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HomeMy WebLinkAbout 4-23-24 septic pumping report Jim Eicher Maintenance Inspection Form MPCA Lic. #L4286 -Je�V Maintainer ❑ Jim 1MAWS Nick Septic Service, LLC • Phone: 763-497-2764 1205 LaBeaux Ave NE St. Michael, MN 55376 • Email: duaneseptic@centurylink.net DATE 41-- Z Y- 2 ./ INVOICE Pumping Fee: Lk, Name: �1C Cry y L S Long Pull Fee: 1, Address: Q Other Repairs: City/State/Zip: Total Cost of Service: Payment Method: ❑ Check ❑ Cash ❑ Credit 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 0 Sepfic/holding Tank#1 ❑ Yes No ❑ Yes Erri6- ❑ Yes No Gallons:on� I Z_ IO l�Septic/holding Tank#2 ❑ Yes [rNo ❑ Yes No ❑ Yes Gallons: ( Z 5 9 ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: 23'Pll/ump Tank ❑ Yes 121"No ❑ Yes ❑ No ❑ Yes elrlo- Gallons: How Accessed:Er intenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason F r Pumping: ❑Other(see attached) C;3'S'es ❑ No es ❑ No 1'11A..\VT t.•.5 .:_ti'4.fr2 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 ❑ (T Yes No Tank#2 El Yes C'No Pump Tank ❑ Yes eJ No Systems ; ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity u Mouno ❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffles 0 Pressure bed ❑ Non-domestic waste ❑ Non-domestic waste 0 Electrical issues 0 Trenches ❑ Non-domestic waste ❑ Ponding/Surfacing O Effluent Filter/screen ❑ Other: Cleaned? ❑Yes 0 No Comments: Disposal: ❑ Land Application: I;lWastewater Treatment Plant (,.ir--fri/(41-"i.r Disposal Site: Lime: Gallons 7--5'-' Plowed: ❑ Yes ❑ No Time: Temperature: pH: >12 ❑ Time: Temperature: pH: >12 0 .► C� .� THANKS! - (g �� / . 46...°