HomeMy WebLinkAbout05/05/2021 Septic Pumping ReportEnde Septic Service, LLC
24910 Territorial Road • Rogers, MN 55374 Maintenance Inspection Form
Phone: 763-428-4489 • e-mail: info(a,endeseptic.com
MPCA License #: L2654 Maintainer name: 0 Tristan ❑ Brandon ❑ Scott
Dvlan ❑ Keven
Date:,,
Invoice
Name:
Description:
Address:
Total Cost of Service:
City/State/Zip:` ,)item t-)
Payment Method: ❑ Check ❑ Cash ❑ Credit
Tank (check if present)
Tank leaks below the
Tank leaks above the
Maintenance hole cover is 4
❑ Structural integrity
designed operating
designed operating
damaged, cracked,
❑ Risers leaking
depth
depth
unsecured, or appears to be
❑ Baffles
❑ Baffles
❑ Baffles
structurally sound
.JB' Septic/holding Tank #1
❑ Yes t fNo
❑ Yes ❑-No
❑ Yes JDWo
Gallons:
❑ Non-domestic waste
❑ Ponding/surfacing
Septic/holding Tank #2
❑ Yes allo
❑ Yesal to
❑ Yes ' to
Gallons:
Cleaned? ❑ Yes ❑ No
❑ Pretreatment Tank
❑ Yes 0 No
0 Yes ❑ No
❑ Yes ❑ No
Gallons:
e.0 Pump Tank
0 Yes F No
❑ Yes [a No
❑ Yes 0—No
Gallons:�/ r
Did you measure the accumulation of scum and sludge? 0 Yes 0 No
If the maintenance hole was used, were covers secured in place? J;aYes ❑ 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 BNo
Tank #2 ❑ Yes i No
Pump Tank ❑ Yes i No
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
,!TMound
❑ 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 0 No Next Service: 0 1 yr 0 2 yr Q!3 yr