SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000334, UID # 1787
Status: Report Submitted
 

Maintainer Information

Maintainer's Contact Information:
Name:
Mike
MPCA License #:
L3287
Business Name:
Hassle Free Septic
Phone:
(651442 - 6599
Email:
septic@co.washington.mn.us
Address:
PO BOX 702
North Branch MN 55056
Code to use for this report: l3211v1421
Date of Maintenance: 03/21/2016
Reason for Maintenance: Routine

System Location & Maintenance Performed

Property Maintenance Performed :
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
24032212100459661 SCANDIA TRL N, CITY OF FOREST LAKE9661SCANDIATRLNFOREST LAKECITY OF FOREST LAKE55025DEGONDA DARYL93SYLVAN SHORES AND HURD COMPANY FARMS1972
Maintenance Performed:
Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage: No

Attach Copy of Report

Describe the method used to remove the septage:
see report- maintenance hole used
Attach maintenance Report:

Maintenance Covers

Were all covers securely replaced? Yes

Tank Details

Tank#1: No

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1: 1250 Gallons
Pump Tank: 1000 Gallons

Approvals

ApprovalSignature
Applicant 

Internal Notes

Text:
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