HomeMy WebLinkAboutSeptic Pumping 7-17-24Jim Eicher
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Septic Service, LLC
1205 LaBeaux Ave NE
St. Michael, MN 55376%
rl ATC —7 1-1-74
Maintenance Inspection Form
MPCA Lic. #L4286
Maintainer Jim
� 'Nick
• Phone: 763-497-2764
• Email: duaneseptic@centurylink.net
INVOICE
Pumping Fee:
Name: t •
,n ` n
Long Pull Fee:
Address:
Other Repairs:
City/State/Zip:
6ro-�X'o
Total Cost of Se e:
Payment Method: ❑ Check ❑ Cash
❑ Credit
F `s- 2 ..,o
Tank (check if 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
structural)
unsound
holding Tank #1
❑ Yes
to
❑ Yes C-IQo—
❑ Yes
No
Gallons:
Gallons:��.� zr
eptic/holding Tank #2
❑ Yes
�Ko
❑ Yes X0
❑ Yes
No
Gallons: (act
❑ Pretreatment Tank
❑ Yes
❑ No
❑ Yes ❑ No
❑ Yes
❑ No
Gallons:
ump Tank
❑ Yes
Z No
❑ Yes
❑ Yes
I- No
Gallons: jQo 0
low Accessed: Z Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping:
El Other (see attached) C�lYes ❑ No Yes El No
Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e.,
,. i.,..a —1, ,«, „ hrwn, hr tb rrniarc ahr 7 rf cn_ eynlain in comments below.
Tank #1 ❑ Yes No
Tank #2 ❑ Yes o
Pump Tank ❑ Yes o
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
rMound
❑ 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: [+ and Application: ❑ Wastewater Treatment Plant
)isposal Site: b l
Lime:
Gallons ZtLyO
Plowed:
El Yes o
-ime: j? ')
Temperature: (' Rio l
pH:
> 12 2'�
-!me:
Temperature: Lq.9
pH:
Q.-I >12