Yes ❑ No System- Structural integrity 0 Structural integrity CI Structural Integrity ound Risers leaking ❑ Risers leaking 0 Risers leaking 0 Elevated drainfield Baffles ❑ Baffles El Baffles 0 Pressure bed Non-domestic waste 0 Non-domestic waste 0 Electrical issues 0 Trenches ❑ Non-domestic waste 0 Ponding/Surfacing 0 Effluent Filter/screen 0 Other: Cleaned? 0 Yes 0 No ;nts: Disposal: 0 Land Application: C'1 Wastewater Treatment Plant 1A,q 1rr"row\- al Site: Lime: Gallons Plowed: 0 Yes 0 No Temperature: pH: >12 0 Temperature: pH: >12 0 G' , ,ail ��, Q THANKS! CSC' ��t" �� c ...�