Septic maintenance form 9-2024 - Laserfiche WebLink

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Ende Septic Service, LLC, MPCA Lic #L2654 24910 Territorial Road • Rogers, MN 55374 Phone: 763428-4499 email: info(c cndeseptic.com ❑ Maintenance El Emergency Other Maintenance Inspection Form ❑ Tristan ❑ Brandon ❑ Scott y Kurt ❑ Robert Disposal location:'g Land ap ❑ Treatment plant Date: 5-36-2_6Zq Invoice Name: r4qdk,,J / /et'�OInJ Description: P. ; ys tcf Address: "l6 A,b ;n c�m w Total Cost of Service: City/State/Zip: Qtphp /?? Payment Method: ❑ Check ❑ Cash ❑ Credit Tank (check if present) Tank leaks below the Tank leaks above the Maintenance hole cover is designed operating designed operating damaged, cracked, depth depth unsecured, or appears to be structurally sound yd Septic/holding Tank #1 ❑ Yes No ` ❑ Yes No \ ❑ Yes No Gallons: �Septic/holding Tank #2 ❑ Yes No ❑ Yes No ❑ Yes �No allons: s ❑ No ❑Yes ❑ No Gallons: Pump Tank ❑ Yes 1�No ❑ Yes Z No ❑ Yes 4 No Gallons: Did you measurg the accumulation of scum and sludge? ❑ Yes )<No Access point: A Cover/maintenance hole; if so, were covers secured in place? 4Yes ❑ No i 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 kNo Tank #2 ❑ YesANo Pump Tank ❑ Yes No System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ❑ Mound ❑ 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: