SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000238, UID # 1571
Status: Report Submitted

Maintainer's Contact Information:

Name:

Larry Schlomka

MPCA License #:

L2989

Business Name:

Schlomka Services LLC

Phone:

(651

) 459

- 3718

Email:

septic@washington.mn.us

Address:

Code to use for this report:

l4399m1204

Date of Maintenance:

10/12/2015

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
			2402921220009	2986 LAKE ELMO AVE N, CITY OF LAKE ELMO	2986	LAKE ELMO	AVE	N	LAKE ELMO	CITY OF LAKE ELMO	55042	GUNDERSON MARLON O & JULIE BUNN				1940

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Yes

Were all covers securely replaced?

Yes

Tank#1:	No
Tank #2:	No

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

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

Approval	Signature
Applicant

Text:
File(s):