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Ende Septic Service, LLC, MPCA Lic #L2654 <br />24910 Territorial Road • Rogers, MN 55374 <br />❑ Tristan dfBrandon ❑ Scott ❑ Zach ❑ Robert ❑ Alyssa <br />Phone: 763-428.4489 <br />email: infoAvendeseptic.com <br />Maintenance Inspection Form <br />maintenance ❑ Emergency* Other �rf/!� D' p s 1 I c on: El Land ap t Treatment plant 1 <br />_ (1-1 <br />4 rS <br />IV <br />Date: S <br />Payment Method <br />Name�1L G .10 <br />❑ Check <br />Address: V k S _ <br />❑ Credit card - Venmo <br />City/State/Zip: u 14 <br />❑ Cash <br />Tank (check if present) <br />Tank leaks below the <br />Tank leaks above the <br />Maintenance hole cover is <br />designed operating <br />designed operating <br />damaged, cracked, <br />depth <br />depth <br />unsecured, or appears to be <br />structurally sound <br />*'Septic/holding Tank #1 <br />❑ Yes f f No <br />❑ Yes rNo <br />❑ Yes �] No <br />Gallons: Z S-o is <br />Septic/holding Tank #2 <br />❑ Yes I,No <br />❑ Yes <No <br />❑ Yes �I No <br />Gallons: <br />Pretreatment Tank <br />❑ Yes IrNo <br />❑ Yes �No <br />❑ Yes No <br />Gallons: <br />kPump Tank <br />❑ Yes "o <br />❑ Yes ANo <br />❑ Yes �No <br />Gallons: <br />Did you measure the accumulation of scum and sludge? 4 Yes ❑ No <br />Access point: Oq Cover/maintenance hole. If so, were covers secured in place? A' Yes ❑ No <br />Access point: t3'lirtspection pipe. If so, through pipe, did homeowner sign off ?-B-sfes$Ido <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 V No <br />Tank #2 ❑ Yes XNo <br />Pump Tank ❑ YesA 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 />❑ Electrical issues <br />❑ Trenches <br />❑ Non -domestic waste <br />❑ Ponding/surfacing <br />❑ Effluent filter cleaned? <br />geOther- <br />0 Yes ❑ No <br />Comments: <br />