SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000511, UID # 2071
Status: Report Submitted

Maintainer's Contact Information:

Name:

Larry Schlomka

MPCA License #:

L2989

Business Name:

Schlomka Services LLC

Phone:

(651

) 459

- 3718

Email:

aj_schlomka@hotmail.com

Address:

Code to use for this report:

o5341b1747

Date of Maintenance:

11/13/2015

Reason for Maintenance:

Routine

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
			2702821120002	9721 BAILEY RD, CITY OF WOODBURY	9721	BAILEY	RD		WOODBURY	CITY OF WOODBURY	55129	JANSSEN STEPHEN M & CYNTHIA L	1	1	CLAPP-THOMSSEN SALEM MEADOWS 2ND ADD	1959

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Describe the method used to remove the septage:	see report
Attach maintenance Report:	File 1: 2702821120002-maintenance_report-20151113.pdf

Were all covers securely replaced?

Yes

Tank#1:	No
Tank #2:	No

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

Tank #1:	1500 Gallons
Tank #2:	1500 Gallons

Approval	Signature
Applicant

Text:
File(s):