SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000768, UID # 2334
Status: Report Submitted
 

Maintainer Information

Maintainer's Contact Information:
Name:
Jon Olsons
MPCA License #:
L216
Business Name:
Olson's Sewer Service
Phone:
(651464 - 2082
Email:
ossi@olsonsinthepink.com
Address:
17638 Lyons St NE
Forest lake MN 55025
Code to use for this report: b4844l1955
Date of Maintenance: 12/10/2015
Reason for Maintenance: Routine

System Location & Maintenance Performed

Property Maintenance Performed :
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
12032213100049890 223RD STREET CT N, CITY OF FOREST LAKE9890223RD STREETCTNFOREST LAKECITY OF FOREST LAKE55025CAMPBELL BEAMS GRANT E61CRANBERRY HEIGHTS1985
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? Yes

Tank Details

Tank#1: No

Evidence of Leaks or Damaged Covers

Septic/Holding Tank #1
- Leaking Out:
No
- Leaking In: No
- Cover Damage: No

Septage Removed

Tank #1: 1250 Gallons
Tank #2: 1000 Gallons

Approvals

ApprovalSignature
Applicant 

Internal Notes

Text:
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