HomeMy WebLinkAbout06/15/2022 Septic Maintenance reportEnde Septic Service, I.,LC
24910 Territorial Road - Rogers, MN 55374 Maintenance Inspection Form
Phone: 763-429-4489 - e-mail: a
MPCA License #: 1,2654 'Maintainer name: ❑ Tristank3randon ❑ Scott
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Date: — IS— 2,
Invoice
Name -Description:
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Address: _ cj/ �
Total Cost of Service: � T
Cit),/State/Zip:
Payment M14 *C eck ❑ Cash 2��j
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,rank (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 tappear$ to be
❑ Baffles
❑ Baffles
❑ Baffles
structurally sound
Septic/holding Tank #1
❑ Yes No
❑Yes yl No
❑Yes ! No
lions;
\
l
Septic/holding Tank #2
❑ Yes No
❑ Yes I No
❑ Yes R(No
Jallons:
Cleaned? ❑ Yes ❑ No
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
❑ Pump Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Did you measure the accumulation of scum and sludge? Yes ❑ No
Ifthe maintenance hole was used, were covers secured in place? tYes ❑ No
Did you identify any operational issues or unsafe conditions while assessing the sewage tanks its this system, ie.,
cracked tanks, inissing baffles, broken covers, etc.? Ifso, ewplain its comments below.
Tank #1 ❑ Yes kNo
Tank #2 ❑ Yes ,(fNo
Pump Tank ❑ Yes ❑ 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; 0 Yes kNo Next Service: 0 1 yr 0 2 yr 46 yr