SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000460, UID # 2006
Status: Report Submitted
Maintainer Information
Maintainer's Contact Information: |
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Code to use for this report: |
f3273b1707 |
Date of Maintenance: |
02/16/2016 |
Reason for Maintenance: |
Other |
If 'Other' then enter reasons here: |
System was Froze |
System Location & Maintenance Performed
Property Maintenance Performed : |
Find:
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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 |
| | | 2603221210001 | 8695 200TH ST N, CITY OF FOREST LAKE | 8695 | 200TH | ST | N | FOREST LAKE | CITY OF FOREST LAKE | 55025 | LEMMONS RAYMOND L | | | | 1967 | |
1
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Maintenance Performed: |
Tank(s) Pumped
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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 |
Attach maintenance Report: |
|
Maintenance Covers
Were all covers securely replaced? |
Yes |
Tank Details
Tank#1: |
No |
Verification Method Used: |
visual |
Evidence of Leaks or Damaged Covers
Septic/Holding Tank #1 - Leaking Out: |
No |
- Leaking In: |
No |
- Cover Damage: |
No |
Approvals
Approval | Signature |
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Applicant | |