SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2018 - 008448, UID # 13855
Status: Report Submitted
 

Maintainer Information

Maintainer's Contact Information:
Name:
Larry Schlomka
MPCA License #:
L2989
Business Name:
Schlomka Serivce
Email:
schlomka@schlomkaservices.com
Address:
13450 122nd St S
Hastings MN 55033
Code to use for this report: i1626q8291
Date of Maintenance: 09/25/2017
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
09029214300314091 IRVIN CIR N, CITY OF LAKE ELMO4091IRVINCIRNLAKE ELMOCITY OF LAKE ELMO55042WYLIE BRUCE E & PAMELA D152LAKE JANE HILLS 2ND ADD1979
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: 1000 Gallons

Approvals

ApprovalSignature
Applicant 

Internal Notes

Text:
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