SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2019 - 014813, UID # 23413
Status: Report Submitted
Maintainer Information
Maintainer's Contact Information: |
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Code to use for this report: |
p7820v15734 |
Date of Maintenance: |
08/20/2019 |
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 |
| | | 0703021120002 | 15 LACOSTA DR, CITY OF DELLWOOD | 15 | LACOSTA | DR | | WHITE BEAR LAKE | CITY OF DELLWOOD | 55110 | PERPICH WILLIAM & STACI J | 5 | 2 | DELLWOOD HILLS PLAT 2 | 1973 | |
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: |
Pumped through pipe |
Attach maintenance Report: |
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Maintenance Covers
Were all covers securely replaced? |
No |
: |
PIPE |
Tank Details
Tank#1: |
No |
Verification Method Used: |
ANSWER UNKNOWN> PIPE |
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 |
Other Information
Notes/Comments: |
Pumped through pipe. no MH. Answers are unknown |
Approvals
Approval | Signature |
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Applicant | |