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Ende Septic Service, LLC, MPCA Lic #L2654 Maintenance Inspection Form <br />24910 Territorial Road • Rogers, MN 55374 <br />Phone: 763-428-4489 ❑ Tristan �013randon ❑ Scott ❑ Zach ❑ Robert ❑ Alyssa <br />email: info Cc_.endeseptic.com <br />Maintenance ❑ Emergency ❑ Other Disposal location: ❑ Land ap ❑ Treatment plant <br />Date: <br />Payment Method <br />Name: V� �� 0. Y C- 0___' <br />❑ Check <br />Address: 4 O U u r,�j <br />El Credit card - Venmo <br />�� <br />City/State/Zip: ( tr D Flo M N <br />1 ❑ Cash <br />Tank (check if present) <br />Tank leaks below the <br />Tank leaks above the <br />Maintenance hole cover is <br />designed operating <br />designed operating <br />damaged, cracked, <br />depth <br />depth <br />unsecured, or appears to be <br />structurally sound <br />'Septic/holding Tank #1 <br />❑ Yes P No <br />❑ Yes fA No <br />❑ Yes eNo <br />Gallons: <br />1�-Septic/holding Tank #2 <br />❑ Yes WNo <br />❑ Yes ' 'No <br />❑ Yes �E No <br />Gallons: <br />❑ PretreatKta <br />Yes <br />o <br />Yes ❑ o <br />Gallons: <br />"Pump Tank <br />❑ Yes EeNo <br />❑ Yes VNo <br />❑ Yes '7No <br />Gallons: <br />Did you measure the accumulation of scum and sludge? ❑ Yes 14 No <br />Access point: )EP Cover/maintenance hole. If so, were covers secured in place? eYes ❑ No <br />Access point: ❑ Inspection pipe. If so, through pipe, did homeowner sign off ? ❑ Yes ❑ No <br />Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., <br />cracked tanks, missing baffles, broken covers, etc.? If so, explain in comments below. <br />Tank #1 ❑ Yes �dNo <br />Tank #2 ❑ Yes 1)�No <br />Pump Tank ❑ Yes 9 No <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural integrity <br />t4 Mound <br />❑ Risers leaking <br />❑ Risers leaking <br />❑ Risers leaking <br />❑ Elevated drainfield <br />❑ Baffles <br />❑ Baffles <br />❑ Baffles <br />❑ Pressure bed <br />❑ Non -domestic waste <br />❑ Non -domestic waste <br />❑ Electrical issues <br />❑ Trenches <br />❑ Non -domestic waste <br />❑ Ponding/surfacing <br />❑ Effluent filter cleaned? <br />❑ Other: <br />❑ Yes ❑ No <br />Comments: <br />