HomeMy WebLinkAbout06-23-2020 Septic Pumping ReportEnde Septic Service, LLC
24910 Territorial Road - Rogers, MN 55374
Phone: 763-4284489 - e-mail: info(icendeseptic.coin
MPCA License #: L2654
Maintenance Inspection Form
Maintainer name: ❑ Tristan biPBrandon ❑ Scott
❑ Dylan ❑ Keven
Date: (O • CO) 3-
a
Invoice
Nom;
n
Description:
Address;
damaged, cracked,
❑ Risers leaking
Total Cost of Service:
City/SW /Zip;
j lty
Payment Method: ❑ Check ❑ Cash ❑ Credit
Tank (check K present),
Tank leaks below the.
Tank leaks above the
Maintenance.hoie cover is
❑ Structural integrity
designed operating
designed operating
damaged, cracked,
❑ Risers leaking
depth
depth
unsecared, or appeirp.to be
❑ Baffles
❑ Baffles
❑ Baffles
stracturow sound
Septic/holding Tank #1
❑ Yes XNo
❑ Yes 1�bNo
❑ Yes ?No
Gallons:
❑ Non-domestic waste
❑ Ponding/surfacing
RSeptic/holding Tank #2
❑ Yes )<No
❑ YesbN0
ID Yes �eNo
Gallons:
Cleaned? Poyes ❑ No
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
'SZ Pump Tank
❑ Yes JNo
❑ Yes I kNo
❑ Yes ;5,No
Gallons:
Did you measure the accumulation of scum and sludge? ❑ Yes F�,No
If the maintenance hole was used, were covers secured in place? pYes ❑ 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 1Si;DNo
Pump Tank RYes ❑ No -
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrityMound
❑ 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? Poyes ❑ No
Comments:
Is a mound cleaning recommended at this time: 0 Yes �No Next Service: ❑ 1 yr ❑ 2 yr "3 yr