SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000163, UID # 1375
Status: Report Submitted

Maintainer's Contact Information:

Name:

Neil Clymer

MPCA License #:

L1673

Business Name:

Pinky's Environmental Sewer Service Inc.

Phone:

(651

) 439

- 4847

Email:

septic@co.washington.mn.us

Address:

Code to use for this report:

h4556k0836

Date of Maintenance:

10/02/2015

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
			2002820410003	13972 WEST OAKGREEN CIR S, CITY OF AFTON	13972	WEST OAKGREEN	CIR	S	AFTON	CITY OF AFTON	55001	PELOQUIN TRACY L	4	2	MEADOW RIDGE 2ND ADD	1979

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:	1000 Gallons
Tank #2:	1000 Gallons

Approval	Signature	Options
Applicant		Status must be

Internal Notes

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