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HomeMy WebLinkAbout5-1-24 septic pumping report icher Maintenance Inspection Form MPC Lic. #L4286 Maintainer Jim ❑ Nick Service, LLC Beaux Ave NE • Phone: 763-497-2764 ifael, MN 55376 • Email: duaneseptic@centurylink.net 5-/'Z`-( INVOICE j Fee: 4 L/� 1 5U Name: Pot ce_i›i-cL 8 GiA c:t1 III Fee: Address: l 0 Trv-r o� Tri epairs: City/State/Zip: L._.°kt) LLti—e--- st of Service• �� Payment Method: ❑ Check ❑ Cash ❑ Credit Tank leaks below the Tank leaks above the Maintenance hole cover is damaged, lk(check if present) designed operating depth designed operating depth cracked,unsecured,or appears to be structurally unsound 'holding Tank#1 5� 0 Yes .� N o 7�N No❑ Yes ' o ❑ Yes If 'holding Tank#2 / ❑ Yes P4 ❑ Yes .2 No ❑ Yes �'No Itment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Tank sat, ❑ Yes fC1.-110 D Yes No ❑ Yes 124o 3ssed:e Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For P roping: ❑Other(see attached) ❑ Yes lL1.-tQo -0'Yes ❑ No , Did you identify an operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., ed tanks, missing baffles, broken c - etc.?If so, explain in comments belo ' ❑ Yes No Tank#2 ❑ Yes No Pump Tank ❑ Yes o System / Itructural integrity ❑ Structural integrity ❑ Structural integrity re-Mound users leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield iaffles ❑ Baffles ❑ Baffles ❑ Pressure bed Jon-domestic waste ❑ Non-domestic waste ❑ Electrical issues ❑ Trenches ❑ Non-domestic waste ❑ Ponding/Surfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑Yes ❑ No ts: Disposal: ❑ Land Application: 1 Wastewater Treatment Plant '�A,.�„� (Jw•,'\._ Site: Lime: Gallons Plowed: 0 Yes ❑ No Temperature: pH: >12 ❑ Temperature: pH: >12 ❑ 0.141D THANKS! „owear sue. ,..� .s`'r sue•