SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000046, UID # 1232
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:

n8572h0721

Date of Maintenance:

02/23/2016

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
			2303220140003	15080 OAKHILL RD N, CITY OF SCANDIA	15080	OAKHILL	RD	N	MARINE ON ST CROIX	CITY OF SCANDIA	55047	KAZMIERCZAK FAMILY TRS	48		COUNTY AUDITOR'S PLAT NO.6	1914

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
Pump Tank - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Tank #1:	1000 Gallons
Pump Tank:	200 Gallons

Approval	Signature	Options
Applicant		Status must be

Internal Notes

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