SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000212, UID # 1545
Status: Report Submitted

Maintainer's Contact Information:

Name:

Jon Olson

MPCA License #:

L216

Business Name:

Olson Sewer Service

Phone:

(651

) 464

- 2082

Email:

ossi1@olsonsinthepink.com

Address:

Code to use for this report:

d5210n1061

Date of Maintenance:

04/15/2016

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
			1102820430147	1837 RACINE AVE S, CITY OF LAKE ST CROIX BEACH	1837	RACINE	AVE	S	LAKELAND	CITY OF LAKE ST CROIX BEACH	55043	RUTZ MATTHEU A				1930

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Describe the method used to remove the septage:	See report
Attach maintenance Report:	File 1: 1102820430147-Maintenance-20160415.pdf

Were all covers securely replaced?	No
:	No Visible access cover,owner exposed tank top- no cover found

Tank#1:	No
Verification Method Used:	No Visible access cover,owner exposed tank top- no cover found

Septic/Holding Tank #1 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Tank #1:

1050 Gallons

Notes/Comments:

Confirmed PVC pipe at dist box, line clear tank to dist box

Approval	Signature
Applicant

Text:
File(s):