HomeMy WebLinkAbout600 Big Island - Septic Pumping ReportEnde Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Phone: 763-4284489
email: info(o)endeseptic.com
/`J Maintenance ❑ Emergency ❑ Other
Maintenance Inspection Form
❑ Tristan ❑ Brandon ❑ Scott ❑ Zach ❑ Robert
0 AI,y 3S R
Disposal location: ❑ Land ap ❑ Treatment plant
Date: `] — 22- 24�
Invoice
Name: z L
Description: &I
V d J a9c
Address: too
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Total Cost of Service:
City/State/Zip: e j(Ce 15T0 J)
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 ZNo
❑ Yes J/J No
❑ Yes ✓rJ No
te
Gallons: 1opC)
(27 Septic/holding Tank #2
❑ Yes ,PI No
❑ Yes No
❑ Yes No
Gallons: ((9pC.)
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Pump Tank
❑ Yes ;a No
❑ Yes XNo
❑ Yes eeNo
Gallons4#01 'o-SD)p
Did you measure the accumulation of scum and sludge? )eYes ❑ 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 Z 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
Comments: S I U� Gt GLCC u M It 14 tk"p 11 2 i n c l,cS