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HomeMy WebLinkAbout8-13-2024 Septic Pumping ReportSeptic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE �"I;., - Maintenance Inspection Form MPCCA Lic. #L4286 Maintainer A Jim ❑ Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink,net Pumping Fee: i -ate � Name: iNVUIL;t Long Pull Fee: Address: Other Repairs: 4- City/State/Zip: Total Cost of Service: Q Payment Method: ❑ Check ❑ Cash Credit Tank (check if present) Tank leaks below the Tank leaks above the Maintenance hole cover is damaged, designed operating depth designed operating depth cracked, unsecured, or appears to be structural) unsound Septic/holdingTank #1 Gallons: ),'D ❑ Yes CYNo ❑ Yes ❑ Yes If'Septic/holding Tank #2 Gallons: � a- j-0 ❑ Yes a -No ❑ Yes DIK ❑ Yes 2-No ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No lap Tank Gallons: ❑ Yes o ;A' �E]Yes ❑ El Yes E�I�o How Accessed aintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason Pumping: ❑ Other (see attached) ❑ Yes ©'IV0� ❑ No /For Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., cracked tanks. missinn hafflac hrnllan rn.�� nt, 71 ry � ., ;,;_ Tank #1 ❑ Yes o Tank #2 ❑ Yes o Pump Tank ❑ Yes o 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 1-1No Comments: Disposal: ❑ Land Application: �12-Wastewater Treatment Plant l,') /-_ _',_ , Disposal Site: Lime: Gallons Plowed: ❑ Yes r❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 ❑ !� .mot �ir � �'� / •� �"� 4�®'�.�t �• '� •� �'�' ,✓'`�'� � .sue. -�"`" �,.�� �✓" ,s�.-