HomeMy WebLinkAboutSeptic Pumping 7-31-24Jim Eicher
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Septic Service, LLC
1205 LaBeaux Ave NE
St. Michael, MN 55376
-n '7 1 911
Maintenance Inspection Form
MPCA Lic. #L4286
Maintainer ❑ Jim
lick
• Phone: 763-497-2764
• Email: duaneseptic9centurylink.net
INVOICE
UHIC f —JI_— I
Pumping ree: 2
Name:
Long Pull Fee:
Address:
Other Repairs:
City/State/Zip:
G
Total Cost of Se e:
Payment Method: ❑ Check
❑ Cash ❑ Credit
TO
3-0
Maintenance hole cover is damaged,
Tank leaks below the
Tank leaks above the
cracked, unsecured, or appears to be
Tank (check if present)
designed operating depth
designed operating depth
structural) unsound
Septic/holding Tank #1
El Yes
�'TQo
❑Yes !]-fde-
El Yes No
Gallons: t2fv
Septic/holding Tank #2
❑Yes
❑ No
❑Yes ❑ No
El No
Gallons: t 250
❑ Pretreatment Tank
❑ Yes
❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Pump Tangy
❑Yes
No
❑Yes No
❑ Yes 10
2>
Gallons: 1�
-low Accessed: aintenance Hole Scum/SSiudge Measured Maintenance Holes Securely Replaced: Reason For Pumping:
El Other (see attached) e'Y-es ❑ No u Yes El No itv
Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e.,
eked tanks, missing baffles, brokegpovers, etc.? If so, explain in comm en Blow.
Tank #1 o Tank #2 ❑ Yes No Pump Tank ❑ Yes n No System
❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ound
❑ 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:
� Lt
Disposal: ❑ Land Application: Rr<astewater Treatment Plant
Gallons `�`� Plowed: ❑ Yes ❑ No
Disposal Site: Lime: ��
Time: Temperature: pH: > 12 ❑
Time: Temperature: pH: > 12 ❑