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Home My WebLink About2165 Watertown Road - Septic Pumping ReportSeptic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE 6 )¢ Maintenance Inspection Form MPCA Lic. #L4286 Maintainer Jim 0 Nick 0 Sam • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net 11111//11 f+c Pumping Fee: j"_ lT Name: � IIAV VI%. V_ Long Pull Fee: Other Repairs: Address: ,-- City/State/Zip: Total Cost of Sere Payment Method: ❑ Check ❑ Cash ❑ Credit Tank (check if present) Tank leaks below the designed operating depth Tank leaks above the designed operating depth Maintenance hole cover is damaged, unsecured, or appears to be cracked, structural) unsound el"Septic/holding Tank #1 Gallons: ❑ Yes 4'No ❑ Yes ❑ No ❑ Yes r No eptic/holding Tank #2 Gallons: ❑ Yes ❑ Yes_ ❑ Yes CN0 ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ Now mp Tank Gallons: ❑ Yes ❑ Yes E31 o ❑ Yes e No How Adcessed: Maintenance Hole Scum/Sludge M_easu/red _ Maintenance Holes Securely Replaced: Reason For umping: ❑ Other (see attached) ❑ Yes "❑ No l�-` ss"� El No 1-1 Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, I.e., crackg-d tanks, missing baffles, broken cetc.? If so, explain in comments beloQjac_.-- Tank #1 ❑ Yes o 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 L14 (e,Ta_VK Disposal Site: Lime: Gallons . Plowed: ❑ Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 0 ❑ Wastewater Treatment Plant Disposal: [I Land Application: Plowed: El Yes ❑ No Lime: Gallons > 12 ❑ pH: Temperature: > 12 ❑ Temperature: PH: Jim Eicher 1, D ° Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE Pumping Fee: _ong Pull Fee: Other Repairs Total Cost of Tank (check if present) Septic/holding Tank #1 Gallons: j b.5�' cantle/holdina Tank #2 I Tank leaks below the designed operating depth ❑ Yes No ❑ Yes ❑ o Maintenance Inspection Form MPA Lic. #L4286 Maintainer zim" 0 Nick Sam • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net slame: 0"r- %ddress: f zou t C;VV,C r ,,ity/State/Zip: �fJ 6�t Payment Method: ❑ Check Tank leaks above the designed operating depth El Yes �° ❑ Yes P-N-o NVOICE t& ❑ CaCa hs Cl Credit Maintenance hole cover is damaged, cracked, unsecured, or appears to be �triinturaliv unsound ❑ Yes ❑ Yes Gallons: i y) U ❑ Yes ❑ No ❑ Yes ❑ Pretreatment Tank ❑ Yes ❑ No Gallons: PAPP'Ump Tank J ❑ Yes o ❑ Yes o El Yes cl No ❑ No Gallons. ix- J nr!: intenance Hole Scum/Sludge Measured Maintenance Holes Secur❑ No placed: �Fo� Pumping: her (see attached) ❑ Yes CXF10 es in this Did you identify any operational issue bs or unsafe affles, broken n�'t'ers, etc ons if if so assessing incommwage entssbelow. system, i.e., rac o System No Tank #2 ❑ Yes o Pump Tank ❑ Yes ound Tank #1 Lies ❑Structural integrity ❑Structural mtegnty ❑Elevated drainfield ❑ Structural integrity ❑ Risers leaking ❑Risers leaking ❑ Pressure bed ❑ Risers leaking ❑ Baffles ❑Baffles ❑Non -domestic waste ❑ Baffles ❑ Electrical issues ❑Trenches El Ponding/Surfacing ❑ Non -domestic waste ❑ Non -domestic waste ❑Other: ❑ Effluent Filter/screen Cleaned? ❑ Yes ❑ No Disposal Site: Time: ------ Time: __ DV�NE�� Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE ( T L (e - Z S Maintenance Inspection Form MPCA Lic. #L4286 Maintainer = Jim Nick 7=Yl Sam • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net Pumping Fee: l , _ _ Name: uv r vws_ Long Pull Fee: Other Repairs: r L:� t Address: t PL I�V- City/State/Zip: Total Cost of S Payment Method: ❑ Check ❑ Cash ❑ Credit Tank (check if presen Tank leaks below the designed operating depth Tank leaks above the designed operating depth Maintenance hole cover is damaged, cracked, unsecured, or appears to be structural) unsound Septic/holding Tank #1 Gallons: tS� ❑ Yes ❑� El Yes Yes lf" ❑ Yes ._ Septic/holding Tank #2 Gallons: 1 -&!r ❑ Yes No ❑ Yes ElYes 4] N ❑ Pretreatment Tank Gallons: El Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Pump Tank Gallons: 2117 ❑ Yes ;�N o ❑ Yes No ❑ Yes .0 No How Accessed: Maintenance Hole Scum/S/ludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) Z es ❑ No es ❑ No a� Did you Identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., hacked tanks, missing baffles, broken, covers, etc.? If so, explain in comments below. Tank #1 ❑ Yes 13Ao Tank #2 ❑ Yes 17 No Pump Tank ❑ Yes 21N o System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity PT 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: 13" astewater Treatment Plant t. A. G' 0 Disposal Site: Lime: Gallons Z42o® Plowed: ❑ Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 ❑ Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE (=Z-7- zS' Maintenance Inspection Form MPCA Lic. #L4286 Maintainer 0 Jim Nick Sam • Phone: 763-497-2764 • Email: duaneseptic@ centurylink.net Pumpin "--• J- - _ Long P Other F _ Name: lilt V Vlv. r_ Address: 12 coo City/State/Zip: Y\&o t.w.� C� Total C#-� Payment Method: heck ❑ Cash ❑ Credit Q_ Coo Tank leaks above the designed operating depth Maintenance hole cover is damaged, cracked, unsecured, or appears to be structurally unsound ank leaks below the Tank (check if presen designed operating depth ❑ Septic/holding Tank #1 Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Septic/holding Tank #2 Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Pump Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No How Accessed: ❑ Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) ❑ Yes ❑ No ❑ Yes ❑ No ��ct� /Vo t t.vayi'G ,� y «cn—y- any operaaonat issues or un.sare conamons wniie assessing the sewage tanks in this system, i.e., Q cracked tanks, missina baffles. brnkpn rnvprs_ ptr 2 Tf cn_ pYniain in rnmmonte hoI nAl Tank #1 ❑ Yes ❑ No Tank #2 ❑ Yes ❑ No Pump Tank ❑ Yes ❑ No 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: rA �r m� Lsi,4e_r Ao, q c.e-e- sS u.►^, .� t,a �- i � t-.J i,ti�n l�,fci(.�r �- u. rJt,, Disposal: ❑ Land Application: PKNastewater Treatment Plant L/";,W4PW'k Disposal Site: Lime: Gallons 7" Plowed: ❑ Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 0 Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE (' - 2 -7 - Z., Maintenance Inspection Form MPCA Lic. #L4286 Maintainer 0 Jim Click = Sam • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net Pumping Fee: ' Name: uvvv�t.t Long Pull Fee: Address: Z t G 5- Other Repairs: City/State/Zip: Total Cost of SeR Payment Method: Check ❑ Cash ❑ Credit Q i 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 structural) unsound L�'S`eptic/holding Tank #1 Gallons: 9--o ID Yes B"No �^ El Yes ❑ No ❑ Yes ,0-Tro— E?Ieptic/holding Tank #2 ❑Yes Cn'No 6--No Gallons: L o-o-9 ❑ Yes ❑ Yes Eii_ o ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Pump Tank Gallons: �q pa ^ � ❑Yes of El Yes No El Yes _ �- �' No How Accessed: aintenance Hole Scum/sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ElOther (see attached) Yes ElNo C1-'es ❑ No Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., wracked tanks, missino baffles. hrnken rnLarc atr 7 Tf cm Avnlaln in .., t' I—]—, Tank #1 ❑ Yes o Tank #2 ❑ Yes ZNo Pump Tank ❑ Yes EfrNo System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity EIMound ❑ 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 k,,,� Disposal Site: Lime: Gallons Z 2,O Plowed: ❑ Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 ❑ • o, Q. i• • M • .�