SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000041, UID # 1226
Status: Report Submitted
Maintainer Information
Maintainer's Contact Information: |
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Code to use for this report: |
o4865z0716 |
Date of Maintenance: |
12/11/2015 |
Reason for Maintenance: |
Routine |
System Location & Maintenance Performed
Property Maintenance Performed : |
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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 |
| | | 1903219320009 | 16755 205TH STREET CT N, CITY OF SCANDIA | 16755 | 205TH STREET | CT | N | SCANDIA | CITY OF SCANDIA | 55073 | TORKELSON MICHAEL J & DEBRA M | 3 | 2 | EKDAHL ESTATES | 2001 | |
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Maintenance Performed: |
Tank(s) Pumped
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Access to Tanks
Did you use the maintenance hole to remove septage: |
Yes |
Maintenance Covers
Were all covers securely replaced? |
Yes |
Tank Details
Tank#1: |
No |
Verification Method Used: |
visual |
Tank #2: |
No |
Verification Method Used: |
visual |
Evidence of Leaks or Damaged Covers
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 |
Septage Removed
Tank #1: |
1500 Gallons |
Tank #2: |
1500 Gallons |
Approvals
Approval | Signature |
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Applicant | |