HomeMy WebLinkAbout07-17-2020 Septic Pumping ReportEnde Septic Service, LLC
24910 Territorial Road Rogers, MN 55374
Phone: 763-428-4489 - e-mail: i1)fo0),cndeseptic.coni
MPCA License: #: L2654
Maintenance inspection Form
Maintainer name: ❑ Tristan ❑ Brandon ❑ Scott
_AR -D ylan ❑ Kevin
Date: 2/242
Invoice
Name: 6bn
Description:
Address: '' L , .,'
Total Cost of Service:
City/State/Zip: &'I ylic is/jN
Payment Method: ❑ Check ❑ Cash ❑ Credit
N
Tank (check if present)
'rank leaks below the
Tank leaks above the
Nlaintenance hole cover is
❑ Structural integrity
designed operating
designed operating
damaged, cracked,
❑ Risers leaking
depth
depth
unsecured, or appears to be
❑ Baffles
❑ Baffles
❑ Baffles
structurally sound
'Septic/holding Tank #1
❑ Yes r -No
❑ Yes -RI No
❑ Yes -a-No
Gallons: &&0
❑ Non-domestic waste
❑ Ponding/surfacing
Septic/holding Tank #2
❑ Yes ;; No
❑ Yes a --No
❑ Yes l+No
Gallons: voo
Cleaned? ❑ Yes ONO
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
)ePump Tank
❑ Yes Z No
❑ Yes <No
❑ Yes FJo
Gallons:
Did you measure the accumulation of scum and sludge? -2'Yes ❑ No
If the maintenance hole was used, were covers secured in place? PoYes ❑ No
Did you Weutify any operational issues or unsafe corulitious while assessing the sewage tanles in this systeuf, he:,
cracked tairks, missing baffles, broken covers, etc.? If so, explain in confluents below.
Tank #1 ❑ Yes RMo
Tank #2 ❑ Yes No
Pump Tank ❑ Yca4eNo
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
eMound
❑ 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 ONO
Comments: , '�<< 'kv)It; CCX't'r' rof. *-t y :6l6' )i4'e_ l=
Is a mound cleaning recommended at this time: 0 Yes 0 No Next Service: 0 1 yr 0 2 y; -En yr