HomeMy WebLinkAbout10-05-2021 Septic Pumping Report5v;h"
Ende Septic ervice, LLC
24910 Territorial Road • Rogers, MN 55374
W6
Maintenance Inspection Form
Phone. 7634284489 • e-mail. info(ct)endeseptc.com
MPGA License #: L2654tainer name: El Tristan ) T Brandon ❑ Scott
z, _ r am ❑ Dylan ❑ Keven
Date:
Invoice
Name:
Description: ,37-`�'p' 4_ � i�
a
Address:
Total Cost of Service:r
City/State/Zip: 1100111e,
Payment Method: ❑ Check ❑ Cash ❑ Credit
Tank (check if present)
Tank leaks below the '
Tank leaks above the
Maintenance 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 No
❑ Yes No
❑ Yes Cho
allons: 1Z, 0 6S
❑ Non-domestic waste
❑ Ponding/surfacing
gSeptic/holding Tank #2
❑ Yes 1AN0
❑ Yes R�No
❑ Yes 4 N
allons:
Cleaned. ❑ Yes ❑ No
❑ Pretreatmen Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Pump Tan
❑ Yes A No
❑ Yes CK No
❑ Yes o LNo
Gallons:
Did you measure the accumulation of scum and sludge? 'es ❑ No
If the maintenance hole was used, were covers secured in place? 15\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 1� No
Tank #2 ❑ Yes o
Pump Tank ❑ Ye . 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
C Other:
Cleaned. ❑ Yes ❑ No
Comments:
Is a mound cleaning recommended at this time: ❑ Yes RNo Next Service: 0 1 yr 0 2 yA 3 yr