04-27-2021 Septic Maintenance Inspection

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Ende Septic Service, LLC 24910 'Territorial Road • Rogers, MN 55374 Phone: 763-4284489 • e-mail: MPCA License #: 1,2654 ❑ Maintenance Emergency ❑ Other Maintenance Inspection Form Maintainer name: ❑ Tristan ❑ Brandon ❑ Scott �DatInvoice Tank leaks below the 'rank leaks above the Name. VI �� r Y Description: Address: designed operating Total Cost of Service: City/State/Zip: depth Payment Method: ❑ Check 0 Cash ❑ Credit Tank (check if present) Tank leaks below the 'rank 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 ❑ Baffles structurally sound ❑ Septic/holding Tank #1 ❑ Yes o ❑ Yes No ❑ Yes No Gallons: ❑ Nan -domestic waste ❑ Ponding/surfacing ❑ Septic/holding Tank #2 ❑ Yes No Yes No El Yes No Gallons: 1 \ l ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: ❑ Pump Tank ❑ Yes 4NO ❑ Yes �o ❑ Yeso Gallons: Did you measure the accumulation of scum and sludge? 4� Yes ❑ No If the maintenance hole was used, were covers secured in place? [;F Yes ❑ No Did you identify any operational issues or «nsafe conditions while assessing the sewage tanks in this system, Le., cracked tanks, missing baffles, broken covers, etc.? rfso, crplaiu in comments below. Tank #1 ❑ Yes No Tank #2 ❑ Yes No Pump Tank ❑ Yes o 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 ❑ Nan -domestic waste ❑ Ponding/surfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Comments: Is a mound cleaning recommended at this time: ❑ Yes 0 No Next Service: El yr 0 2 yr 0 3 yr