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Ende Septic Service, LLC, MPCA Lic #L2654 <br />24910 Territorial Road • Rogers, MN 55374 <br />Maintenance Inspection Form <br />Phone: 763-428-4489 ❑ Tristan L,Brandon ❑ Scott ❑ Zach ❑ Robert ❑ Alyssa <br />email: info(c-�,endesehtic.com <br />�0 Maintenance ❑ Emergency ❑ Other <br />Disposal location: ❑ Land ap ❑ Treatment plant <br />Date: -- (, - <br />Mound -Pressure Bed <br />r <br />Name: <br />Are laterals Present ❑ Yes ❑ No <br />Address: C., ( n �p <br />Is a mound/pressure bed cleaning necessary? <br />❑ Yes � No <br />City/State/Zip: �1L <br />tn Ili <br />Manhole cover less than 95 lbs Y ❑ N <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, or <br />depth <br />depth <br />unsecure <br />peptic/holding Tank # 1 <br />❑ Yes 1,;�7No <br />❑ Yes "Fe? No <br />❑ Yes >,No <br />Gallons: j <br />EfSeptic/holding Tank #2 <br />❑ Yes I? No <br />❑ Yes �P No <br />❑ Yes ;WNNo <br />Gallons: <br />CTI+e eatment Tank <br />❑Yes o <br />❑ e No <br />��s�❑ No <br />Gallons: <br />\_ <br />Pump Tank <br />❑ Yes ?No <br />❑ Yes No <br />❑ Yes UNo <br />Gallons: )' <br />Did you measure the accumulation of scum and sludge? ❑ Yes [J No <br />Access point: `;}Cover/maintenance hole. If so, were covers secured in place? Yes ❑ 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 VfNo <br />Tank #2 ❑ Yes �d No <br />Pump Tank ❑ Yes DK-No <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural integrity <br />WAound <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 />