SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2018 - 009147, UID # 14662
Status: Report Submitted
Maintainer Information
| Maintainer's Contact Information: |
|
| Code to use for this report: |
p9820h8758 |
| Date of Maintenance: |
09/19/2017 |
| Reason for Maintenance: |
Routine |
System Location & Maintenance Performed
| Property Maintenance Performed : |
Find:
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| 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 |
|---|
| | | 1102820340061 | 16343 19TH ST S, CITY OF LAKE ST CROIX BEACH | 16343 | 19TH | ST | S | LAKELAND | CITY OF LAKE ST CROIX BEACH | 55043 | BUCKLEY VIRGINIA A & LISA M DAHLSTROM | | | | 1932 | |
1
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| Maintenance Performed: |
Tank(s) Pumped
|
Access to Tanks
| Did you use the maintenance hole to remove septage: |
No |
Attach Copy of Report
| Attach maintenance Report: |
|
Maintenance Covers
| Were all covers securely replaced? |
Yes |
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 |
| Tank #2: |
500 Gallons |
Other Information
| Notes/Comments: |
See Report - not completely filled out.
Pumped through 4" pipe
old cesspools |
Approvals
| Approval | Signature |
|---|
| Applicant | |
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16343_19th_St._S..pdf