HomeMy WebLinkAbout07-08-2022 Septic Maintenance ReportEnde Septic Service, I.,LC
24910 Territorial Road • Rogers, MN 55374
Phone: 763-428-4489 • e-mail:
MPCA License #: 1,2654
60 Maintenance ❑ Emer2encv ❑ Other
Maintenance tnspection Form
Maintainer name: ❑ Tristan Brandon ❑ Scott
❑ Dylan ❑
Date: --.
Invoice
Name: i
cl
Description:
Address: ` j
Total Cost of Service: r f
City/State/Zip: Malle`
Payment Method: ❑ Check ❑ Cash ❑ Credit
Aa.veyt
CJ __.
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 b
❑ Baffles
❑ Baffles
❑ Baffles
structurally sound
kSeptic/holding Tank #1
❑ Yes No
❑ Yes l"No
❑ YesN0
Gallons:] r�
❑ Non-domestic waste
❑ Ponding/surfacing
Septic/holding Tank #2
❑ Yes�No
❑ Yes RNo
❑ Yes •�'No
Gallons:
Cleaned? ❑ Yes ❑ No
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Pump Tank
❑ Yes �"o
❑ Yes KNO
❑ Yes ANo
Gallons:
Did you measure the accumulation of scum and sludge? Yes ❑ No
If the maintenance hole was used, were covers secured in place? Yes ❑ No
Did you identify any operational issues ar unsafe conditions while assessing Ilse sewage tanks in this system, le.,
cracked tanks, missing baffles, broken covers, etc.? 7fso, explaln in comments below.
Tank #1 ❑ Yes 610
Tank #2 ❑ Yes K -No
Pump Tank ❑ Yes l No
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
KMound
❑ 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 b No Next Service: 0 1 yr ❑ 2 yr.A'3 yr