HomeMy WebLinkAbout08-01-2023 Septic Maintenance InspectionEnde 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: