HomeMy WebLinkAbout1900 West Farm Road - Septic Pumping ReportEnde Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Phone:763-428-4489
email: infona,endeseptic.com
I? Maintenance ❑ Emergency ❑ Other
Maintenance Inspection Form
❑ Tristan 26 Brandon ❑ Scott ❑ Zach ❑ Robert
Disposal location: ❑ Land ap )9Treatment plant
Date: I I 1 l'�
/P 1,Ak-
Invoice
Name: W/
1 1 k12
Description: T- t/
Address:
16100
W F& y pn &a
Total Cost of Service:
City/State/Zip:
Payment Method: ❑ Check ❑ Cash ❑ Credit
I�nWE
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
❑ Septic/holding Tank #1
❑ Yes IlMo
❑ Yes o
❑ Yes N::No
Gallons: Q
❑ Septic/holding Tank #2
❑ Yes �
❑ Yes [�N0
❑ Yes �LNo
Gallons: goo
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
❑ Pump Tank
❑ Yes 61�p
❑ Yes rZNo
❑ Yes o
Gallons:
l
N
Did you measure the accumulation of scum and sludge? V Yes ❑ No
Access point: Cover/maintenance hole; if so, were covers secured in place? N[�# es ❑ No
Ac.qess pomt: pection pipe; if through pipe, did homeowner sign off ? ❑ 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 `qPNo
Tank #2 ❑ Yes ODNo
Pump Tank ❑ Yes CbNo
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: