HomeMy WebLinkAbout8-13-24 Septic Pumping ReportSeptic Service, LLC
1205 LaBeaux Ave NE
St. Michael, MN 55376
DATF 3 - f 5 ' Li
Maintenance Inspection Form
MMP/CA Lic. #L4286
Maintainer nn
❑ Nick
• Phone: 763-497-2764
• Email: duaneseptic9centurylink.net
Pumping Fee:
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Name: g
i'NVUICE
Long Pull Fee:
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Address:
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Other Repairs:
City/State/Zip-
Total Cost of Servic
Payment Method: ❑ Check ❑ Cash
;P�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/holding Tank #1
❑ Yes
Gallons:
❑ Yes lo
❑ Yes
C10
®tic/holding Tank #2
❑ Yes
to
Gallons: 0�31D
❑ Yes 2 No
❑ Yes
Cyr
❑ Pretreatment Tank
Gallons:
❑ Yes
❑ No
❑ Yes ❑ No
❑ Yes
❑ No
, mp Tank
Gallons: 500
❑ Yes
EY,<o
�
El Yes 20'No
❑ Yes
/
.0-No
How Accessed: 2r2aintenance Hole
Scum/Sludge Measured
Maintenance Holes Secure) Replaced:
Y p
Reason For.Pum m
Pumping:
❑ Other (see attached)
�
❑ Yes -F!
s ❑ No
'� I I"
Did you identify any operational r'ssues or unsafe conditions while assessing the sewage tanks in this system, i.e.,
cracked tanks- miccinn haffloc hr Lb n IF, � Ta.
Tank #1 El Yes o
-
Tank #2 ❑ Yes o
- - --.-..r._................... �,�...
Pump Tank El Yes o
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
Ciegound
❑ 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
vvn u i ic, i w.
Disposal: _171-Land Application: ❑ Wastewater Treatment Plant
Disposal Site:
Lime:
Gallons
Plowed:
❑Yes ❑ No
rime: i.l t�
Temperature: _
—[
pH:
> 12 ❑
rime: =
Temperature:
pH:
> 12 0