SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000475, UID # 2013
Status: Report Submitted
 

Maintainer Information

Maintainer's Contact Information:
Name:
ESI Septic
MPCA License #:
L2994
Business Name:
ESI Septic
Phone:
(651437 - 1620
Email:
septic@co.washington.mn.us
Address:
PO BOX 249
Hampton MN 55031
Code to use for this report: e6144z1708
Date of Maintenance: 01/10/2016
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
330272011000811130 PANAMA AVE S, TOWN OF DENMARK11130PANAMAAVESHASTINGSTOWN OF DENMARK55033RUHR WILLIAM A & LYNN L21CHERRYWOOD RIDGE 2ND ADD1992
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

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: 1000 Gallons
Tank #2: 1000 Gallons

Approvals

ApprovalSignature
Applicant 

Internal Notes

Text:
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