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HomeMy WebLinkAbout 4-26-24 septic pumping report Jim Eicher Maintenance Inspection Form MPCA Lic. #L4286 �, Maintainer El Jim DUANIS ►:= ick Septic Service, LLC • Phone: 763-497-2764 1205 LaBeaux Ave NE St. Michael, MN 55376 • Emai . centurylink.net DATE 4-2(0 - 241 INVOICE Pumping Fee: Name: /� V 4 t0 a.S� v.-0 vv,-i i l/H A ls-J� j 1 6—ye 1 �t L -f Long Pull Fee: Address: 2180 A 10 ; nryikovi Leky Other Repairs: City/State/Zip: 1?,.(A.t . (`,,,--k- _ 3 `-. - (�") Ls.. L� I ' Total Cost of S is t _� Payment Method: ❑ Check ❑ Cash CAI Credit Tank leaks below the Tank leaks above the Maintenance hole cover is damaged, Tank(check if present) cracked,unsecured,or appears to be designed operating depth designed operating depth � � structurally unsound Sepfic/holding� Tank#1 ❑ Yes Pt"1 o ❑ Yes L(o ❑ Yes u No Gallons:000 ?eptic/holding Tank#2 Gallons:(i c't ❑ Yes 13 No ❑ Yes C-3"No ❑ Yes o ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: (2' ump Tank ❑ Yes L✓t No ❑ Yes ff No ❑ Yes RriClo Gallons:(oOO How Accessed:[-lMaintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑Other(see attached) L�'Yes ❑ No Q"Yes ❑ No -1--tA5/+-Cc:,'CO Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., cracked tanks, missing baffles, brokeovers, etc.?If so, explain in commen s below. Tank#1 ❑ Yes O-1 o Tank#2 ❑ Yes dii No Pump Tank ❑ Yes Q No System ❑ Structural integrity 0 Structural integrity ❑ Structural integrity Mound ❑ 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 0 Effluent Filter/screen ❑ Other: Cleaned? ❑Yes ❑ No Comments: Disposal: Zrand Application: ❑Wastewater Treatment Plant Disposal Site: LL3 Lime: Gallons 2 S-\-9-z-1 Plowed: ❑ Yes E ll�o Time: i o 3 7 Temperature: t 3:) pH: 1 ?.;1 >12 Er Time: (t 0 7 Temperature: [3. 3 pH: (Z, 41 >12 e, r . F11111l1 Q THANKS! . 6. ,,, :-4.A* i ...* • "1 '....G W . .irICWN/ ,,., `41 -•. re"'.'.sue. -1- .,..-' zc-