SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2018 - 009226, UID # 14767
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Lana Meyer

MPCA License #:

915

Business Name:

Meyer Sewer Service, Inc.

Phone:

(651

) 459

- 0162

Email:

meyersewer@hotmail.com

Address:

5325 Manning Ave. S.

Afton	MN	55001

Code to use for this report:

o5104h9056

Date of Maintenance:

10/13/2017

Reason for Maintenance:

Routine

System Location & Maintenance Performed

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
			2602920430022	1031 RIVERCREST RD N, CITY OF LAKELAND	1031	RIVERCREST	RD	N	LAKELAND	CITY OF LAKELAND	55043	GERVAIS BRUCE H & KELLY A	1	1	OAK BLUFF ESTATES	1995

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:

File 1: 1031_Rivercrest_Rd..pdf

Maintenance Covers

Were all covers securely replaced?

Yes

Tank Details

Tank#1:

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1:	1000 Gallons
Tank #2:	1000 Gallons

Waste Disposal

Location:

W-1

Other Information

Notes/Comments:

Customer dug tank open.

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):