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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'a.endescptic.com <br /> MPCA License#: L2654 Maintaiy r name: ❑ TristancBrandon ❑ Scott <br /> ��. . ❑ D lan ❑ Keven <br /> UP" <br /> Date: 9,--.2e —02/ Invoice <br /> Name: I""�1/2I1 /^c/ Description: <br /> / (i/Address: / s� d� /c/ Total Cost of Service: `�,�: � S.� Prez <br /> City/State/Zip: er)e Payment Method: El 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 0 Yes 'No ❑ Yes tE11.1Vo ❑ Yes 4,j1r No <br /> Gallons: <br /> ❑ Septic/holding Tank#2 ❑ Yes IZ'No 0 Yes ekNo ❑ Yes EIZ_No <br /> Gallons: <br /> ❑ Pretreatment Tank ❑Yes 0 No ❑ Yes ❑ No ❑ Yes 0 No <br /> Gallons: <br /> ❑ Pump Tank ❑ Yes No 0 Yes inVlo ❑ Yes .61.No <br /> Gallons: <br /> Did you measure the accumulation of scum and sludge? ikrYes ❑ No <br /> If the maintenance hole was used,were covers secured in place'? e 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 ❑Yelo Tank#2 ❑ Yes .No Pump Tank ❑ Yes'kNo 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 /> ❑ Non-domestic waste ❑ Non-domestic waste ❑ Electrical issues Cl Trenches <br /> ❑Non-domestic waste ❑ Ponding/surfacing <br /> ❑ Effluent Filter/screen ❑ Other: <br /> Cleaned? ❑ Yes ❑ No <br /> Comments: M?,ste,.red S/ //) Y-e-tA- /5* /A� IJ def x 44.cf <br /> ha Ah A cd IJ '04-'4.. <br /> a� f f c...c� 1 �!! /"zas •,a /dui ' <br /> Is a mound cleaning recommended at this time: 0 Yes £`No Next Service: Cl 1 yr 2 yr Cl 3 yr <br />