SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000072, UID # 1280
Status: Report Submitted

Maintainer's Contact Information:

Name:

Todd Robole

MPCA License #:

L3690

Business Name:

Ron's Sewer Service

Phone:

(715

) 749

- 0153

Email:

septic@co.washington.mn.us

Address:

Code to use for this report:

c8591y0745

Date of Maintenance:

12/07/2015

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
			0303021120004	11860 IRISH AVE N, CITY OF GRANT	11860	IRISH	AVE	N	STILLWATER	CITY OF GRANT	55082	GILLESPIE MALCOLM A & MARCIA J	9	2	MANN LAKE ESTATES 3RD ADD	2004

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Yes

Were all covers securely replaced?

Yes

Tank#1:	No
Tank #2:	No

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

Tank #1:	1250 Gallons
Tank #2:	1250 Gallons

Approval	Signature	Options
Applicant		Status must be

Internal Notes

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