SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2019 - 015258, UID # 24150
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Larry Schlomka

MPCA License #:

2989

Business Name:

Schlomka Services

Phone:

(651

) 459

- 3718

Email:

office@schlomkaservices.com

Address:

1303 S Frontage Rd, Suite 135

Hastings	MN	55033

Code to use for this report:

t6436h15760

Date of Maintenance:

09/27/2019

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
			0503221120002	23877 FOREST BLVD N, CITY OF FOREST LAKE	23877	FOREST	BLVD	N	FOREST LAKE	CITY OF FOREST LAKE	55025	BERRES STEVEN L

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Attach Copy of Report

Attach maintenance Report:

File 1: IMG_0001.pdf

Maintenance Covers

Were all covers securely replaced?	No
:	not used

Tank Details

Tank#1:	No
Tank #2:	No

Evidence of Leaks or Damaged Covers

Septic/Holding Tank #1 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No
Septic/Holding Tank #2 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Septage Removed

Tank #1:	1750 Gallons
Tank #2:	600 Gallons

Waste Disposal

Location:

Metro

Other Information

Notes/Comments:

No Mh located, pumped through pipe. Answers are unknown.

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):