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Home My WebLink About3225 Graham Hill Road - Septic Pumping ReportSeptic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 r%ATC C—_ 1 1, , 7 Sl Maintenance Inspection Form MPCA Lic. #L4286 Maintainer 0 Jim 4TNick = Sam • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net INVOICE Pumping FPp• ► Name: 'FUi Address: t Z cl 0 Long Pull F � City/State/Zip: Other Repc V-0iD Total Cost 1 , mar (� Payment Method: ❑ Check ❑ Cash ❑ Credit ti d4 Maintenance hole cover is damaged, Tank (check if presen ank leaks below the designed operating depth Tank leaks above the designed operating depth cracked, unsecured, or appears to be structurally unsound Q eptic/holding Tank #1 ❑ Yes 0-5-0— ❑ Yes P—No ❑ Yes 0 to G al-aJ lons:Lp Ca'Sll�eptic/holding Tank #2 El Yes C�" No El Yes C % ❑Yes E� No Gallons: Lc—9 , ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: Pump Tank ElYes L;1 Gallons: � e � ❑ Yes Q40 El Yes No -low Accessed: E3Maintenance Hole Scum/Sludge Measured oles Securely Replaced: MaintenVes Reason For Pumping: El Other (see attached) � Yes El No ❑ No VW Ca.4 w Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., k,An ,, k , L—, oKi. ofr 7 rr cn arnlain in rnmmenf3 below. Tank #1 ❑ Yes ffNo Tank #2 ❑ Yes No Pump Tank ❑ Yes 2TNo System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity 2Mound ❑ 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: E5 Land Application: ❑ Wastewater Treatment Plant disposal Site: �^� t Lime: Gallons 2- �.a Plowed: El Yes ON time: Temperature: 1N t 3�t pH: t Z_C( > 12 rime: 2 3 7 Temperature: 'Z'am ° L 3 pH: l2 > 12 s�- Jim Eicher D Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 Maintenance Inspection Form MPCA Lic. #L4286 Maintainer = Jim [Nick 0 Sam • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net INVOICE ..... _V Pumping Fee: Name: 3 Long Pull Fee: Address: l ! oS e th,ys �r - Other Repairs: \ -, t` GS V L Z L LcJ r� City/State/Zip: U-19 t/�-o Total Cost of Service: - - - �wV_ Payment Method: ❑ Check El Cash ❑ Credit Maintenance hole cover is damaged, Tank (check if prese T eaks below the designed operating depth Tank leaks above the designed operating depth cracked, unsecured, or appears to be structural) unsound [I"Septic/holding Tank #1 ❑Yes No El Yes �o El Yes �o Gallons: (2s� Septic/holding Tank #2 ❑ Yes Z No ❑ Yes p No ❑ Yes Z No Gallons: l 2S-' ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: C--(Pump Tank / ❑ Yes 4!5 No ❑ Yes D No ❑ Yes of No Gallons: How Accessed: Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) 1I Yes ❑ No Zf Yes ❑ No /VLG L''f Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., __ ti.,.1.,.., a atr 7 Tf — avnlaln in rnmments,below. Tank #1 ❑ Yes o Tank #2 ❑ Yes No Pump Tank El No System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ❑ Risers leaking En Mound ❑ Elevated drainfield ❑ Risers leaking ❑ Baffles ❑ Risers leaking ❑ Baffles ❑ Baffles ❑ Pressure bed ❑ Non -domestic waste ❑ Non -domestic waste ❑ Electrical issues ❑ Non -domestic waste ❑ Trenches ❑ Ponding/Surfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Comments: Sr. �o F Lis L Cc �e w Ke �- S 4 c� G l ervvw ti w �� k �,►,, o v c�ttis� dl.�, t�..-��,c. ...1-a sY s ��'• _ nisnnsal: ❑ Land Aoolication: r_1 Wastewater I reatment runt w Disposal Site: Lime: Gallons2 (0.c.,-0 Plowed: ❑ Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 0 DVANE*� Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 nerI: S-' S- Z.'5' Maintenance Inspection Form MPCA Lic. #L4286 Maintainer 0 Jim Nick Sam • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net INVOICE Pumping Fee: Name: V Address: 4 L( S S Long Pull Fee: Other Repairs: City/State/Zip: �V-0V'_D Total Cost of Sei -� L Payment Method: ❑ Check ❑ Cash ❑ Credit aw 0H Tank leaks above the Maintenance hole cover is damaged, cracked, unsecured, or appears to be nk leaks below the Tank (check fined operating depth designed operating depth structural) unsound Septic/holding Tank #1 El Yes No El Yes Cl No El Yes 2-6-0 Gallons: (3 iT� Septic/holding Tank #2 ❑ 'No Yes C� ❑Yes C1 No El Yes No Gallons: t 5 ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Pump Tank ❑ Yes C" No ❑ Yes Z No ❑ Yes Z No Gallons: r 0-0 How Accessed: Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: El Other (see attached) PlYes ❑ No I -I es ❑ No '.� Did you identiy(�� any operational issues or unsafe condltions while assessing the sewage tanks in this system, i.e., /_—&—i tin Le ,« ., r,arfroc hr Lron �nvarc etr_ 7 ff sn. explain in commentsi166elow. Tank #1 ❑ Yes En No Tank #2 ❑ Yes No Pump Tank ❑ Yes E^o 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: ❑ Land Application: Z'Wastewater Treatment Plant W Disposal Site: Lime: Gallons 2'7 60 Plowed: ❑ Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 0 I .— ME:- 0,61 ON, w; mm, - — W-1-oo 01 1 Jim Eicher Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE 5- Z0, _-S' Maintenance Inspection Form MPCA Lic. #L4286 Maintainer 0 Jim 4rNick 0 Sam • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net INVOICE Pumping Fee: Name: p t�1. S -f-T 1 � ' Long Pull Fee: t Address: Other Repairs: City/State/Zip: Total Cost of SeR 71 Payment Method: El Check El Cash Y El Credit `o� Tank leaks above the Maintenance hole cover is damaged, cracked, unsecured, or appears to be k leaks below the Tank (check if ied operating depth designed operating depth structural) unsound �tic/holding Tank #1 Yes -- ❑ No t Z Sp 3—No— ❑ Yes C El Yes No El Septic/holding Tank #2 ❑ Yes d No El Yes C�No El Yes n No Gallons: � Lsro ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Pump Tank ❑ Yes V, No ❑ Yes Ei'No ❑ Yes _iJo Gallons: c Zgb How Accessed: PVaintenance Hole Scum/Sludge Measured Maintenance Hales Securely Replaced: Reason For Pumping: ❑ Other (see attached) I 121" es ❑ No 9-Y-e-ss ❑ No �� t Did you Identify any operational Issues or unsafe conditions while assessing the sewage tanks In this system, i.e., .-*'cracked tanks, missing baffles, broken-c-overs, etc.? If so, explainfn comments below. Tank #1 ❑ Yes No Tank #2 ❑ Yes No Pump Tank es ❑ 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 ❑ �en-domestic waste ❑ Ponding/Surfacing Effluent Filte�4screen ❑ Other: Cleaned? CirYes ❑ No Comments: �� + ` �� S P ✓ �JI -5=� I I �sL �w } J_ Disposal: ❑ Land Application: Er/Wastewater Treatment Plant LO 4' + %j '' Disposal Site: Lime: Gallons 2 -7 Plowed: ❑ Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 0 VAIV V__ '_ 90 D�VANE Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 1'1ATL' It_ ) t" - 7_ Maintenance Inspection Form MPCA Lic. #L4286 Maintainer 0 Jim Nick = Sam • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net INVOICE Pumnino Fee: d , , , , _ Name: Address: t'( -j C) ►;-w wt >r v . City/State/Zip: Payment Method: eck ❑ Ca Credit Maintenance hol over is damaged, Tank (check if present) Tank leaks below the Tank leaks a ve the th cracked, u ured, or appears to be designed operating depth designed operatin structural) unsound ❑'Septic/holding Tank #1 ❑ Yes No ❑ Yes D-tgo ❑ Yes D-<O Gallons:'7,5--^ 09'eptic/holding Tank #2 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: Pretreatment Tank ❑ Yes ET -No❑ Yes Jo ElYes Gallons: -f,� Gump Tank ❑ Yes Q No ❑ Yes El No El Yes B No Gallons: � -low Accessed: Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: El Other El (see attached) [1 No C Yes ❑ No I v,VLC '- Did you identify any operational issues or unsafe conditions while assessing the sewage tan�kss in this system, i.e., 11-., Apia-_ ;—t—, -. is aFr 7 rf Cn_-Ynlgin in rnmment�elow. Tank #1 ❑ Yes n No Tank #2 ❑ Yes n No Pump Tank ❑ Yes No System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity Mound ❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles 10 Baffles ❑ Pressure bed ❑ Non -domestic waste ❑ Non -domestic waste ❑ Electrical issues ❑ Non -domestic waste ❑ Trenches ❑ Ponding/Surfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑rYes ❑ No Comments: �o 1 w.�e r„ Disoosal: ❑ Land Application: QWastewater Treatment Plant a --- disposal Site: Lime: Gallons a Z 5',? Plowed: ❑ Yes ❑ No Time: Temperature: pH: > 12 ❑ rime: Temperature: pH: > 12 ❑ �""6 '�.-•.t �..•�- �.�-s� -�---� ,,.�-'�-•. �`'� sue.