HomeMy WebLinkAbout04-30-2019 Septic Pumping ReportEnde Septic Service, LLC
24910 Territorial Road • Rogers, MN 55374
Phone: 763-428-4489 • e-mail: info(iuendesepticxom
MPCA License #: L2654
Maintenance Inspection Form
Maintainer name: ❑ Tristan�WBrandon ❑ Scott
❑ Dylan ❑ Keven
Date: L4 - 3b . ( 4z�
Invoice
Name: r (<AI M
Description:
Addr"5-
Total Cost of Service:
City/State/Zip: OY70 Mt•3
Payment Method: ❑ Check ❑ Cash ❑ Credit
Taialt (check if present)
Tank leaks below the
Tank leaks above the
Maintenance 41 .!i cover Is
❑ Structural integrity
designed operating
designed operating
daxnagedi cracked,
❑ Risers leaking
depth.
depth
unsecured, -or. *jppean to. be
❑ Baffles
❑ Baffles
❑ Baffles
structureW sound
Septic/holding Tank #1
❑ Yes `fpl No
❑ Yes V No
❑ Yes P No
Gallons: L coo
❑ Non-domestic waste
❑ Ponding/surfacing
.)9 Septic/holding Tank #2
❑ Yes '8 No
❑ Yes $2 No
❑ Yes flo No
Gallons:
Cleaned? ❑ Yes ❑ No
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
W Pump Tank
❑ Yes SyNo
❑ Yes )i� No
❑ Yes PINo
Gallons: I MD
Did you measure the accumulation of scum and sludge? ❑ Yes %0 No
If the maintenance hole was used, were covers secured in place? i4 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 X No
Tank #2 ❑ Yes 19 No
Pump Tank ❑ Yes 45 No
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
Mound
❑ 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/screen
❑ Other:
Cleaned? ❑ Yes ❑ No
Comments:
Is a mound cleaning recommended at this time: 0 Yes `® No Next Service: 0 1 yr 0 2 yr '0 3 yr