Laserfiche WebLink
Ende Septic Service, LLC <br />24910 Territorial Road Rogers, MN 55374 <br />Phone: 763-428-4489 - e-mail: i1)fo0),cndeseptic.coni <br />MPCA License: #: L2654 <br />Maintenance inspection Form <br />Maintainer name: ❑ Tristan ❑ Brandon ❑ Scott <br />_AR -D ylan ❑ Kevin <br />Date: 2/242 <br />Invoice <br />Name: 6bn <br />Description: <br />Address: '' L , .,' <br />Total Cost of Service: <br />City/State/Zip: &'I ylic is/jN <br />Payment Method: ❑ Check ❑ Cash ❑ Credit <br />N <br />Tank (check if present) <br />'rank leaks below the <br />Tank leaks above the <br />Nlaintenance hole cover is <br />❑ Structural integrity <br />designed operating <br />designed operating <br />damaged, cracked, <br />❑ Risers leaking <br />depth <br />depth <br />unsecured, or appears to be <br />❑ Baffles <br />❑ Baffles <br />❑ Baffles <br />structurally sound <br />'Septic/holding Tank #1 <br />❑ Yes r -No <br />❑ Yes -RI No <br />❑ Yes -a-No <br />Gallons: &&0 <br />❑ Non-domestic waste <br />❑ Ponding/surfacing <br />Septic/holding Tank #2 <br />❑ Yes ;; No <br />❑ Yes a --No <br />❑ Yes l+No <br />Gallons: voo <br />Cleaned? ❑ Yes ONO <br />❑ Pretreatment Tank <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Gallons: <br />)ePump Tank <br />❑ Yes Z No <br />❑ Yes <No <br />❑ Yes FJo <br />Gallons: <br />Did you measure the accumulation of scum and sludge? -2'Yes ❑ No <br />If the maintenance hole was used, were covers secured in place? PoYes ❑ No <br />Did you Weutify any operational issues or unsafe corulitious while assessing the sewage tanles in this systeuf, he:, <br />cracked tairks, missing baffles, broken covers, etc.? If so, explain in confluents below. <br />Tank #1 ❑ Yes RMo <br />Tank #2 ❑ Yes No <br />Pump Tank ❑ Yca4eNo <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural integrity <br />eMound <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/screen <br />❑ Other: <br />Cleaned? ❑ Yes ONO <br />Comments: , '�<< 'kv)It; CCX't'r' rof. *-t y :6l6' )i4'e_ l= <br />Is a mound cleaning recommended at this time: 0 Yes 0 No Next Service: 0 1 yr 0 2 y; -En yr <br />