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Ende Septic Service, LLC, MPCA Lic #L2654 Maintenance Inspection Form <br />24910 Territorial Road * Rogers, MN 55374 <br />Phone: 763-4284489 ❑ Tristan °Brandon ❑ Scott ❑ Zach ❑ Robert ❑ Alyssa <br />email: infoOendeseptic.com <br />Maintenance ❑ Emergency ❑ Other Disposal location: d ap ❑ Treatment plant <br />� I V t, �eha 4 ( r <br />Date: Payment Method <br />Name: ❑ .heck <br />Address: �' ❑ Cre i rd - enmo <br />City/State/Zip: ❑ Cash <br />IX <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, crackeda <br />depth <br />_ depth <br />unsecured, or' appears to be <br />structuraliy,so <br />eptic/hol ing T�nk #1 <br />❑ Yes ❑ <br />❑ Yes ❑ <br />❑ Yes <br />Gallons: <br />eptic/ho diff #2 <br />❑Yes E No <br />El Yes No <br />❑Yes ❑ o <br />Gallons: <br />❑ Pretreatment Tank <br />❑ Yes E No <br />❑ Yes No <br />❑ Yes ❑ o <br />Gallons: <br />O Pump Tank <br />❑ Yes ❑ o <br />❑ Yes ❑ <br />❑ Yes ❑ <br />Gallons: <br />Did you measure the accumulation of scum and sludgc\? OYes ❑ No ' <br />Access point: I6 Cover/maintenance hole. If so, were clovers secured in place? �es ❑ No <br />Access point: ❑ Inspection pipe, If so, through pipe, did homeowner sign off ? ❑ Yes❑_ 1 <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 O Yes No <br />Tank #2 ❑ Yes o <br />Pump Tank ❑ Yes ❑ 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 drainfxeld <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 />