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Ende Septic Service, LLC <br />24910 Territorial Road - Rogers, MN 55374 <br />Phone: 763-428-4489 - e-mail: info(uendeseptic.com <br />MPCA License #: L2654 <br />' r <br />Maintenance Inspection Form <br />Maintainegrname: ❑ Tristan WLBrandon ❑ Scott <br />❑ Dylan ❑ Keven <br />Date: .-42 -4 <br />Invoice <br />Tank leaks abav� bite <br />Description: <br />LdI- NMI <br />Total Cost of Service'! <br />; <br />Payment Method: ❑ Check ❑ Cash ❑Credit <br />Tank (clieCk.if present) <br />Tank leaks below_ the <br />Tank leaks abav� bite <br />Maintenia;jri,i . <br />❑ Structural integrity <br />dea#gaed operating <br />designed .opei*ting <br />dama94`44ic1 ` <br />❑ Risers leaking <br />depth <br />depth <br />unsccured, ,gC �4 dli #i4 lt►c <br />❑ Baffles <br />❑ Baffles <br />❑ Baffles <br />structuiiiy <br />95-Septic/holding Tank 41 <br />❑ Yes 1KNo <br />❑ Yes 93,No <br />❑ Yes 6No <br />Gallons: ' `, <br />❑ Non-domestic waste <br />❑ Ponding/surfacing <br />OLLSeptic/holding Tank #2 <br />❑ Yes )&No <br />❑ Yes 9,No <br />❑ Yes i No <br />Gallons: <br />Cleaned? ❑ Yes ❑ No <br />❑ Pretreatment Tank <br />❑ Yes ❑ No <br />❑ Yes ET No <br />❑ Yes ❑ No <br />Gallons: <br />Pump Tank <br />❑ Yes ANo <br />❑ Yes JZLNo <br />❑ Yes *No <br />Gallons: 1 <br />Did you measure the accumulation of scum and sludge? AZYes ❑ No <br />If the maintenance hole was used, were covers secured in place? ..iR&es ❑ No <br />Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., <br />cracked tanks, missing baffles, broken covers, etc.? If so, explain in comments below. <br />Tank #1 ❑ Yes 2f� <br />Tank #2 ❑ Yes fel' 10 <br />Pump Tank ❑ Yes6No <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Mound <br />❑ Risers leaking <br />❑ Risers leaking <br />❑ Risers leaking <br />❑ Elevated drainfield <br />❑ Baffles <br />❑ Baffles <br />❑ Baffles <br />❑ Pressure bed <br />❑ Non-domestic waste <br />❑ Non-domestic waste <br />❑ Electrical issues <br />❑ Trenches <br />❑ Non-domestic waste <br />❑ Ponding/surfacing <br />❑ Effluent Filter/screen <br />❑ Other: <br />Cleaned? ❑ Yes ❑ No <br />Comments: <br />Is a mound cleaning recommended at this time: 0 Yes ❑ No Next Service: 0 1 yr ❑ 2 yr ,9:3 yr <br />