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HomeMy WebLinkAboutSeptic Pumping 8-1-24Jim Eicher a� D Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 4' 1 — 7 J Maintenance Inspection Form MPCA Lic. #L4286 Maintainer ❑ Jim .�NNick ® Phone: 763-497-2764 ® Email: duaneseptic@centurylink.net INVOICE Um il % — PumpingFee: Name:7S 4-cue, Long Pull Fee: Address: .3-3S S iLvg4 (oL,/ °"'V. Other Repairs: City/State/Zip: 6 ro vA_D Total Cost of Se rv' Payment Method: ❑ Check ❑ Cash ❑ Credit Maintenance hole cover is damaged, Tank (check if pre aks below the designed operating depth Tank leaks above the designed operating depth cracked, unsecured, or appears to be structural) unsound eptic/holding Tank #10 El Yes CR'14o El Yes �J—No El Yes Gallons: t _. Septic/holding Tank #2 El Yes (�oN ❑Yes No ❑Yeso Gallons: t �� ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: i.�-t'ump Tank ❑Yes ®'No ❑Yes �No ElYes Gallons: ts'�© How Accessed: aintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: El Other (see attached) Eg'Yes El No 2- es ❑ No A/1.c, iVill Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., .,r.• 9 rr en [n ;n in rnmmPntc bp..lnw. Tank #1 El Yes No Tank #2 ❑ Yes o Pump Tank El No System ❑ Structural integrity El Structural integrity El Structural integrity und El Elevated drainfield ❑ Risers leaking ❑ Risers leaking ❑ Risers leaking El bed ❑ Baffles ❑ Non -domestic waste El Baffles ❑ Non -domestic waste El Baffles ElElectrical issues ❑Trenches ❑ Non -domestic waste ❑ Ponding/Surfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Comments: Disposal: ❑ Land Application: ®'Wastewater Treatment Plant (vim Disposal Site: Lime: Gallons 39,-7-p Plowed: Time: Temperature: pH: Time: Temperature: pH: ❑ Yes ❑ No >12 ❑ >12 ❑ PW man x m! ( �• �' 1