HomeMy WebLinkAbout09/20/2021 Septic PumpingEnde Septic Service, LLC
24910 Territorial Road • Rogers, MN 55374 Maintenance Inspection Form
Phone: 7634284489 • e-mail: info kendese tic.com
MPCA License #: L2654 c._ / Mai ntaip�i name: ❑ Tristan*Brandon ❑ Scott
t' ❑ DvlanKeven
Date: �� -r
Invoice
Name'
Description:
OR
Address: `
Total Cost of Service. r I :s -
designed operating
✓� ,
00.tat e/Zip:
Payment Method: .'&. Check ❑ Cash ❑ Credit
Tank{che�ckif present)
Tank leaks below the
Tank leaks above the
Maintenance hole cover is
❑ Structural integrity
designed operating
designed operating
damaged, crack,;
❑ Risers leaking
depth
depth
unsecured; or appears to be
❑ Baffles
❑ Baffles
❑ Baffles
structurallypnnd
*Septic/holding Tank #1
❑ Yes O_ No
❑ Yes 00
❑ Yes A%10
Gallons: f
❑ Non-domestic waste
❑ Ponding/surfacing
Septic/holding Tank #2
❑ Yes .kNo
❑ Yes AM
❑ Yes "No
Gallons:
Cleaned? ❑ Yes ❑ No
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
J%Pump Tank
❑ Yes A -No
❑ Yes OU -No
❑ Yes ),No
Gallons:
Did you measure the accumulation of scum and sludge? I Yes ❑ No
If the maintenance hole was used, were covers secured in place? ^'es ❑ 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 #] ❑ Yes AN
Tank #2 ❑Yes /C.LVO
Pump Tank ❑ Yes o
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
4kmound
❑ 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 -ONO Next Service: 0 1 yr 0 2 rAtyr