1125 Pine View Drive - Septic Pumping Report

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Ende Septic Service, LLC, MPCA Lic #L2654 24910 Territorial Road • Rogers, MN 55374 Phone: 763-428.4489 email: info(&endeseptic.com 'Maintenance ❑ Emergency ❑ Other Maintenance Inspection Form ❑ Tristan ❑ Brandon ❑ Scott ❑ Zach Robert Disposal location: 0�.e�dap ❑ Treatment plant `71n Y A/ n /VVl 0 Date: % Z Invoice Name: ol�Description: 7 � O - 1623 Address: o Total Cost of Service: 52- City/State/Zip: MdPayment Method: ❑ Check ❑ Cash ❑ Credit Tank (check if present) Tank leaks below the Tank leaks above the Maintenance hole cover is designed operating designed operating damaged, cracked, depth depth unsecured, or appears to be structurally sound Septic/holding Tank #1 ❑ Yes KNo ❑ Yes No ❑ Yes )X-No Gallons: 256 Septic/holding Tank #2 ❑ Yes Ji No ❑ Yes fJ No ❑ Yes ONo Gallons: lZ f Z) ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: �] Pump Tank ❑ Yes l(No ❑ Yes W No ❑ Yes 1jNNo Gallons: j7 D Did you meal re the accumulation of scum and sludge? ❑ Yes A No Access point: Cover/maintenance hole; if so, were covers secured in place? 2"Yes ❑ No Access point: ❑ Inspection pipe; if through pipe, did homeowner sign off ? ❑ Yes ❑ No Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., cracked tanks, missing baffles, broken covers, etc.? If so, explain in comments below. Tank #1 ❑ Yes No Tank #2 ❑ Yes -A No Pump Tank ❑ Yes-0 No System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity 01mound ❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed ❑ Non -domestic waste ❑ Non -domestic waste ❑ Electrical issues ❑ Trenches ❑ Non -domestic waste ❑ Ponding/surfacing ❑ Effluent filter cleaned? ❑ Other: ❑ Yes ❑ No Comments: