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HomeMy WebLinkAbout4700 Creekwood Trail - Septic Pumping Report - 2025Jim Eicher ��� L(%� � � 1�-� l � ���-� . Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE � `��1 � :� J Mainteru���� i���o�@��u©fry �©�� MPCA Lic. #L4286 Maintainer � Jim O Nick 0 Sam Phone: 763-497-2764 m Email: duaneseptic@centurylink.net INVOICE Pumping Fee: r �-- Name: � _ Long Pull Fee: � ��--- Address: L� 1 �v �, �� iC �c,c<x �� i `, ` Other Repairs: City/State/Zip: r ' l,, I 1 '� �'`� r; Total Cost of Service: ,r' / Payment Method: ❑Check ❑Cash ❑Credit �. Maintenance hole cover is damaged, Tank (check if present) Tank leaks below the Tank leaks above the cracked, unsecured, or appears to be designed operating depth designed operating depth structural) unsound Septic/holding Tank #1 � �� �❑ Gallons:;'t.'�.-,J ❑Yes ❑� No ❑Yes No ❑Yes L7 No � Septic/holding Tank #2 - � Gallons: ��;>�' � ❑Yes 0 No ❑Yes ' � No ❑Yes � No ❑ Pretreatment,Tank ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No Gallons: Pump Tank _ Gallons: u J ❑Yes .❑ No ❑Yes 0" No ❑Yes : � No ; . How Accessed:❑Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) ❑Yes �� �No "� �es ❑ 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 comments below. 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 � �'�� } ��� i � � I�. ❑ Non -domestic waste ❑Effluent Filter/screen ❑ ❑Other: Ponding/Surfacing Cleaned? ❑Yes ❑ No Comments: Disposal: ❑Land Application: ❑Wastewater Treatment Plant Disposal Site: Lime: Gallons Plowed: ❑Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 ❑ ��_