SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000062, UID # 1270
Status: Report Submitted
 

Maintainer Information

Maintainer's Contact Information:
Name:
Todd Roble
MPCA License #:
L3690
Business Name:
Ron's Sewer Service
Phone:
(715749 - 0153
Email:
septic@co.washington.mn.us
Address:
W6621 610th Ave
Ellsworth WI 54011
Code to use for this report: l4153h0735
Date of Maintenance: 12/02/2015
Reason for Maintenance: Routine

System Location & Maintenance Performed

Property Maintenance Performed :
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
210312013000514787 MORGAN AVE N, TOWN OF MAY14787MORGANAVENMARINE ON ST CROIXTOWN OF MAY55047MALMGREN DANIEL M & LEAH J32GLEN CARNEY1995
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? Yes

Tank Details

Tank#1: No
Tank #2: No

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: 1000 Gallons

Approvals

ApprovalSignature
Applicant 

Internal Notes

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