HomeMy WebLinkAbout09/23/2021 Septic PumpingEnde Septic Service, LLC
24910 Territorial Road • Rogers, MN 55374
Phone: 7634284489 • e-mail: info(eiendeseptic.com
MPCA License #: L2654
Maintenance Inspection Form
Maintainer name: ❑ Tristan ❑ Brandon ❑ Scott
A!PD lan ❑ Keven
Date: 3'2,
Invoice
Name:
Description:
Address:
Total Cost of Service:
City/State/Zip: iPaymentMethod:
❑ 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.
PWSeptic/holding Tank #1
❑ Yes -@?No
❑ Yes Mo
❑ Yes �Mo
Gallons: l
❑ Non-domestic waste
❑ Ponding/surfacing
,Wteptic/holding Tank #2
❑ Yes ;►No
❑ Yes —VNo
❑ Yes -PIo
Gallons:v
Cleaned? ❑ Yes ❑ No
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
``Pump Tank
❑ Yes tg'No
❑ Yes .0 -No
O Yes bio
Gallons: -!UIJ
Did you measure the accumulation of scum and sludge? W -Yes ❑ No
If the maintenance hole was used, were covers secured in place? oElYes ❑ 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 .@Mo
Tank #2 ❑ Ye&AVNo
Pump Tank ❑ YG&-O-W
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
41FMound
❑ Risers leaking
❑ Risers leaking
❑ Risers Ieaking
❑ 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 -lb yr