8-29-24 Septic Pumping Report - Laserfiche WebLink

Home Browse Search

Jim Eicher a� D a Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE Maintenance Inspection Form MPCA Lic. #L4286 Maintainer ❑ Jim +N ick • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net r-urnping t-ee: �2._ Name: ff L, Long Pull Fee: Address: Other Repairs: City/State/Zip: Total Cost of Servic Payment Method: L"Check ❑ Cash ❑ Credit vI% SSJS YC� L_s'v Tank (check if present) 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 'Septic/holding Tank #1 structural) unsound Gallons: ( &s-o ❑ Yes El --No ❑ Yes E3"'Go ❑ Yes ©� 0"S—eptic/holding Tank #2 Gallons: L®0 J ❑Yes Flo ❑ Yes Zr-N'o ❑ Yes 0<O ❑ Pretreatment Tank Gallons: —7— ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 2 Pump Tank ❑ - Gallons: to z) Yes ❑'No ❑ Yes n_ No ❑ Yes l7f"No How Accessed: Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) &' es ❑ No 9- es ❑ No i vo', A - Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., -cracked tanks. micsinn hafFlec h—Lan o _r, -� ia.-„ ,,. r..:.. Tank #1 ❑ Yes No Tank #2 ❑ Yes No 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: t 1 c�I°I P(A.VtiP 5'y3--t-P-vz.- yec rS Disposal: ❑ Land Application: 2 Wastewater Treatment Plant Disposal Site: Lime: Gallons 2 2o--) Plowed: []Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 ❑