SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000044, UID # 1230
Status: Report Submitted

Maintainer's Contact Information:

Name:

James Vaughan

MPCA License #:

L3344

Business Name:

Tom's Sewer Service

Phone:

(651

) 433

- 8700

Email:

septic@co.washington.mn.us

Address:

Code to use for this report:

p5826q0719

Date of Maintenance:

02/01/2016

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
			1403121410003	15410 JEFFREY AVE N, CITY OF HUGO	15410	JEFFREY	AVE	N	HUGO	CITY OF HUGO	55038	VANDENHEUVEL FAMILY REAL ESTATE TRS	2	1	ANDERSON HILLS	1991

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Yes

Were all covers securely replaced?

Yes

Tank#1:	No
Verification Method Used:	visual

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

Tank #1:

1000 Gallons

Approval	Signature
Applicant

Text:
File(s):