HomeMy WebLinkAbout07/07/2021 Septic PumpingEnde Septic Service, LLC
24910 Territorial Road • Rogers, MN 55374
Phone: 763428 1489 • e-mail: infoCcimdeseptic.com
MPCA License #: L2654
Maintenance Inspection Form
Maintainer name: ❑ Tristan4flrandon ❑ Scott
❑ Dvlan ❑ Keven
Date: .-
Invoice
A. J of.
Description:
Address. ., 'Cl
Total Cost of Service: f
City/�ta#e/ipt .:
Payment Method: ❑ Check ❑ Cash ❑ Credit
Tank {check if present)
Tank'kaks below the
Tank leeks above the
Malnte"Ia kiti,�.c : i$`
❑ Structural integrity
designed operating
designed operating
damagit;-.''ed.'.:
❑ Risers leaking
depth-'
depth
unset`ed„+RKp!so bye
co
❑ Baffles
❑ Baffles
❑ Baffles
strHCtili'llljrs(11#i�d
,%.Septic/holding Tank #1
❑ Yes 01 No
❑ Yes K No
❑ Yes M(No
Gallons: 1500
❑ Non-domestic waste
❑ Ponding/surfacing
)9.$eptic/holding Tank #2
❑ Yes K No
❑ Yes A No
❑ Yes AjVo
Gallons:
Cleaned? [)Yes ❑ No
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Pump Tank
❑ Yes UgNo
❑ Yes M No
❑ Yes 1ENo
Gallons:
Did you measure the accumulation of scum and sludge? )Yes ❑ No
If the maintenance hole was used, were covers secured in place? -JLYes ❑ 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 A�10
Tank #2 ❑ Yes^No
Pump Tank ❑ YesA1No
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
WC -Mound
❑ 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: ❑ Yes ❑ No Next Service: 0 1 yr 0 2 yr k3 yr