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HomeMy WebLinkAboutPumping Report 6-27-24Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE 1,9 ; � —7 - ) ct Maintenance Inspection Form ;�C . Lic. #L4286 Maintainer Jim ❑ Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net IAI\/f%1^C Pumping Fee.Name: �- J 0 2 Shu (,> �i ��wAs_lt�-eft Maintenance Holes Securely Replaced: 11101E i r t J ❑ Yes i;21 Long Pull Fee: ound ❑ Rise eaking Address: / ❑ Elevated drainfield ❑ fles Other Repairs: ❑ Baffles 13Pressure bed City/State/Zip: (7 ron-S ❑ Electrical issues ❑ Trenches Total Cost of Servi _ ❑ Ponding/Surfacing Payment Method: ❑ Check ❑ Cash ❑ Credit ❑ Other: 7,�a Cleaned? ❑ Yes ❑ No Comments: r\0 wf of 5?1C0ej Tank check if resent present) Tank leaks below the Tank leaks above the Maintenance hole cover is damaged, cracked, unsecured, or appears to be designed operating depth designed operating depth structurally unsound eptic/holding Tank #1f_. ElYes No Gallons: - ElYes ElNo ElYes o Septic/holding Tank #2 Gallons: ❑ Yes --/ �o ❑ Yes IQ --f ' ❑ Yes C2 No ❑ Pretreatment Tank Gallons •' ❑Yes ❑ No ❑Yes 11No El Yes ❑ No ump Tank ❑ Yes Gallons: l: No ❑ Yes C:,- El Yes No How Accessedi,ff Maintenance Hole Scum/Sludge Measured _. Maintenance Holes Securely Replaced: Reason Fo Pumping: ❑ Other (see attached) ❑ Yes i;21 0-< ❑ No ound i Did you identify a y operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., acked tanks, missing baffles, broken Cp.vefs, etc.? If so, explain in comments below. Tank #1 ❑ Yes ' No Tank #2 ❑ Yes No Pump Tank ❑ Yeso System ❑ Structural jntegrity ❑ Structural integrity ❑ Structural integrity ound ❑ Rise eaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ fles ❑ Baffles ❑ Baffles 13Pressure bed Non-domestic waste ❑ Non-domestic waste ❑ Electrical issues ❑ Trenches ❑ Non-domestic waste ❑ Ponding/Surfacing ❑ Effluent Filter/screen ❑ Other: Vv S% Cleaned? ❑ Yes ❑ No Comments: r\0 wf of 5?1C0ej L) vow. bnS Zvi f L 16. Disposal: ❑ Land Application: I�lastewater Treatment Plant j'A-rN fo Disposal Site: Lime: Gallons Plowed: ❑ Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 ❑