HomeMy WebLinkAbout06/09/2022 Septic Maintenance ReportEnde Septic Service, LLC
24910 Territorial Road • Rogers, MN 55374 Maintenance Inspection Form
Phone: 763-4284489 • e-mail:
tMPPCA License #: L2654 M/ai�ntai ner rtame: ❑ Tristm4 Brandon El Scott
�tl Maintenance ❑ Emeraencv ❑ Other U/ �l (./ ❑ Dylan ❑
Date: —
Invoice
Name: a ��
Description:
Address: SLgL9 AsAZ&&
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
Jp Septic/holding Tank #1
❑ Yes KNo
❑ Yes I No
❑ Yes No
Gallons:
❑ Non-domestic waste
❑ Ponding/surfacing
A rSeptic/holding Tank #2
❑ Yes 11 l No
❑ Yes ( No
❑ Yes Xl No
Gallons: S�
Cleaned? ❑ Yes ❑ No
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
{6' ump Tank
❑ Yes ^No
❑ Yes ONo
❑ Yes 'No
Gallons: I Z. Q0
Did you measure the accumulation of scum and sludge?
If the maintenance hole was used, were covers secured in place?
Yes ❑ No
Yes ❑ No
Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, ie.,
cracked tanks-, missing baffles, broken covers, etc.? /f so, explain in comments below.
Tank #1 ❑ Yes kNo
Tank #2 ❑ Yes ANo
Pump Tank ❑ Yes o
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
Mound
❑ 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 UIo Next Service: 0 1 yr ❑ 2 y43.43 yr
Ende Septic Service, LLC
24910 Territorial Road • Rogers, MN 55374
Phone: 763112813489 • e-mail:
MPCA License #: L2654
a.I Maintenance ❑ Emcmencv ❑ Other
Maintenance Inspection Form
C� Ma' tatainer name: 11 Tristan kBrandon ❑ Scott
/ / ❑ Dvlan ❑
Date: r ^ Z
Invoice
Tank leaks above the
Name:LAS*-
Description:3']� pO —t-
tspot
Address:o?,319 c W16Lr v
Total Cost of Service:
�a
City/State/Zip: e,2m 14LPayment
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
Sepdc/holding Tank #1
❑ Yes 4No
❑ Yes A�ZNo
❑ Yes 4No
allons:
❑ Non-domestic waste
❑ Ponding/surfacing
XSeptic/holding Tank #2
❑ Yes KNo
❑ Yes _ No
❑ Yes _9No
Gallons:
Cleaned? [:]Yes ❑ No
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
tPump Tank
11 Yes 2 N
11 Yes �10
El Yes AI'No
ns:
Did you measure the accumulation of scum and sludge?
If the maintenance hole was used, were covers secured in place?
`q Yes ❑ No
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.? ]fso, ewplain in comments below.
Tank #1 ❑ Yes cg"'o
Tank #2 ❑ YesAMo
Pump Tank ❑ Yes -G No
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
Mound
❑ 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 yrs 3 yr