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Ende Septic Service, LLC <br /> 24910 Territorial Road•Rogers, MN 55374 Maintenance Inspection Form <br /> Phone: 763-428-4489 •e-mail: info(;endeseptic.com <br /> MPCA License#: L2654 Maintainer name: ❑ Tristan El Brandon ❑ Scott <br /> }Dylan ❑ Kevin <br /> Date: t,4 {=;#tet ,- <br /> r?. ;20 Invoice <br /> Name: <br /> 040 4,4/1' Description: <br /> Address: i Total Cost of Service: <br /> City/State/Zip.: Caw) miff Payment Method: ❑ Check ❑ Cash ❑ Credit <br /> Tank(check if present): Tank leaks below the Tank leaks above the Maintenance hole cover is <br /> designed operating designed operating damaged,cracked, <br /> depth depth unsecured,or appears to be <br /> structurally sound <br /> ❑ Septic holding Tank#1 ❑ Yes allo ❑ Yes ,, No ❑ Yes (]'°No <br /> Gallons: ; <br /> Septic/holding Tank#2 ❑ Yes ,O-No ❑ Yes .®No ❑ Yes No <br /> No <br /> Gallons: f` <br /> ❑ Pretreatment Tank - El Yes El No ❑Yes ❑No ❑ Yes ❑ No <br /> Gallons: � <br /> EiPum Tank <br /> P ❑ Yes 0 No ❑ Yes No El Yes c®'No <br /> Gallons: <br /> Did you measure the accumulation of scum and sludge? . Yes ❑No <br /> If the maintenance hole was used, were covers secured in place? ;® Yes ❑ No <br /> Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., <br /> cracked tanks, missing baffles, broken covers, etc.? If so, explain in comments below. <br /> Tank#1 ❑ Yes No Tank#2 ❑ Yes ; -No Pump Tank 0 Yes "No System <br /> ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity Mound <br /> ❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield <br /> ❑Baffles ❑ Baffles ❑ Baffles ❑Pressure bed <br /> El Non-domestic waste ❑Non-domestic waste Cl ElectricaI issues ❑ Trenches <br /> ❑Non-domestic waste ❑ Ponding/surfacing <br /> ❑Effluent Filter/screen ❑ Other: <br /> Cleaned? ❑ Yes ❑No <br /> Comments: <br /> Is a mound cleaning recommended at this time: 0 Yes 0 No Next Service: 0 1 yr I:12 yrl 3 yr <br />