HomeMy WebLinkAbout06-27-2023 Septic Maintenance InspectionEnde Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Phone: 7634284489
email: infona,endeseptic.com
Maintenance Inspection Form
❑ TristanA(T Brandon ❑ Scott ❑ Dylan ❑ Seth
Maintenance ❑ Emergency ❑ Other �/, pi sg}location: El Land ap El Treatment plant
Date:—a --ci'
Invoice
Name: Ve, kkI javt C
Description: 39s`° IVETT IS
Address: a6SS A A, ✓ S
Total Cost of Service: 41 p
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
(� Septic/holding Tank #1
❑ Yes No
❑ Yes KNo
❑ Yes No
I Gallons: Q
❑ Non-domestic waste
\
d?Septic/holding Tank #2
❑ Yes 41� No
❑ Yes )No
❑ Yes 1 "No
Gallons:
[]Yes ❑ No
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Pump Tank
❑ Yes qt] No
❑ Yes 4NLNO
❑ Yes 1jNo
Gallons:
Did you measure the accumulation of scum and sludge? Yes ❑ No
Access point: bCover/maintenance hole; if so, were covers secured in place? ' yes ❑ No
Access point:-M-Tff9pMtion pipe; if through pipe, did homeowner sign off ? B -�
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 No
Tank #2 ❑ Yes 14No
Pump Tank ❑ Ye4kNo
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
Mi0ound
❑ 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: