HomeMy WebLinkAbout07-01-2021 Septic Maintenance InspectionEnde Septic Service, LLC
24910 Territorial Road • Rogers, MN 55374
Phone: 763-428-4489 • e-mail:
MPCA License #: L2654
❑ Maintenance ❑ Emergency ❑ Other
Maintenance Inspection Form
Maintainer name: ❑ Tristan Brandon ❑ Scott
❑ Dylan ❑
Date:_
Tank leaks below the
Tank leaks above the
Invoice
Name: a,
n
Description:
Address:
❑ Risers leaking
Total Cost of Service:
City/State/Zip:
" ,
Payment Method: ❑ Check ❑ Cash ❑ Credit
11
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
❑ Septic/holding Tank #1
❑ Yesr0
❑ Yes d f0
El Yes _K No
Gallons;
/
I
❑ Septic/holding Tank #2
❑ Yes VAo
❑ YesN0
❑ Yes #No
Gallons;
Cleaned? ❑ Yes ❑ No
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
❑ Pump Tank
❑ Yes [&No
❑ YesX70
1
❑ Yes YNo
Gallons:
Did you measure the accumulation of scum and sludge? t Yes ❑ No
If the maintenance hole was used, were covers secured in place? 11 Yes ❑ No
Did you identify any operational issues or unsafe conditions while assessing the sewage tanks In this system, i.e.,
cracked tanks, missing baffles, broken covers, etc.? Cfso, evplaln in comments helom
Tank #1 ❑ Yes No
Tank #2 ❑ Yes No
Pump Tank ❑ Yes o
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
❑ Mound
❑ Risers leaking
❑ Risers leaking
❑ Risers leaking
❑ Elevated drainiield
❑ 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 0 No Next Service: 0 1 yr El yr 0 3 yr