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570 Big Island - Septic Pumping Report
Ende Septic Service, LLC, MPCA Lic #L2654 24910 Territorial Road • Rogers, MN 55374 Phone: 763-428-4489 email: info(Wendeseptic.com rMaintenance ❑ Emergency ❑ Other Maintenance Inspection Form ❑ Tristan ❑ Brandon ❑ Scott ❑ Zach ❑ Robert 0 A l yssC_- Disposal location: ❑ Land ap ❑ Treatment plant Date: —7, X� _ P® s Invoice Name: ory--N 06 Description: Address: J5 Lorij Total Cost of Service: City/State/Zip: ` XCc�`s j "W 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/holding Tank #1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: ❑ Septic/holding Tank #2 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: ❑ Pump Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: Did you measure the accumulation of scum and sludge? ❑ Yes ❑ No Access point: ❑ Cover/maintenance hole; if so, were covers secured in place? ❑ Yes ❑ No Access point: ❑ Inspection 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 ❑ No Tank #2 ❑ Yes ❑ No 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 Cui»iiicnt,: � i non —Frw' Co© U v