HomeMy WebLinkAbout06-07-22 Septic Inspection MaintenanceEnde Septic Service, LLC
24910 Territorial Road • Rogers, MN 55374 Maintenance inspection Form
Phone: 763-428-4489 • e-mail: yyy
MPCA License #: L2654 Maintainer name: ❑ Tristan til Brandon ❑ Scott
Maintenance ❑ Emergency /
❑ Other L ` ❑ Dylan ( ❑
Date: u
Invoice
Name: av1
Description:
Address: Q ' J
Tota) Cost of Service. 37,4�
City/State/Zip: a
Payment Method: ❑ Check ❑ Cash ❑ Credit
Tank (check if present)
Tank leaks below the
Tank leaks above the
Maintenance hole cover Is
designed operating
designed operating
damaged, cracked,
depth
depth
unsecured, or appears to be
structurally sound
Septic/holding Tank #1
❑Yes �INo
❑Yes kNo
❑Yes *,No
Gallons:
❑ Non-domestic waste
❑Ponding/surfacing
XaSeptic/holding Tank #2
11 Yes I No
❑Yes IWo
11 Yes '�No
llons:
Cleaned? ❑Yes ❑ No
❑ Pretreatment Tank
❑Yes ❑ No
❑Yes ❑ No
❑Yes ❑.No
Gallons:
tPump T
❑Yes �1.N0
❑Yes *No
❑Yes 4 No
allons:
Did you measure the accumulation of scum and sludge?
If the maintenance hole was used were covers secured in place?
P
es❑ No
es ❑ No
Did you idenHjy any operaiioxal issues or unsafe conditions while assessing the sewage tasks in this system, ie.,
cracked tanks, missing baffles, broken covers, etc.? If so,
explain in comments below.
Tank #1 ❑Yes No Tank #2 El Yes No Pump Tank ❑ Yesilg(No System
❑ Structural integrity ❑Structural integrity ❑Structural integrity Mound
❑ Risers leaking ❑Risers leaking ❑Risers leaking levated drainfield
❑ Baffles ❑Baffles ❑Baffles ❑Pressure bed
❑ Non-domestic waste ❑Nnn-domestic waste ❑Electri
Comments:
Is a mound cleaning recommended at this time: ❑Yes ik1lo Next Service: 0 1 yr 0 2 yr AQ
yr
cal issues
❑Trenches
❑ Non-domestic waste
❑Ponding/surfacing
❑Effluent Filter/screen
❑Other:
Cleaned? ❑Yes ❑ No
Comments:
Is a mound cleaning recommended at this time: ❑Yes ik1lo Next Service: 0 1 yr 0 2 yr AQ
yr