Loading...
HomeMy WebLinkAbout2485 Thoroughbred Lane - Septic Pumping ReportSeptic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE Pumping Fee: '- Long Pull Fee: Other Repair&.!:- - Maintenance Inspection Form MPQA Lic. #L4286 Maintainer .0 Jim Nick 0 Sam • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net INVOICE Name: Address: City/State/Zip: ' Payment Method. ❑ Check ❑ Cash El Credit Total Cost of ServiceZ 27— -- �� Maintenance hole cover is damaged, Tank leaks below the Tank leaks above the cracked, unsecured, or appears to be Tank (check if present) designed operating depth designed operating depth structurally unsound ❑ Septic/holding Tank #1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ ' No Gallons: D Septic/holding Tank #2 ❑ Yes - O No ❑ Yes -Ij No ❑ Yes -D' No Gallons: ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: Pump Tank ❑ Yes ❑ No ❑ Yes 0 No ❑ Yes '_0 No Gallons: 11 =essed:0 Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: r ❑ Other (see attached) ❑ Yes - El -No El -Yes ❑ No Did you identify any operational issues or unsafe conditions white assessing the sewage tanks in this system, i.e., cracked tanks, missing baffles, broken covers, etc,? If so, explain in comments below. #1 ❑ Yes ©No Tank #2 ❑ Yes ❑'No Pump Tank ❑ Yes a No System ❑ Structural integrity ' ❑ Structural integrity ❑ Structural integrity ED Mound ❑ Risers leaking ❑ Risers leaking ❑ Risers leakng El Elevated drainfield ❑ Raffles ❑ Baffles❑ Baffles ❑ Pressure bed ❑ Non -domestic waste ❑ Non -domestic waste ❑ Electrical issues El Trenches ❑ Nan -domestic waste ❑ PondinglSurfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Disposa4 Site: Time: Time: Disposal: Lime: ❑ Land Application: ❑ Wastewater Treatment Plant Gallons Temperature: Temperature: Plowed. ■ Yes ■ 110 • f