05/11/2022 Septic Maintenance Inspection

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Ende Septic Service, LLC 24910 Territorial Road • Rogers, MN 55374 Plione: 763-428-4489 t.e-mail: info(ti;cndeseptic.com MPCA .License #: L2654 Maintenance Inspection Form Maintainer name: ❑ Tristan Ef Brandon ❑ Scott ❑ Dvlan ❑ Keven 'Panic (Check if present) Invoice Name: .I / Description: Address: Total Cost of Service: City/State/Zip: Payment Method: ❑ Check ❑ Cash ❑ Credit 'Panic (Check if present) Tank leaks below the Tank leaks above the Maintenance hole cover is ❑ Structural integrity designed operating designed operating damaged, cracked, ❑ Risers leaking depth depth unsecured, or appears to be ❑ Baffles - ❑ Baffles structurally sound ® Septic/holding Tank #1 ❑ Yes ❑ No ❑ )"es ❑ No ❑ Yes ❑ No Gallons: ❑ Non-domestic waste ❑ Ponding/surfacing ❑ Septic/holding Tank #2 ❑ Yes ❑ No ❑ Yrs ❑ No ❑ Yes ❑ No Gallons: : Cleaned? ❑ Yes ❑ No ❑ Pretreatment Tank ❑ Yrs ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: O Pump Tank ❑ 1'e ❑ No ❑ Yrs ❑ No ❑ Yes ❑ No Gallons: Did you measure the accumulation of scum and sludge? ❑ Yes ❑ No if the maintenance hole was used, were covers secured in place? ❑ Yes ❑ No Diel you identify any operational issues or unsafe coalitions iehile assessing the sen+age tanks in this system, i.e., cracked tanks, missing baffles, broken corers, etc.? If so, explain in comments below. Tank #1 ❑ Yes ❑ No Tank #2 ❑ Yes ❑ No Pump Tank ❑ Yes ❑ No System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ❑ Mound ❑ 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: Is a mound cleaning recommended at this time: 0 Yes ❑ No Next Service: 0 1 yr ❑ 2 yr ❑ 3 yr