Loading...
HomeMy WebLinkAbout10-17-2022 Septic Maintenance InspectionEnde Septic Service, LLC, MPCA Lie #L2654 24910 Territorial Road • Rogers, MN 55374 ❑ Tristary Brandon Ll Phone: 763-428-4489 email: info(ci,)endeseptic.com kMaintenance ❑ Emergency ❑ Other Maintenance Inspection Form ❑ Scott ❑ Dylan ❑ Disposal location:ikLand ap ❑ Treatment plant Date: Invoice Name: d 1 h ne/ / Description: 3 �r� i—('o0 • c- %�v C / Address: 333, ! Q111 / ,, Total Cost of Service: City/State/Zip: 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 ASeptic/holding Tank #1 ❑ Yes <No ❑ Yes 'ANO ❑ Yes(�1 No Gallons: ow � ❑ Non-domestic waste l LL !�s Septic/holding Tank #2 ❑ Yes q No ❑ Yes e�No ❑ Yes -7 No Gallons: ❑ Yes ❑ No ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: �QPump Tank ❑ Yes ANO ❑ Yes .ANO ❑ Yes -ff�No Gallons: Did you measure the accumulation of scum and sludge? VYes ❑ No Access point: Dover/maintenance hole; if so, were covers secured in place? 'OK Yes ❑ No Access point: B-hrspection pipe; if through pipe, did homeowner sign off ? $*es---B-Pio-- 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.? If so, explain in comments below. Tank # 1 ❑ YesAYNo Tank #2 ❑ Yes, K_'No Pump Tank ❑ YeA' No System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ALMound ❑ 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 cleaned? ❑ Other: ❑ Yes ❑ No Comments: