SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2019 - 015930, UID # 25148
Status: Report Submitted
Maintainer Information
| Maintainer's Contact Information: |
|
| Code to use for this report: |
z7603r17396 |
| Date of Maintenance: |
11/15/2019 |
| Reason for Maintenance: |
Emergency |
System Location & Maintenance Performed
| Property Maintenance Performed : |
Find:
| Sorry, could not retrieve advanced filters. |
| 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 | | | | | |
1
|
| 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: |
No MH located, used pipe. Some answers are unknown. |
| Attach maintenance Report: |
|
Maintenance Covers
| Were all covers securely replaced? |
No |
| : |
not used |
Tank Details
| Tank#1: |
No |
| Verification Method Used: |
ANSWER UNKNOWN> PIPE |
Evidence of Leaks or Damaged Covers
Septic/Holding Tank #1
- Leaking Out: |
Yes |
| - Leaking In: |
No |
| - Cover Damage: |
No |
Septic/Holding Tank #2
- Leaking Out: |
Yes |
| - Leaking In: |
No |
| - Cover Damage: |
No |
Septage Removed
| Tank #1: |
1375 Gallons |
| Tank #2: |
1375 Gallons |
Other Information
| Notes/Comments: |
No MH located, pumped through pipe. Some answers are unknown |
Approvals
| Approval | Signature |
|---|
| Applicant | |
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IMG_0002.pdf