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Ende Septic Service, LLC, MPCA Lic #L2654 <br />24910 Territorial Road • Rogers, MN 55374 <br />Phone:763-428-4489 <br />email: infona,endeseptic.com <br />I? Maintenance ❑ Emergency ❑ Other <br />Maintenance Inspection Form <br />❑ Tristan 26 Brandon ❑ Scott ❑ Zach ❑ Robert <br />Disposal location: ❑ Land ap )9Treatment plant <br />Date: I I 1 l'� <br />/P 1,Ak- <br />Invoice <br />Name: W/ <br />1 1 k12 <br />Description: T- t/ <br />Address: <br />16100 <br />W F& y pn &a <br />Total Cost of Service: <br />City/State/Zip: <br />Payment Method: ❑ Check ❑ Cash ❑ Credit <br />I�nWE <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 IlMo <br />❑ Yes o <br />❑ Yes N::No <br />Gallons: Q <br />❑ Septic/holding Tank #2 <br />❑ Yes � <br />❑ Yes [�N0 <br />❑ Yes �LNo <br />Gallons: goo <br />❑ Pretreatment Tank <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Gallons: <br />❑ Pump Tank <br />❑ Yes 61�p <br />❑ Yes rZNo <br />❑ Yes o <br />Gallons: <br />l <br />N <br />Did you measure the accumulation of scum and sludge? V Yes ❑ No <br />Access point: Cover/maintenance hole; if so, were covers secured in place? N[�# es ❑ No <br />Ac.qess pomt: pection 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 `qPNo <br />Tank #2 ❑ Yes ODNo <br />Pump Tank ❑ Yes CbNo <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 />❑ Other: <br />❑ Yes ❑ No <br />Comments: <br />