SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2018 - 007289, UID # 12553
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Neil Clymer

MPCA License #:

1673

Business Name:

Pinky's Environmental and Sewer Service

Phone:

Mobile:

(651

) 439

- 4847

(651

) 248

- 2003

Fax:

(651

) 769

- 0584

Email:

pinkyssewerservice@yahoo.com

Address:

PO Box 354

Afton	MN	55001

Code to use for this report:

h4271c8580

Date of Maintenance:

09/25/2017

Reason for Maintenance:

Routine

System Location & Maintenance Performed

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
			2503221440004	10000 190TH ST N, CITY OF FOREST LAKE	10000	190TH	ST	N	FOREST LAKE	CITY OF FOREST LAKE	55025	ZIERHUT JUSTIN J				1973

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Yes

Maintenance Covers

Were all covers securely replaced?	No
:	Manhole cover is broken

Tank Details

Tank#1:

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1:

1000 Gallons

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):