SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000487, UID # 2036
Status: Report Submitted
Maintainer Information
| Maintainer's Contact Information: |
|
| Code to use for this report: |
c8033g1719 |
| Date of Maintenance: |
11/23/2015 |
| Reason for Maintenance: |
Routine |
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 |
|---|
| | | 3203221210001 | 5611 190TH ST N, CITY OF FOREST LAKE | 5611 | 190TH | ST | N | FOREST LAKE | CITY OF FOREST LAKE | 55025 | DANIEL E & MARSHA G PELOQUIN TRS | | | | 1979 | |
1
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| 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 |
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: |
1500 Gallons |
| Pump Tank: |
1000 Gallons |
Approvals
| Approval | Signature |
|---|
| Applicant | |
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3203221210001-maintenance_report-20151123.pdf