SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2019 - 013153, UID # 20641
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Ron Lindquist

MPCA License #:

L3070

Business Name:

R & M Septic & Sewer Service

Phone:

Mobile:

(651

) 674

- 8520

(651

) 775

- 7069

Fax:

(651

) 277

- 0424

Email:

randmseptic@aol.com

Address:

37654 Falcon Ave

North Branch	MN	55056

Code to use for this report:

l5009k13450

Date of Maintenance:

03/08/2019

Reason for Maintenance:

Routine

System Location & Maintenance Performed

Property Maintenance Performed :

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
			2703121410001	8152 132ND ST N, CITY OF HUGO	8152	132ND	ST	N	HUGO	CITY OF HUGO	55038	ZAJAC ANTHONY R & JENNIFER M				1965

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Yes

Maintenance Covers

Were all covers securely replaced?

Yes

Tank Details

Tank#1:

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1:

1400 Gallons

Waste Disposal

Waste Disposal Method:	Treatment Plant
Location:	City of North Branch

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
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