HomeMy WebLinkAbout09/22/2021 Septic InspectionEnde Septic Service, LLC
24910 Tentorial Road • Rogers, MN 55374
Phone: 7634284489 • e-mail: info(dendeseptic.com
MPCA License #: L2654
Maintenance Inspection Form
Maintainer name: ❑ Tristan,16OBrandon ❑ Scott
❑ Dvlan ❑ Keven
Date: 9 . o-), 1? - 02
Invoice
Name: �A�+ .A n
r
Description:
Address: 36 9 W w 1\
Total Cost of Service:
City/State/Zip:fDnC
Payment Method: ❑ Check ElCash El 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
�J Septic/holding Tank #1
❑ Yes �No
❑ Yes �VNo
❑ Yes PNo
Gallons:
❑ Non -d
❑ Ponding/surfacing
eptic/holding Tank #2
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallo
Cleaned? []Yes ❑ No
❑ Pretrea ent Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ElNo
Gallons:
❑ Pump Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Did you measure the accumulation of scum and sludge? ❑ Yes 51n No
If the maintenance hole was used, were covers secured in place? Yes ❑ 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 #I ❑ Yes )l No
Tahk#2 ❑ Yes ❑ No
np Tank ❑ Yes ❑ No
System
❑ Structural integrity
❑ Stru ral integrity
❑ St 'ural integrity
❑ Mound
❑ Risers leaking
❑ Risers 1 ing
❑ Risers\iss
❑ Elevated drainfield
❑ Baffles
❑ Baffles
❑ Baffles❑
Pressure bed
❑ Non-domestic waste
❑ Non-domesti aste
❑ ElectriPTrenches
❑ Non -d
❑ Ponding/surfacing
❑ Effluen
❑ Other:
Cleaned? []Yes ❑ No
Comments:I
�`(`�-in'�e11aT\Gc- E�wm��-9, No t SSltics t �n`ti .e
Is a mound cleaning recommended at this time: 0 Yes ❑ No Next Service: 0 1 yr ❑ 2 yr 0 3 yr