HomeMy WebLinkAbout06-21-2022 Septic Maintenance InspectionEnde Septic Service, LLC
24910 Territorial Road • Rogers, MN 55374 Maintenance Inspection Form
Phone: 763-428-4489 • e-mail: into Civendeseptie.com
MPCA License #: L2654 amtainer name: ❑ Tristan*Brandon ❑ Scott
❑ Dvlan ❑ Keven
Date:
Invoice
i
Name:
Description: '
Address:
24!
Total Cost of Service:
City/State/Zip: Q
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
XSeptic/holding Tank # 1
❑ Yes No
❑ Yes �No
Yes }$No
Gallons: r
❑ Non-domestic waste
❑ Ponding/surfacing
kSeptic/holding Tank#2
❑ Yes 4No
❑ Yes 4No
❑ Yes 4No
Gallons:
Cleaned? ❑ Yes ❑ No
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Pump Tank
❑ Yes ANNo
❑ Yes No
ElYes INo
Gallons: zCQV
Did you measure the accumulation of scum and sludge? es ❑ No
If the 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 in this system, Le.,
cracked tanks, missing baffles, broken covers, etc.? Ifso, explain in comments below.
Tank #I ❑ Yes kNo
Tank #2 ❑ Yes No
Pump Tank ❑ YespNo
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
k'd'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: i?60 ✓1 / as -30 t
Is a mound cleaning recommended at this time: 0 YesLMo Next Service: ❑ 1 yr 0 2 yr