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Ende Septic Service, LLC, MPCA Lic #L2654 <br />24910 Territorial Road • Rogers, MN 55374 <br />Phone: 763-4284489 <br />email: infopendeseptic.com <br />Maintenance ❑ Emergency ❑ Other <br />i_ w <br />Maintenance Inspection Form <br />❑ Tristan k Brandon ❑ Scott ❑ Zach ❑ Robert <br />Disposal location:4 L#no ap ❑ Treatment plant <br />k) A 0A1 Y1 <br />Date: � V 2 (i_ <br />Invoice <br />Name: L a /h/ <br />Description: <br />Address: r (, <br />Total Cost of Service: 757e C? <br />City/State/Zip: ro <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 />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 No <br />❑ Yes I No <br />❑ Yes E"o <br />Gallons: 1, 806tS <br />Septic/holding Tank #2 <br />❑ Yes 2,& <br />❑ Yes 6.(No <br />❑ Yes No <br />Gallons: <br />❑ Pretreatment Tank <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Gallons: <br />❑ Pump Tank <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Gallons: <br />Did you measure the accumulation of scum and sludge? 4 Yes ❑ No <br />Access point: Cover/maintenance hole; if so, were covers secured in place? Yes ❑ No <br />Access point: --Inspection pipe; if through pipe, did homeowner sign off ? ^—pro <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 4 No <br />Tank #2 ❑ Yes 4(No <br />Pump Tank ❑ Yes No <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural i grity <br />El Mound <br />❑ Risers leaking <br />❑ Risers leaking <br />❑ Risers lea ng <br />❑ Elevated drainfield <br />❑ Baffles <br />❑Baffles <br />❑Baffles <br />❑�y,Pressure bed <br />❑ Non -domestic waste <br />❑ Non -domestic waste <br />OE lec cal issues <br />lSL.TIenches <br />❑ N -domestic waste <br />❑ Ponding/surfacing <br />❑ Effluent filter cleaned? <br />❑ Other: <br />❑ Yes ❑ No <br />Comments: <br />