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Ende Septic Service, LLC, MPCA Lic #L2654 Maintenance Inspection Form <br />24910 Territorial Road • Rogers, MN 55374 <br />Phone: 763-428-4489 ❑ Tristan [Brandon ❑ Scott ❑ Zach ❑ Robert <br />email: infopendeseptic.com <br />Maintenance ❑ Emergency ❑ Other Disppsal location: [kL4ar dap El Treatment plant <br />Date: Z <br />Invoice <br />Name: <br />aS h 5 <br />Description:�7S10U <br />,oO <br />Address: 1�20/ <br />Total Cost of Service: <br />/❑ <br />City/State/Zip: Zda A Vhyl n <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 1�No <br />❑ Yes 'No <br />Gallons: IZ5_b Is <br />I <br />Septic/holding Tank #2 <br />❑ Yes Ea�No <br />❑ Yes 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 ANo <br />❑ Yes f l*o <br />❑ Yes J*No <br />Gallons: <br />Did you measure the accumulation of scum and sludge? Yes ❑ No <br />Access point: K_Cover/maintenance hole; if so, were cove s secured in place? grYes ❑ No <br />Access point-$iiispection pipe; if through pipe, did homeowner sign off <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 kNo <br />Tank #2 ❑ Yes 4�Q No <br />Pump Tank ❑ Yes No <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural integrity <br />4Mound <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 />