SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000460, UID # 2006
Status: Report Submitted
 

Maintainer Information

Maintainer's Contact Information:
Name:
Ross' Sewer Service
MPCA License #:
L3448
Business Name:
Ross Sewer Serivce
Phone:
(651674 - 4349
Email:
septic@co.washington.mn.us
Address:
9288 County Road 5 NE
North Branch MN 55056
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 :
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
26032212100018695 200TH ST N, CITY OF FOREST LAKE8695200THSTNFOREST LAKECITY OF FOREST LAKE55025LEMMONS RAYMOND L1967
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
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

Septage Removed

Tank #1: 1000 Gallons

Approvals

ApprovalSignature
Applicant 

Internal Notes

Text:
File(s):
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