SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2019 - 015925, UID # 25143
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Keith Valento

MPCA License #:

2428

Business Name:

Smilie's Sewer Service

Phone:

Mobile:

(651

) 433

- 3005

(651

) 261

- 1562

Fax:

(433

) 433

- 3005

Email:

smilies.angie@gmail.com

Address:

P.O.Box 100

Scandia	MN	55073

Code to use for this report:

x8556a17115

Date of Maintenance:

11/01/2019

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
			0103221220002	9370 239TH ST N, CITY OF FOREST LAKE	9370	239TH	ST	N	FOREST LAKE	CITY OF FOREST LAKE	55025	WILLIAMS CURTIS J	4	3	HUNTER'S HILL	1974

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:

1200 Gallons

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
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