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Ende Septic Service, LLC, MPCA Lic #L2654 <br />24910 Territorial Road • Rogers, MN 55374 Maintenance Inspection Form <br />Phone: 763-428-4489 ❑ Tristan Brandon ❑ Scott ❑ Zach ❑ Robert ❑ Alyssa <br />email: info a,endeseptic.com <br />IM <br />aintenance Emergency ElOther Disposal location: a , a El Treatment plant <br />f No r)( <br />Date: ,,_2 <br />Name: i"'CA �J <br />Address: <br />City/State/Zip: , )1nil <br />Tank (check if present) Tank leaks below the <br />designed operating <br />depth <br />• Septic/holding Tank #1 ❑ Yes lot No <br />Gallons: <br />Septic/holding Tank #2 ❑ Yes 47 No <br />1 Gallons: <br />❑ Pretreatment Tank ❑ Yes ❑ No <br />Gallons: <br />Pump Tank ❑ Yes ALNo <br />Gallons: <br />Payment <br />❑ Check <br />❑ Credit ca - Venmo <br />❑ Cash <br />Tank leaks above the <br />Maintenance hole cover is <br />designed operating <br />damaged, cracked, <br />depth <br />unsecured, or appears to be <br />structurally sound <br />❑ Yes Al No <br />❑ Yes AV No <br />❑ Yes II No <br />------------ <br />❑ Yes No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes I No <br />❑ Yes A. NO <br />Did you measu�Cover/majntenance <br />he accumulation of scum and sludge? QdYes ElNo <br />Access point: hole. If so, were covers secured in place? Yes ❑ No <br />Access point: -inspection pipe. If so, through pipe, did homeowner sign off ? <br />Didyou identify any operational issues of 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 k No I Tank #2 ❑ Yes O(No I I <br />❑ Structural integrity ❑ Structural integrity [ <br />❑ Risers leaking ❑ Risers leaking <br />❑ Baffles ❑ Baffles <br />❑ Non -domestic waste ❑ Non -domestic waste I <br />Comments: <br />ump Tank ❑ Yes kNo <br />System <br />I Structural integrity <br />Mound <br />1 Risers leaking <br />Elevated drainfield <br />l Baffles <br />❑ Pressure bed <br />l Electrical issues <br />❑ Trenches <br />1 Non -domestic waste <br />❑ Ponding/surfacing <br />YEffluent filter cleaned? <br />❑ Other: <br />Yes ❑ No <br />