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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(uendeseptic.com <br />MPCA License #: L2654 `/ ]Vlaintaine,�'name: ❑ Tristat� Brandon ❑Scott <br />LK/L-. ,/ ❑ Dylan ❑ Keven <br />Date: Invoice <br />i+7ame, Description: <br />#itcines r --i— Total Cost of Service. 3 d% <br />.. <br />ityfr�p.:'� Payment Method: ❑ Check ❑ Cash ❑ Credit <br />Twdlcclhecklflf pt�eenty <br />sink leaks below the . <br />S <br />kaiak iestllts alwiewhtepn <br />sole eovef le . <br />❑ Structural integrity <br />designed operating .r} <br />dealgned gper�ill�� <br />�; d41�►ge�l;`cr8cked, <br />❑ Risers leaking <br />depth <br />depthtd <br />-be <br />❑ Baffles <br />❑ Baffles <br />❑ Baffles <br />yrt�1Qal% SOUn{ <br />Septic/holding Tank #I <br />❑ Yes IS No <br />❑ Yes [�kNo <br />❑ Yes eRNo <br />Gallons: 15 <br />❑ Non-domestic waste <br />❑ Ponding/surfacing <br />RSeptic/holding Tank #2 <br />❑ Yes k No <br />❑ Yes 6�No <br />❑ Yes fNo <br />Gallons: <br />Cleaned? ❑ Yes ❑ No <br />❑ Pretreatment Tank <br />❑ Yes ❑ No <br />❑ Yes A&Ncr <br />❑ Yes ❑ No <br />Gallons: <br />W -Pump Tank <br />0 e kg -No <br />❑ Yes I 1 -,No <br />❑ Yes "0 <br />Gallons: lM <br />Did you measure the accumulation of scum and sludge? OHLYes ❑ 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, Le., <br />cracked tanks, missing baffles, broken covers, etc.? If so, explain in comments below. <br />Tank # 1 ❑ Yes A No <br />Tank #2 ❑ Yes XNo <br />Pump Tank ❑ Yes J� No <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural integrity <br />&1ound <br />❑ Risers leaking <br />❑ Risers leaking <br />❑ Risers leaking <br />❑ Elevated drainfield <br />❑ Baffles <br />❑ Baffles <br />❑ Baffles <br />❑ Pressure bed <br />❑ Non-domestic waste <br />❑ Non-domestic waste <br />❑ Electrical issues <br />❑ Trenches <br />❑ Non-domestic waste <br />❑ Ponding/surfacing <br />❑ Effluent Filter/screen <br />❑ Other: <br />Cleaned? ❑ Yes ❑ No <br />Comments: <br />Is a mound cleaning recommended at this time: 0 Yes MtNo Next Service: 0 1 yr ❑ 2 yr A<, yr <br />