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Ende Septic Service, LLC <br />24910 Territorial Road - Rogers, MN 55374 <br />Phone: 763-428-4489 - e-mail: <br />MPGA License #: 1,2654 <br />❑ Maintenance C] Ememencv ❑ Other <br />Maintenance Inspection Form <br />Ivlaintainer name: 6 Tristan ❑ Brandon ❑ Scott <br />❑ Dvlan ❑ <br />Date: <br />Tank leaks below the <br />Tank leaks above the <br />Invoice <br />Name: <br />designed operating <br />Description: <br />Address: L� <br />Total Cost of Service: <br />City/State/Zip: W W qMtk <br />Payment Method: ❑ Check ❑ Cash ❑ Credit <br />`lank (check if present) <br />Tank leaks below the <br />Tank leaks above the <br />Maintenance hole cover fs <br />❑ Structural integrity <br />designed operating <br />designed operating <br />dannaged, cracked, <br />❑ Risers leaking <br />depth <br />depth <br />unsecured, or appears to be <br />❑ Baffles <br />❑ Baffles <br />❑ Baffles <br />structurally sound <br />❑ Septic/holding Tank #1 <br />❑ YesglNo <br />❑ Yes YNO <br />❑ Yes No <br />Gallons: <br />'�1t <br />❑ Non-domestic waste <br />❑ Ponding/surfacing <br />❑ Septic/holding Tank #2 <br />❑ Yes E� O <br />❑ Yes No <br />El PNo <br />Gallons; <br />l` <br />t <br />❑ Pretreatment Tank <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Gallons: <br />❑ Pump Tank <br />❑ Yes 91W <br />❑ Yes 0 No <br />❑ Yes No <br />Gallons: <br />Did you measure the accumulation of scum and sludge? <br />If the maintenance hole was used, were covers secured in place? <br />Yes ❑ No <br />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.? Ifso, evplain In comments helow. <br />Tank #1 ❑ Yes No <br />Tank #2 ❑ Yes No <br />Pmup Tank ❑ Yes No <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Mound <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 />❑ Elech7cal issues <br />❑ Trenches <br />❑ Non-domestic waste <br />❑ Ponding/surfacing <br />❑ Effluent Filter/screen <br />❑ Other: <br />Cleaned? ❑ Yes ❑ No <br />Continents: <br />Is a mound cleaning recornmended at this time: ❑ Yes 0 No Next Service: El yr ❑ 2 yr 0 3 yr <br />