SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2018 - 009601, UID # 15419
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Ryan Lashinski

MPCA License #:

Business Name:

Lashinski Services, Inc.

Phone:

Mobile:

(763

) 434

- 3915

(612

) 919

- 3704

Email:

rlashinski@gmail.com

Address:

1326 161 Avenue NW

Andover	MN	55304

Code to use for this report:

l1621r11397

Date of Maintenance:

05/25/2018

Reason for Maintenance:

Routine

If 'Other' then enter reasons here:

Home Sale

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
			0403120140003	13269 177TH ST N, TOWN OF MAY	13269	177TH	ST	N	MARINE ON ST CROIX	TOWN OF MAY	55047	BROWN CHARLES				2002

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Yes

Maintenance Covers

Were all covers securely replaced?

Yes

Tank Details

Tank#1:	Yes
Tank #2:	No
Tank #3:	No

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
Septic/Holding Tank #3 -Leaking Out:	No

Septage Removed

Tank #1:	1000 Gallons
Tank #2:	1000 Gallons
Tank #3:	1000 Gallons

Waste Disposal

Waste Disposal Method:	Treatment Plant
Location:	Fridley

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):