HomeMy WebLinkAbout690 Pinehurst Court - Septic Pumping Report (207)I
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Septic Service, LLC
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1205 LaBeaux Ave NE
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St. Michael, MN 55376
• Phone: 763.gp7_ � A zam
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• Email: duanesep%,,,@, stun/\tnk.r,a►
Pumping Fee:
d
Long Pull Fee:
Name: --
S $:�
M
Address:
Other Repairs:
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C. 4
iI
City/State/Zip:
Total Cost of Servic
Payment Method: ❑ Check ❑ Cash ❑ Credit
Tank (check if presen
Tank leaks below the
Tank leaks above the
Maintenance hole cover Is damaged,
designed operating depth
designed operating depth
cracked, unsecured, or appears to be
0"Septic/holding Tank #1
structurally unsound
Gallons: - -
❑ Yes
a No
❑ Yes C1—No
❑ Yes tTNo
❑ Septic/holding Tank #2
Gallons: — - %
❑ Yes
C1 No
❑ Yes C�10
❑ Yes C_No
❑ Pretreatment Tank
Gallons:
❑ Yes
O H0
-! < , 0 NO O Ye No
Q Pump Tank
❑ Yes
! N,
U fes C3�IVo Yes d�►o
Gallons: ,
ReaeonFor Pump�ra
DO 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 comments below.
Tank #1 ❑ Yes i] No Tank #2 ❑ Yes ONo Pump Tank ❑ Yes 0-No System
❑ Structural integrity ❑ Structural integrity ❑ Structural integrity Mound
❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑Elevated dralntleld
❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed
Cl Non -domestic waste ❑ Non -domestic waste ❑ Electrical issues ❑ Trenches
❑ Non -domestic waste 1- ❑ PondinglSuriacing
❑ Effluent Filter/screen ❑ Other:
Cleaned? ❑ Yes ❑ No
Comments:
Disposal Site:
Time:
Time:
Disposal: ❑ Land Application: ❑ Wastewater Treatment Plant
Lime: Gallons
Temperature:
Temperature:
Plowed: ❑ Yes
PH:
pH.