SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2019 - 013711, UID # 21704
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Larry Schlomka

MPCA License #:

2989

Business Name:

Schlomka Services

Phone:

Mobile:

(651

) 459

- 3718

(567

) 567

- 0567

Fax:

(567

) 567

- 0567

Email:

office@schlomkaservices.com

Address:

1303 S. Frontage Road
#135
Hastings	MN	55033

Code to use for this report:

u0440b14101

Date of Maintenance:

06/11/2019

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
			2402722120004	9090 GREY CLOUD TRL S, TOWN OF GREY CLOUD ISLAND	9090	GREY CLOUD	TRL	S	ST PAUL PARK	TOWN OF GREY CLOUD ISLAND	55071	KEALY KELLY G				1904

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:	1000 Gallons
Tank #2:	1000 Gallons

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

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