08-01-2023 Septic Maintenance Inspection

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Ende Septic Service, LLC, MPCA Lic #L2654 24910 Territorial Road • Rogers, MN 55374 Phone: 763-428-4489 email: info(cDendeseptic.com ❑` Maintenance ❑ Emergency ❑ Other Maintenance Inspection Form ❑ Tristan ❑ Brandon ❑ Scottf lDylan ❑ Disposal location: ❑ Land ap ❑ Treatment plant Date: 7r? Invoice Invoice Name: ` '' f / Description: Address: Total Cost of Service: City/State/Zip: /, l'' 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, El Risers leaking depth depth unsecured, or appears to be ❑ Baffles ❑ Baffles ❑ Baffles structurally sound I Septic/holding Tank #1❑Yes 1-1NoF❑ F Yes 1212--NoElYes `® No Gallons: ❑ Non-domestic waste ❑ Ponding/surfacing ❑ Septtc/holding Tank #2 ❑ Yes ❑ No ❑ Yes---, ❑ No ❑ Yes ❑ No Gallons: ❑ Yes ❑ No ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 7 ❑ Pump Tank ❑ Yes 4J No ❑ Yes 3_ -No ❑ Yes 2R- No Gallons: Did you measure the accumulation of scum and sludge? p'Yes ❑ No Access point: :R Cover/maintenance hole; if so, were covers secured in place? p Yes ❑ No ,.access poiat;_IInspection pipe; if through pipe, did homeowner sign off ---.1--Q 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.? If so, explain in comments below. Tank #1 ❑ Yes ,ir7 qo Tank #2 ❑ Yes ❑'No Pump Tank ❑ Yes NNo System ❑ Structural integrity ❑ Structural integrity El Structural integrity k"Mound El Risers leaking El Ri4 leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed ❑ Non-domestic waste ❑ Non' -do estic waste ❑ Electrical issues ❑ Trenches ❑ Non-domestic waste ❑ Ponding/surfacing ❑ Effluent filter cleaned? ❑ Other: ❑ Yes ❑ No Comments: