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Ende Septic Service, LLC, MPCA Lic #L2654 <br />24910 Territorial Road • Rogers, MN 55374 <br />Phone: 7634284489 <br />email: info(c)endeseptic.com <br />Maintenance ❑ Emergency ❑ Other <br />Maintenance Inspection Form <br />❑ Tristan ❑ Brandon ❑ Scott-Po"Dylan ❑ <br />Disposal location: ❑ Land ap ❑ Treatment plant <br />Date: 7 ' 3 <br />Invoice <br />Name: <br />Description: <br />Address: / tl r G v <br />Total Cost of Service: <br />City/State/Zip: li' Wnt) Al <br />Payment Method: ❑ Check ❑ Cash ❑ Credit <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 />'ErSeptic/holding Tank #1 <br />❑ Yes PJ No <br />❑ Yes 21 No <br />❑ Yes 41 No <br />Gallons: Ak5e7 <br />❑ Non-domestic waste <br />❑ Ponding/surfacing <br />Ed Septic/holding Tank #2 <br />❑ Yes ❑ No <br />❑ Yes RNo <br />❑ Yes 10 -No <br />Gallons: <br />❑ Yes ❑ No <br />retrea <br />o <br />❑ Yes <br />hest No �— <br />_`-Ga1TEins - <br />Pump Tank <br />❑ Yes �.W No <br />❑ Yes ❑ No <br />❑ Yes /'No <br />Gallons: lecv <br />Did you measure the accumulation of scum and sludge? 19�f'es ❑ No <br />Access point: AZI Cover/maintenance hole; if so, were covers secured in place? (' i'n Yes ❑ No <br />�4ccess . ough o owner lien off � ❑ YPs ❑ <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.? ]f so, explain in comments below. <br />Tank #1 ❑ Yes O'No <br />Tank #2 ❑ Yes 13 No <br />Pump Tank ❑ Yes P6 No <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural integrity <br />fTMound <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 />