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HomeMy WebLinkAbout200 Truffula Trail - Septic Pumping ReportMaintenance Inspection Form DUANE� Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE t© MPCA Lic. #L4286 Maintainer EJ Jim SXNick E::] Sam e Phone: 763-497-2764 o Email: duaneseptic@centurylink.net INVOICE Pumping Fee: Name.• Long Pull Fee: Address: City/State/Zip: Other Repairs: (!) Total Cost of Ser 'L,�avt _k Payment Method: ❑ Check ❑ Cash ❑ Credit Tank leaks above the Maintenance hole cover is damaged, )elow the Tank (check it praa�ncj—- - - des gne operating depth designed operating depth cracked, unsecured, or appears to be structural) unsound O'S"e'ptic/holding Tank #1 Gallons: t L � El Yes 0—(tr6 ❑Yes -B-�o ❑Yes 0"N ET'Septic/holding Tank #2 ❑Yes Ft No ❑ Yes i�r No �'o ❑ Yes C7 No Gallons: t '2,5-v ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: B'Pump Tank ❑ Yes E No Gallons: 1 'L5­0 ❑ Yes 0 No ❑ Yes t- No How Accessed:121kintenance Hole Scum/Sludge Measured Maintena-nce Holes Securely Replaced: Reason For Pumping: ❑Other (see attached) tJ YeS ❑ No Yes ❑ No Did you Identify any operational issues or unsafe conditions while assessing the sewage tanks In this system, I.e., racked tanks, missing baffles, broken covers, etc.? Ifso, explain in comment below. Tank #1 ❑ Yes E7rNo Tank #2 ❑ Yes No Pump Tank ❑ Yes E3No System ❑ Structural Integrity ❑ Structural integrity ❑ Structural Integrity ©`Mound ❑ 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: ❑ tq d-Application: ❑ Wastewater Treatment Plant Disposal Site: t J L Lime: Gallons 2- 3�J Plowed: ❑ Yes Time: j( o �( Temperature: t'Z. 9 pH: f Z- C > 12 Time: tf Temperature: I '2 - -� pH: 2, - V > 12