SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2018 - 008167, UID # 13556
Status: Report Submitted
 

Maintainer Information

Maintainer's Contact Information:
Name:
Keith Valento
MPCA License #:
L2428
Business Name:
Smiie's Sewer Service
Email:
smilies.angie@gmail.com
Address:
PO BOX 100
Scandia MN 55073
Code to use for this report: o9633c9839
Date of Maintenance: 11/17/2017
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
25032211200049800 199TH ST N, CITY OF FOREST LAKE9800199THSTNFOREST LAKECITY OF FOREST LAKE55025HAGLIN TODD C & VIRGINIA A21ROLLING RANCHLAND ESTATES1988
Maintenance Performed:
Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage: Yes

Attach Copy of Report

Attach Maintenance Report:

Maintenance Covers

Were all covers securely replaced? Yes

Tank Details

Tank#1: No

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1: 1250 Gallons

Approvals

ApprovalSignature
Applicant 

Internal Notes

Text:
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