SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000586, UID # 2165
Status: Report Submitted
Maintainer Information
Maintainer's Contact Information: |
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Code to use for this report: |
x2303n1807 |
Date of Maintenance: |
11/13/2015 |
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 |
| | | 1503221140005 | 21550 IMPERIAL AVE N, CITY OF FOREST LAKE | 21550 | IMPERIAL | AVE | N | FOREST LAKE | CITY OF FOREST LAKE | 55025 | GEERDES RONALD J & ELLEN SUE | | | | 1960 | |
1
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Maintenance Performed: |
Tank(s) Pumped
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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 |
Tank #3: |
300 Gallons |
Approvals
Approval | Signature |
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Applicant | |