HomeMy WebLinkAbout2515 Countryside Drive - Septic Pumping ReportEnde Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Phone: 7634284489
email: i_nfo(a,endeseptic.com
Maintenance ❑ Emergency ❑ Other
Maintenance Inspection Form
❑ Tristan Brandon ❑ Scott ❑ Zach ❑ Robert
Disposal location: ❑ Land ap )d Treatment plant
Date: ' l,v/it e7—
Invoice
Name:
rQ)
Description:
( W�
Address:
Un (
Total Cost of Service:
City/State/Zip:
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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
Septic/holdin Tao #1
El1 Yes No
❑ Yes No
❑ Yes VNo
Gallons:
*eptic/holdin Tank #2
❑ Yes �tN0
❑ Yes I /No
El Yes SpNo
Gallons:
(_
/
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Pump Tank
❑ Yes 4No
❑ Yes 9No
❑ Yes alfNo
Gallons: I b
I/
Did you measure the accumulation of scum and sludge? A Yes ❑ No
Access point: a*nce hole; if so, were covers secured in place? Yes ❑ No
Access point: speQ 1— ction pipe; if through pipe, did homeowner sign off ? ❑ Yes ❑ No
Dad 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 ii No
Tank #2 ❑ Yes No
Pump Tank ❑ Yes INo
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
T 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: