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Ende Septic Service, LLC <br />24910 Territorial Road - Rogers, MN 55374 Maintenance Inspection Form <br />Phone: 7634284489 - e-mail: info(ei�endeseptic.com <br />MPCA License #: L2654 MainZaVer name: ❑ TristatylR�randon ❑ Scott <br />❑ Dvlan ❑ Keven <br />Date: �— �(� — j <br />Invoice <br />J. <br />N#�mex - S <br />Description: <br />lddress: 15 m14 za&w f <br />Total Cost of Service: <br />Giyf,Ste/Zip: &WQ6 <br />Payment Method:..3'Cheek ❑ Cash ❑ Credit <br />f.^.. F ;I P) "_ 1 i. / , <br />Tanis (check if present) <br />Tank leaks below the <br />Tank.leaks above the <br />Maiiitenanre: hole'iiwver`Ie ` <br />❑ Structural integrity <br />designed operating <br />designed operating <br />damaged$.craciced, <br />❑ Risers leaking <br />depth <br />depth <br />unsecured'oi' <br />❑ Baffles <br />❑ Baffles <br />❑ Baffles <br />structuraily .Wow.. <br />Septic/holding Tank 41 <br />❑ Yes Flo <br />❑ Yes ANo <br />❑ Yes <No <br />Gallons: 1540 <br />❑ Non-domestic waste <br />❑ Ponding/surfacing <br />,Septic/holding Tank #2 <br />❑ Yes iWNo <br />❑ Yes ,LNo <br />❑ Yes -Wo <br />Gallons: <br />Cleaned? ❑ Yes ❑ No <br />❑ Pretreatment Tank <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Gallons: <br />jump Tank <br />❑ Yes PL -No <br />❑ Yes ,(No <br />❑ Yes VO <br />Gallons: I SW; <br />Did you measure the accumulation of scum and sludge? 14 Yes ❑ No <br />If the maintenance hole was used, were covers secured in place? A 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 �lo <br />Tank #2 ❑ Yes $No <br />Pump Tank ❑ Yes PE No <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural integrity <br />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/screen <br />❑ Other: <br />Cleaned? ❑ Yes ❑ No <br />Comments: <br />Is a mound cleaning recommended at this time: 0 Yes fitNo Next Service: 0 1 yr 0 2 yr�k 3 yr <br />