Septic Tank Maintenance Reporting Form

Reporting Information

Date of maintenance: 4th October, 2020 Reason for maintenance: Annual inspection and cleaning
Property address: F-18, MAURIPUR ROAD, SITE AREA City: Karachi Province: Sindh

Site Name: Recket benchiser

1. Access used to remove septage: Maintenance hole

2. If maintenance hole was used, were all covers securely replaced? Yes No please explain

Explanation:      

4. Characteristics of Tanks (Gallons/Kgs of septage removed, sludge thickness, scum thickness,)

Tank #1: F-18 Tank #2: F-14 Screening Pit: Pump Tank: N/A
Kgs removed 21500 10100 400 Kg      
Scum thickness 0.8 ft 0.4 ft 2 ft      
Sludge thickness 3 ft 2 ft 2 ft      
Tank Depth 9 ft 4 ft 5 ft      

5. Is there any sensory (smell and/or sight) evidence of non-domestic wastes?

Yes No Please explain:      

Disposal site: Wastewater treatment plant Land application Other (please explain below)
Explanation: Above mentioned material has been incinerated and their ash was disposed at Govt. approved site.
List any troubleshooting, minor repairs conducted, tank safety* concerns or other concerns:
Not Required

6. Certification: I hereby certify as a EPA approved vendor for waste management that I personally conducted the work and
made the observations, or directly supervised others in the performance of this job.
Maintainer’s name and address: Naveed Aftab (Gabrial Leather) – Sector D-681, Bhattai Colony, Korangi crossing, Karachi
Maintainer’s license #: EPA/ROK/GF-313/671/17 Maintainer’s phone: 0332-2838605

Maintainer’s signature: Date: 19-Oct-2020