SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2018 - 010600, UID # 17266
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Ron Lindquist

MPCA License #:

L3070

Business Name:

R & M Septic & Sewer Service

Phone:

Mobile:

(651

) 674

- 8520

(651

) 775

- 7069

Fax:

(651

) 277

- 0424

Email:

randmseptic@aol.com

Address:

37654 Falcon Ave

North Branch	MN	55056

Code to use for this report:

w7353c11662

Date of Maintenance:

09/17/2018

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
			2303220420005	20230 OXBORO LN N, CITY OF SCANDIA	20230	OXBORO	LN	N	MARINE ON ST CROIX	CITY OF SCANDIA	55047	KENDRICK DENNIS W & SUSAN E	5	1	OXBORO HEIGHTS	1994

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:	No
Tank #2:	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
- Leaking In:	No
- Cover Damage:	No

Septage Removed

Tank #1:	1400 Gallons
Tank #2:	1400 Gallons

Waste Disposal

Waste Disposal Method:	Land Apply
Location:	37654 Falcon Ave, North Branch, MN

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

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