10-05-2021 Septic Maintenance Inspection

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Ende Septic Service, I.LC 24910 Territorial Road • Rogers, MN 55374 Phone: 763-428-4489 - e-mail: MPCA License #: 1.2654 ❑ Maintenance ❑ Emergency ❑ Other Maintenance Inspection Form Maintainer name: ❑ Tristan Brandon ❑ Scott ❑ Dylan ❑ Date: �' U 1` Invoice Name: �/�,Q� Description: Address: 1 Q t Total Cost of Service: City/State/Zip: depth unsecured, or appears to be Payment Method: ❑ Check ❑ Cash ❑ Credit Tank (check if present) Tank leaks below the Tank leaks above the Maintenance hole cover is ❑ Structural integrity designed operating designed operating damaged, cracked, ❑ Risers leaking depth depth unsecured, or appears to be ❑ Baffles ❑ Baffles ❑ Baffles structurally sound ❑ Septic/holding Tank #1 ❑ Yes o ❑ Yes ❑ ❑ Yes No Gallons: (( ❑ Ponding/surfacing ❑ Septic/holding Tank #2 ❑ Yes o ❑ Yes o ❑ Yes �No Gallons: Cleaned? ❑ Yes ❑ No X ❑ Pretreatment 'Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: ❑ Pump Tank ❑ Yes 'Io ❑ Yes No Cl Yes No Gallons: I Did you measure the accumulation of scum and sludge? if the maintenance hole was used, were covers secured in place? 16 Yes ❑ No qYes ❑ No Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., cracked tanks, missing baffles, broken covers, etc.? Ifso, explain in comments below. Tank #1 ❑ Yes No Tank 92 ❑ Yes No Pump Tank ❑Yes o System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ❑ Mound ❑ Risers leaking El Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed ❑ Non-domestic waste ❑ Non-domestic waste ❑ Electrical issues ❑ Trenches ❑ Non-domestic waste ❑ Ponding/surfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Comments: Is a mound cleaning recommended at this time: ElYes ❑ No Next Service: 111 yr 0 2 yr 0 3 yr