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HomeMy WebLinkAboutSeptic Pumping 9.18.24Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 5537,/6 DATE �- 15?- Z`l Maintenance Inspection Form MPCA Lic. #L4286 Maintainer ❑ Jim Nick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net Pumping Fee: Name: INVVlUr- 7.� V_00 as Long Pull Fee: Address: / Other Repairs: City/State/Zip: 0 V-aV�o Total Cost of Se Payment Method: ❑ Check ❑ Cash ❑ Credit Tank eck 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 Gallons: ElYes iZi No ❑ Yes ElYes O/Septic/holding Tank #2 ��� Gallons; �;;� ❑Yes Clo ❑ Yes l� No ❑ Yes C7 No ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Pump Tank Gallons: f S- ❑ Yes —/ 12' No / ❑ Yes INo ❑ Yes No Accessed: Maintenance Hole ❑ Other Scum//Sludge Measured Maintenance Holes Securely Replaced: ;;Yes Reason For Pumping: (see attached) 11Yes ❑ No ❑ No Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., ,cracked tanks. missino haffles. hrnkan rnvarc arms 7 rf cn v mr ten. _ _ 1-1-,., Tank #1 ❑ Yes No Tank #2 ❑ Yes o Pump Tank Yes ❑ No System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity 171 Mound ❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed ❑ Non -domestic waste ❑ Non -domestic waste ❑ Electrical issues ❑ Trenches ❑domestic w ste ❑ Ponding/Surfacing 11 Effluent Filte creep ❑Other: Cleaned? Yes ❑ No Comments: �~ 1 IrCr 1,.,�5 ��� c�l� �r✓.`,ro„� _ `�D� S'L�-1 C -eA- � I Y s1,��� �„�1 ����y Ott_ Lc CA tss rc© �+v��_ { . Disposal: ©-Land Application: ❑ Wastewater Treatment Plant Disposal Site: V 1 Lime: Gallons Plowed: ❑ Yes ❑ o Time: ZIP Temperature: P �5• � pH: 12'_2 >12 Time: 12 Y I Temperature: P H; [7•2 > 12