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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: info t endeseptic.com <br />Maintenance ❑ Emergency ❑ Other <br />Maintenance Inspection Form <br />❑ Tristan P1 Brandon ❑ Scott ❑ Zach ❑ Robert <br />Disposal location: ❑ Land ap ?"Treatment plant <br />Date: — l — <br />Invoice <br />Name: <br />Description: 22 <br />Address: O f <br />Total Cost of Service: <br />City/State/Zip: <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 />*eptic/holdingTa <br />❑ Yes �o <br />❑ Yes Flo <br />❑ Yes 1?No <br />D#1 <br />Gallons: ll O <br />�Septic/bolding Tank #2 <br />❑ Yes ? No <br />❑ Yes �Iqo <br />❑ Yes W10 <br />Gallons: <br />❑ Pretreatment Tank <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Gallons: <br />Pump Tank <br />[]Yes �❑ No <br />to <br />❑ Yes q'' <br />❑ Yes L o <br />Gallons: <br />l <br />Did you measure the accumulation of scum and sludge? VYes ❑ No <br />Access point: over/maintenance hole; if so, were covers secured in place? Wes ❑ No <br />Access point: inspection pipe; if through pipe, did homeowner sign off ? ❑ YET ❑ 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 o <br />Tank #2 ❑ Yes o <br />Pump Tank ❑ YeWNo <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural integrity <br />-hound <br />❑ Risers leaking <br />❑ Risers leaking <br />❑ Risers leaking <br />tl 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 />