Laserfiche WebLink
Ende Septic Service, LLC, MPCA Lic #L2654 <br />24910 Territorial Road • Rogers, MN 55374 <br />Phone: 763-428-4489 <br />email: info(w)endeseptic,com <br />'Maintenance ❑ Emergency ❑ Other <br />Maintenance Inspection Form <br />❑ TristanV Brandon ❑ Scott ❑ Kurt ❑ Robert <br />Disposal location;,9 Land ap ❑ Treatment plant <br />Date: <br />?-,-;)3 <br />Invoice <br />Name: <br />C Ueffta +- <br />Description: <br />Address: <br />-7 5 s, <br />A'- le lbTotal <br />Cost of Service: <br />City/State/Zip: <br />LROA `A O (pna <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 />peptic/holding Tank #1 <br />❑ Yes �tNo <br />❑ Yes V No <br />❑ Yes RNo <br />Gallons: <br />❑ Non-domestic waste <br />❑ Ponding/surfacing <br />lij Septic/holding Tank #2 <br />❑ Yes CWNo <br />❑ Yes 60PNO <br />❑ Yes la No <br />Gallons: <br />❑ Yes ❑ No <br />tme c❑ <br />Noac_D <br />No <br />�� <br />❑ Yes ❑ No <br />Gail s: <br />tg-Pump Tank <br />❑ Yes EWNo <br />❑ Yes V'o <br />❑ Yes RINo <br />Gallons: <br />Did you measure the accumulation of scum and sludge? ❑ Yes 8 No <br />Access point: WCover/maintenance hole; if so, were covers secured in place? B Yes ❑ No <br />Access point: ❑ Inspection pipe; if through pipe, did homeowner sign off ? ❑ 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 ❑ Yes )A No <br />Tank #2 ❑ Yes 5ONo <br />Pump Tank ❑ Yes IR No <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural integrity <br />)f 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 />❑ Electrical issues <br />❑ Trenches <br />❑ Non-domestic waste <br />❑ Ponding/surfacing <br />❑ Effluent filter cleaned? <br />❑ Other: <br />❑ Yes ❑ No <br />Comments: <br />