SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2017 - 005778, UID # 10093
Status: Report Submitted

Maintainer's Contact Information:

Name:

Lana Meyer

MPCA License #:

L915

Business Name:

Meyer Sewer Service, Inc.

Phone:

(651

) 459

- 0162

Email:

meyersewerservice@hotmail.com

Address:

Code to use for this report:

d8462q6951

Date of Maintenance:

04/14/2017

Reason for Maintenance:

Routine

Property Maintenance Performed :

Compliance Status		Property Record		Property Address								Property Owner	Property Attributes
Compliance Expiration	Compliance Status	Parent GeoCode	PIN	Site Address	Building Number	Street Name	Type	Dir	City	Municipality	zip	Owner	Lot	Block	Plat	Year Built	Property Hold
			1102820140001	1241 QUINLAN AVE S, CITY OF LAKE ST CROIX BEACH	1241	QUINLAN	AVE	S	LAKELAND	CITY OF LAKE ST CROIX BEACH	55043	RONALD A CARLSON & JOYCE M CARLSON TRS				1972

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Yes

Attach Maintenance Report:

Were all covers securely replaced?

Yes

Tank#1:

Septic/Holding Tank #1 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No
Septic/Holding Tank #2 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No
Pump Tank - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Approval	Signature	Options
Applicant		Status must be

Internal Notes

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