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Ende Septic Service, LLC, MPCA Lic #L2654 Maintenance Inspection Form <br />24910 Territorial Road • Rogers, MN 55374 <br />Phone: 7634284489 ❑ Tristan * Brandon ❑ Scott ❑ Kurt ❑ Robert <br />email: info(o)endeseptic.com <br />Maintenance ElEmergency ❑ Other Aisposal location: Land ap El Treatment plant <br />i�� / location: <br />ItX1a�YV�O <br />Date: d_Z <br />Invoice <br />Name: S kCyr Gr ' C ✓ <br />Description: <br />Address: 220 h ✓�e,J l% <br />Total Cost of Service:* YrQ� <br />City/State/Zip: p-OP'D <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 />designed operating <br />designed operating <br />damaged, cracked, <br />depth <br />depth <br />unsecured, or appears to be <br />structurally sound <br />t Septic/holding Tank #1 <br />❑ Yes S No <br />❑ Yes C� No <br />❑ Yes tno <br />7 <br />Gallons: l LTD <br />1 <br />Septic/holding Tank #2 <br />❑ Yes No <br />❑ Yes No <br />❑ Yes fo7No <br />Gallons: `O a-j� <br />II <br />❑ Pretreatment Tank <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Gallons: <br />K Pump Tank <br />❑ Yes ZNo <br />❑ Yes A No <br />❑ Yes ,K No <br />Gallons: o-rro <br />Did you measure the accumulation of scum and sludge? fP,Yes El No <br />Access point: A Cover/maintenance hole; if so, were covers secured in place? Yes ❑ No <br />Access pointe—B7nspection pipe; if through pipe, did homeowner sign off ? <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 0 No <br />Tank #2 ❑ Yes PNo <br />Pump Tank ❑ Yes q No <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural integrity <br />Al 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 cleaned? <br />❑ Other: <br />❑ Yes ❑ No <br />Comments: <br />