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HomeMy WebLinkAbout9.26.24eptic pumping reportD Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE Nick C] Sam ® Phone: 763-497-2764 CU41 ,�� ��44% / ®Email: duaneseptic@centurylink.net INVOICE Pumping Fee, Name: _._- _ Long Pull Fee: Address: Other Repairs: City/State/Zip: e; G �.-s-f i. �.-CJ o ,. U>b • LZ� Total Cost of Serviced �' ( is Payment Method: Check ❑Cash ❑ Credit _! �t E.\ yaU Maintenance hole cover is damaged, Tank (check if present) �i Tank leaks below the Tank leaks above the cracked, unsecured, or appears to be designed operating depth designed operating depth structural) unsound g�Septic/holding Tank #1 ❑ Yes ❑- No ❑ Yes ErNo ❑ Yes ❑`TVo Gallons:iPoo v © Septic/holding Tank #2 � j El No ❑Yes ❑� No ❑Yes o ❑Yes Gallons: i o u ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: ❑ Pump Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons. How Accessed:J�Mintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) UYes ❑ No 1301 es ❑ No Old you identify any operational issues or unsafe conditions while assessing the sewage tanks In this system, i.e., rcracked tanks, missing baffles, broken covers, etc.? Ifso, explain in comments below. Tank #1 ❑Yes 12`No Tank #2 ❑Yes ©' o Pump Tank ❑Yes ❑ No System ❑ Structural integrity ❑ Structural integrity ❑Structural integrity ❑Mound ❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed ❑ Non -domestic waste ❑ Non -domestic waste ❑ Electrical issues O•'T enches ❑ Non -domestic waste ❑ Ponding/Surfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Comments. Disposal: ❑Land Application: ❑Wastewater Treatment Plant Disposal Site: Lime: Gallons Plowed: ❑Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 0