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1070 Hunter Drive - Septic Pumping Report
DV�NE� Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE ' 1-1 t-1- -Z 0-� Maintenance Inspection Form MPCA Lic. #L4286 Maintainer 0 Jim .lick 0 Sam ® Phone: 763-497-2764 ® Email: duaneseptic@centurylink.net irvvnirF Pumping Fee: Name: Long Pull Fee: Address: -7 o 6r Other Repairs: City/State Zip: C) cc '-0 Total Cost of S �� Payment Method: Check ❑ Cash ❑ Credit O� Tank leaks above the Maintenance hole cover is damaged, s below the Tank (chec_ _._ — - --- - berating depth designed operating depth cracked, unsecured, or appears to be structural) unsound Septic/holding Tank #1 Gallons: ( Z� ^ -/ El Yes �o ❑ Yes B o ❑ Yes 2-90 Septic/holding Tank #2 Gallons: (Zsv ❑ Yes No ❑ Yes Fwol-10 ❑ Yes ❑-150-- ❑ Pretreatment Tank Gallons: ❑ Yes ElNo ❑ Yes ElNo ElYes ElNo 2"Pump Tank ❑ Yes Etl No ❑ Yes Gallons: Z tel No ❑ Yes 81 No How Accessed:. Maintenance Hole Scum/Sludge Measured Maintenanncce Holes Securely Replaced: Reason For Pumping: El Other (see attached) ®'Yes El 9-Yes ❑ No M--12 ` Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., wracked tanks, missing baffles, broken coffers, etc.? If so, explain in comments_below. Tank #1 ❑ Yes VINo Tank #2 ❑ Yes ❑ o Pump Tank ❑ Yes o 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: © Land Application: ❑ Wastewater Treatment Plant Disposal Site: 1 Lime: Gallons Z$ Plowed: ❑Yes ET -No Time: o � .3 Temperature: pH: 12, 3 > 12 rT- Time: k 1>1 Temperature: i pH: 1 1- Z > 12 E1