HomeMy WebLinkAbout05-23-2023 septic maintenance inspectionEnde Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Phone: 7634284489
email: info(c)endeseptic.com
Maintenance ❑ Emergency ❑ Other
Maintenance Inspection Form
❑ Tristan ❑ Brandon ❑ Scott-Po"Dylan ❑
Disposal location: ❑ Land ap ❑ Treatment plant
Date: 7 ' 3
Invoice
Name:
Description:
Address: / tl r G v
Total Cost of Service:
City/State/Zip: li' Wnt) Al
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
'ErSeptic/holding Tank #1
❑ Yes PJ No
❑ Yes 21 No
❑ Yes 41 No
Gallons: Ak5e7
❑ Non-domestic waste
❑ Ponding/surfacing
Ed Septic/holding Tank #2
❑ Yes ❑ No
❑ Yes RNo
❑ Yes 10 -No
Gallons:
❑ Yes ❑ No
retrea
o
❑ Yes
hest No �—
_`-Ga1TEins -
Pump Tank
❑ Yes �.W No
❑ Yes ❑ No
❑ Yes /'No
Gallons: lecv
Did you measure the accumulation of scum and sludge? 19�f'es ❑ No
Access point: AZI Cover/maintenance hole; if so, were covers secured in place? (' i'n Yes ❑ No
�4ccess . ough o owner lien off � ❑ YPs ❑
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.? ]f so, explain in comments below.
Tank #1 ❑ Yes O'No
Tank #2 ❑ Yes 13 No
Pump Tank ❑ Yes P6 No
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
fTMound
❑ 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: