Laserfiche WebLink
Ende Septic Service, LLC, MPCA Lic #L2654 Maintenance Inspection Form <br />24910 Territorial Road • Rogers, MN 55374 <br />Phone: 763-4284489 ❑ Tristan X Brandon ❑ Scott ❑ Zach ❑ Robert <br />email: info(ii,)endeseptic.com <br />i� Maintenance n Emergency Other Dis oral to ation: and a Tr tm t lant <br />g y q. r u i �� D�Mli f <br />Date: 4 —u <br />Invoice <br />Name:. p t �G f rs 0 <br />Description: <br />Address: <br />Total Cost of Service: <br />City/State/Zip: 19 f o rD <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 />11 Septic/hold' n Tank #1 <br />❑ Yes k No <br />❑ Yes No <br />)(Yes <br />4W� <br />Gallons: ODf7 <br />" <br />f _ C, Ct/e <br />ai Septic/holding Tank #2 <br />❑ Yes Lq" No <br />❑ Yes MLNo <br />❑ Yes Q. No <br />Gallons: <br />❑ Pretreatment Tank <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Gallons: <br />@Pump Tank <br />❑ Yes2 ❑ No <br />❑ Yes2 ❑ No <br />❑ Yes R No <br />Gallons: �O <br />y <br />Did you measure the accumulation of scum and sludge? AL Yes ❑ No <br />Access point: 'Cover/maintenance hole; if so, were covers secured in place? 4!� Yes ❑ No <br />Access pointr$Inspection pipe; if through pipe, did homeowner sign off? k+Yrs-- 3-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 )&No <br />Tank #2 ❑ Yes f(No <br />Pump Tank ❑ Yes ❑ No <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />kStructural integrity 2 <br />❑ Mound <br />❑ Risers leaking <br />❑ Risers leaking <br />❑ Risers leaking <br />tlLElevated 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: ir�S r. 5ocs a.�ir A `f 6,*_ C? s trkn h Meta 0.� <br />scc �t� ih tw.,kl ids ��s cc,dn�Sec� <br />X tIN� rlt�s�� <br />fi lso `�c Ct9vitpr ©� <br />- 1 sf ��r (s �, e • Z r� tic <br />or-9"k- G0Ve_P—. <br />