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HomeMy WebLinkAbout340 Turnham Road - Septic Pumping ReportSeptic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE 'Ij`=5 Pumping FeE Long Pull Fe Other Repair Total Cost of Maintenance Inspection Form MPCA Lic. #L4286 Maintainer 0 Jim Nick Sam ® Phone: 763-497-2764 ® Email: duanesepticCcenturylink.net INVOICE Name: Address: City/State/Zip: Na II/ Payment Method: heck ❑ Cash ❑ Credit k/0 w Tank (cP�aks below the Tank leaks above the Maintenance hole cover is damaged, �—d esea i'gnoperating depth designed operating depth crackedunsecured, or appears to be , structural) unsound Septic/holding Tank #1 Gallons: (sue El ©� ElB' Yes "I10 ❑ Yes No 2rS-eptic/holding Tank #2 Gallons: El Yes 2_<0 ❑ Yes to ❑ Yes ❑ Pretreatment Tank Gallons: ❑ Yes El No ❑ Yes El No El Yes El No 2rmp ❑Yes 2 Gallons: Gallons: �� No ❑ Yes S4. o ❑ Yes �o How Accessed aintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached)F B'Yes ❑ No L�'Yes ❑ No Did you identify any operational issues or unsafe conditions while assessing the sewage tanks'n this system, i.e., -,Cracked tanks. missino baffles_ hrnkpn v lKvpnz atr_7 If anarnlain in—mmontf halm-, Tank #1 ❑ Yes Rf No Tank #2 ❑ Yes YNo Pump Tank ❑ Yes No 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 ❑ No Comments: Disposal: Viand Application: ❑ Wastewater Treatment Plant Disposal Site: lJ 1 Lime: Gallon Plowed: ❑ Yes M"N—o Time: 1 Z,-, _7 Temperature: f a'j pH: ( - Z > 12 2r" Time: Z 3 7 Temperature: 1 . °7 pH: Z > 12