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Ende Septic Service, LLC <br />24910 Territorial Road • Rogers, MN 55374 <br />Phone: 763-428-4489 • e-mail: <br />MPCA License #: L2654 <br />❑ Maintenance ❑ Emergency ❑ Other <br />Maintenance Inspection Form <br />Maintainer name: ❑ Tristan Brandon ❑ Scott <br />❑ Dylan ❑ <br />Date:_ <br />Tank leaks below the <br />Tank leaks above the <br />Invoice <br />Name: a, <br />n <br />Description: <br />Address: <br />❑ Risers leaking <br />Total Cost of Service: <br />City/State/Zip: <br />" , <br />Payment Method: ❑ Check ❑ Cash ❑ Credit <br />11 <br />Tank (check if present) <br />Tank leaks below the <br />Tank leaks above the <br />Maintenance 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 />❑ Yesr0 <br />❑ Yes d f0 <br />El Yes _K No <br />Gallons; <br />/ <br />I <br />❑ Septic/holding Tank #2 <br />❑ Yes VAo <br />❑ YesN0 <br />❑ Yes #No <br />Gallons; <br />Cleaned? ❑ Yes ❑ No <br />❑ Pretreatment Tank <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Gallons: <br />❑ Pump Tank <br />❑ Yes [&No <br />❑ YesX70 <br />1 <br />❑ Yes YNo <br />Gallons: <br />Did you measure the accumulation of scum and sludge? t Yes ❑ No <br />If the maintenance hole was used, were covers secured in place? 11 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.? Cfso, evplaln in comments helom <br />Tank #1 ❑ Yes No <br />Tank #2 ❑ Yes No <br />Pump Tank ❑ Yes o <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Mound <br />❑ Risers leaking <br />❑ Risers leaking <br />❑ Risers leaking <br />❑ Elevated drainiield <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 0 No Next Service: 0 1 yr El yr 0 3 yr <br />