HomeMy WebLinkAbout04/18/2022 Septic Pumping ReportEnde Septic Service, LLC
24910 Territorial Road • Rogers, MN 55374
Phone: 763-428-4489 - e-mail: info(a_?endeseptic.com
MPCA License #: L2654
Maintenance Inspection Form
Maintainer name: ❑ Tristan ❑ Brandon ❑ Scott
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Date: vlldl�z2
Invoice
Name:hnz I(Q
Description:
Address: M19 RUG
Total Cost of Service:
City/State/Zip:
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
I? Septic/holding Tank #1
❑ Yes f61No
❑ Yes 41n No
❑ Yes -9 No
Gallons:A'000
❑ Non-domestic waste
❑ Ponding/surfacing
itSeptic/holding Tank #2
❑ Yes WN'o
❑ Yes J*No
❑ Yes jrNo
Gallons: anU
Cleaned? ❑ Yes ❑ No
Com, lletl
'RJ Pump Tank
❑ Yes if No
❑ Yes RfrNo
❑ Yes EkNo
Gallons: A roe
Did you measure the accumulation of scum and sludge? 19 Yes ❑ No
If the maintenance hole was used, were covers secured in place? M Yes ❑ No
Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, Le.,
cracked tanks, missing baffles, broken covers, etc.? If so, explain in comments below.
Tank #1 ❑ Yes ANo
Tank #2 ❑ Yes IF No
Pump Tank ❑ Yes JFNo
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
3WMound
❑ 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 .4W3 yr