HomeMy WebLinkAbout425 Turnham Road - Septic Pumping ReportJim Eicher
Maintenance Inspection Form
MPCA Lic. #L4286
DV�E�
Septic Service, LLC
1205 LaBeaux Ave NE
St. Michael, MN 55376
DATE 9- (i- 2-5'
Maintainer 0 Jim
'Nick
0 Sam
• Phone: 763-497-2764
• Email: duaneseptic@centurylink,net
INVOICE
Pumping Fe
Name:
0
Vk!" V-J
Address:
Long Pull R
Other Repa
City/State/Zip:
C)VDf\'o
Total Cost c
e"w w
Payment Method: Check ❑ Cash
❑ Credit
_
Tank leaks above the
Maintenance hole cover is damaged,
leaks below the
Tank (
operating depth
designed operating depth
cracked, unsecured,
or appears to be
—
structurally
unsound
❑ Septic/holding Tank #1
El Yes 0 No
El Yes Cam_.
El Yes
No
Gallons: ��.�
❑ Septic/holding Tank #2
,"
El Yes [3' No
El Yes No
El Yes
No
Gallons:
❑ Pretreatment Tank
Gallons:
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes
❑ No
❑ Pump Tank
El Yes No
❑ Yes �" No
El Yes
Gallons: (,�?-.�
How Accessed: El Maintenance Hole
Scum/Sludge Measured
Maintenance Holes Securely Replaced:
Reason For Pumping:
El Other (see attached)
2rles ❑ No
l� ❑ No
Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e.,
cracked tanks, missing baffles, broken_covers, etc.? If so, explain in commenttss.below.
Tank #1 ❑ Yes n No
Tank #2 ❑ Yes o
Pump Tank ❑ Yes o
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
ETMound
Cl 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: 13<and Application: ❑ Wastewater Treatment Plant
Disposal Site: ✓ t
Lime:
Gallons D0-0-
Plowed:
❑ Yes
zrNo
Time:.
Temperature: t
pH:
> 12 2--
Time:
to Y 7
Temperature:
pH:
t z• 2-
> 12
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