HomeMy WebLinkAbout09-20-2021 Septic Pumping Report Ende Septic Service, LLC
24910 Territorial Road•Rogers,MN 55374 Maintenance Inspection Form
Phone: 763-428-4489 •e-mail: info'a.endescptic.com
MPCA License#: L2654 Maintaiy r name: ❑ TristancBrandon ❑ Scott
��. . ❑ D lan ❑ Keven
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Date: 9,--.2e —02/ Invoice
Name: I""�1/2I1 /^c/ Description:
/ (i/Address: / s� d� /c/ Total Cost of Service: `�,�: � S.� Prez
City/State/Zip: er)e Payment Method: El Check ❑ Cash ❑ Credit
Tank(check if present) Tank leaks below the Tank leaks above the Maintenance hole cover is
designed operating designed operating damaged,cracked,
depth depth unsecured,or appears to be
structurally sound
❑ Septic/holding Tank#1 0 Yes 'No ❑ Yes tE11.1Vo ❑ Yes 4,j1r No
Gallons:
❑ Septic/holding Tank#2 ❑ Yes IZ'No 0 Yes ekNo ❑ Yes EIZ_No
Gallons:
❑ Pretreatment Tank ❑Yes 0 No ❑ Yes ❑ No ❑ Yes 0 No
Gallons:
❑ Pump Tank ❑ Yes No 0 Yes inVlo ❑ Yes .61.No
Gallons:
Did you measure the accumulation of scum and sludge? ikrYes ❑ No
If the maintenance hole was used,were covers secured in place'? e 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 ❑Yelo Tank#2 ❑ Yes .No Pump Tank ❑ Yes'kNo 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 Cl Trenches
❑Non-domestic waste ❑ Ponding/surfacing
❑ Effluent Filter/screen ❑ Other:
Cleaned? ❑ Yes ❑ No
Comments: M?,ste,.red S/ //) Y-e-tA- /5* /A� IJ def x 44.cf
ha Ah A cd IJ '04-'4..
a� f f c...c� 1 �!! /"zas •,a /dui '
Is a mound cleaning recommended at this time: 0 Yes £`No Next Service: Cl 1 yr 2 yr Cl 3 yr