SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000597, UID # 2146
Status: Report Submitted
Maintainer Information
| Maintainer's Contact Information: |
|
| Code to use for this report: |
w2555o1805 |
| Date of Maintenance: |
11/19/2014 |
| 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 |
|---|
| | | 1202721230033 | 7252 LAVERNE AVE S, CITY OF COTTAGE GROVE | 7252 | LAVERNE | AVE | S | COTTAGE GROVE | CITY OF COTTAGE GROVE | 55016 | BRUNELL TODD | 1 | | COTTAGE GROVE | 1969 | |
1
|
| 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? |
No |
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 |
| Tank #2: |
1000 Gallons |
Approvals
| Approval | Signature |
|---|
| Applicant | |
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1202721230033-MAINTENANCE_REPORT-_20141119.pdf