SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000301, UID # 1746
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Neil Clymer

MPCA License #:

1673

Business Name:

Pinky's Environmental and Sewer Service

Phone:

Mobile:

(651

) 439

- 4847

(651

) 248

- 2003

Fax:

(651

) 769

- 0584

Email:

pinkyssewerservice@yahoo.com

Address:

PO Box 354

Afton	MN	55001

Code to use for this report:

s4729d1230

Date of Maintenance:

04/26/2016

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
			0302921310008	5445 JAMACA BLVD N, CITY OF LAKE ELMO	5445	JAMACA	BLVD	N	LAKE ELMO	CITY OF LAKE ELMO	55042	FARMER KENNETH R II & MICHELLE R W	10	1	FOX FIRE ESTATES	1983

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:

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1:

1200 Gallons

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
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