HomeMy WebLinkAbout04-27-2021 Septic Maintenance InspectionEnde Septic Service, LLC
24910 'Territorial Road • Rogers, MN 55374
Phone: 763-4284489 • e-mail:
MPCA License #: 1,2654
❑ Maintenance Emergency ❑ Other
Maintenance Inspection Form
Maintainer name: ❑ Tristan ❑ Brandon ❑ Scott
�DatInvoice
Tank leaks below the
'rank leaks above the
Name. VI �� r Y
Description:
Address:
designed operating
Total Cost of Service:
City/State/Zip:
depth
Payment Method: ❑ Check 0 Cash ❑ Credit
Tank (check if present)
Tank leaks below the
'rank 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
❑ Yes o
❑ Yes No
❑ Yes No
Gallons:
❑ Nan -domestic waste
❑ Ponding/surfacing
❑ Septic/holding Tank #2
❑ Yes No
Yes No
El Yes No
Gallons:
1
\
l
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
❑ Pump Tank
❑ Yes 4NO
❑ Yes �o
❑ Yeso
Gallons:
Did you measure the accumulation of scum and sludge? 4� Yes ❑ No
If the maintenance hole was used, were covers secured in place? [;F Yes ❑ No
Did you identify any operational issues or «nsafe conditions while assessing the sewage tanks in this system, Le.,
cracked tanks, missing baffles, broken covers, etc.? rfso, crplaiu in comments below.
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 drainfield
❑ Baffles
❑ Baffles
❑ Baffles
❑ Pressure bed
❑ Non-domestic waste
❑ Non-domestic waste
❑ Electrical issues
❑ Trenches
❑ Nan -domestic waste
❑ Ponding/surfacing
❑ Effluent Filter/screen
❑ Other:
Cleaned? ❑ Yes ❑ No
Comments:
Is a mound cleaning recommended at this time: ❑ Yes 0 No Next Service: El yr 0 2 yr 0 3 yr