HomeMy WebLinkAbout 4-28-24 septic pumping report 4Eicher
Jim
Maintenance Inspection Form
MPC -ic. #L4286
_ATI Maintainer Jim
DIMES ❑ Nick
Septic Service, LLC • Phone: 763-497-2764
1205 LaBeaux Ave NE
St. Michael, MN 55376 • Email: duaneseptic@centurylink.net
h
DATE % - E l - 2Y INVOICE
Pumping Fee: Name:
LI(oa.SQ 3bua (,- cl .� 1-1 os i i a ( � 0v4.rt
Long Pull Fee: �� z tO t Address: I�1 C 0 x F ,- e,
Other Rep ' City/State/Zip:
p rr vt
Total Cost of Servic Payment Method: E Check III Cash ❑ Credit
1
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
C�'Septic/holding Tank#1 ❑ Yes lie/ ❑ Yes ❑4� ❑ Yes LY
Gallons: /d,,5
Bptic/holding Tank#2 ❑ Yes CT No ❑ Yes �IVo ❑ Yes 0'No
Gallons: (;)-J Z)
❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes El No ❑ Yes ❑ No
Gallons:'Pu ��
mp Tank ❑ Yes r No ❑ Yes ❑-'No ❑ Yes L` "No
Gallons: ))-
How Accessed:C-tdfaintenance Hole Scum/Sludge Measured 1 Maintenance Holes Securely Replaced: Reason
F{or Pumping:
❑Other(see attached) ❑Yes CYNo Le Yes ElNo -„,
Did you identify any operational issues or unsafe conditions while assessing the sewage tanks In this system, I.e.,
racked tanks, missing baffles, broken cov s, etc.?If so, explain in comments bew
Tank#1 ❑ Yes o Tank#2 ❑ Yes q,Kfo Pump Tank ❑ Yes o System/
❑ Structural integrity ❑ 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 ❑ Trenches
❑ Non-domestic waste ❑ Ponding/Surfacing
❑ Effluent Filter/screen ❑ Other:
Cleaned? ❑Yes ❑ No
Comments:
Disposal: El Land Application: 2-Wastewater Treatment Plant j,"T,yi o'"-
Disposal Site: Lime: Gallons Plowed: ❑ Yes ❑ No
Time: Temperature: pH: >12 ❑
Time: Temperature: pH: >12 0
,, •• �� Q THANKS! .► �...�,,� ^ _ ....t car ,,�"` A i