SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000608, UID # 2190
Status: Report Submitted
Maintainer Information
Maintainer's Contact Information: |
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Code to use for this report: |
c5652q1786 |
Date of Maintenance: |
07/13/2015 |
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 |
| | | 1202721320006 | 7613 LAMAR AVE S, CITY OF COTTAGE GROVE | 7613 | LAMAR | AVE | S | COTTAGE GROVE | CITY OF COTTAGE GROVE | 55016 | JAWORSKI DANIEL J & FAYE C | | | | 1936 | |
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: |
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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 |
Approvals
Approval | Signature |
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Applicant | |