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Ende Septic Service, LLC, MPCA Lic #L2654 <br />24910 Territorial Road • Rogers, MN 55374 <br />Phone: 7634284489 <br />email: infona,endeseptic.com <br />Maintenance Inspection Form <br />❑ TristanA(T Brandon ❑ Scott ❑ Dylan ❑ Seth <br />Maintenance ❑ Emergency ❑ Other �/, pi sg}location: El Land ap El Treatment plant <br />Date:—a --ci' <br />Invoice <br />Name: Ve, kkI javt C <br />Description: 39s`° IVETT IS <br />Address: a6SS A A, ✓ S <br />Total Cost of Service: 41 p <br />City/State/Zip: � <br />Payment Method: ❑ Check ❑ Cash ❑ Credit <br />Tank (check if present) <br />Tank leaks below the <br />Tank leaks above the <br />Maintenance hole cover is <br />❑ Structural integrity <br />designed operating <br />designed operating <br />damaged, 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 />❑ Yes No <br />❑ Yes KNo <br />❑ Yes No <br />I Gallons: Q <br />❑ Non-domestic waste <br />\ <br />d?Septic/holding Tank #2 <br />❑ Yes 41� No <br />❑ Yes )No <br />❑ Yes 1 "No <br />Gallons: <br />[]Yes ❑ No <br />❑ Pretreatment Tank <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Gallons: <br />Pump Tank <br />❑ Yes qt] No <br />❑ Yes 4NLNO <br />❑ Yes 1jNo <br />Gallons: <br />Did you measure the accumulation of scum and sludge? Yes ❑ No <br />Access point: bCover/maintenance hole; if so, were covers secured in place? ' yes ❑ No <br />Access point:-M-Tff9pMtion pipe; if through pipe, did homeowner sign off ? B -� <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.? /f so, explain in comments below. <br />Tank #1 ❑ Yes No <br />Tank #2 ❑ Yes 14No <br />Pump Tank ❑ Ye4kNo <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural integrity <br />Mi0ound <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 cleaned? <br />❑ Other: <br />[]Yes ❑ No <br />Comments: <br />