SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 001073, UID # 2699
Status: Report Submitted

Maintainer's Contact Information:

Name:

LeeAn Weigth

MPCA License #:

L216

Business Name:

Olson's Sewer Service

Phone:

(651

) 464

- 2082

Email:

ossi1@olsoninthepink.com

Address:

Code to use for this report:

u5657g2243

Date of Maintenance:

11/23/2015

Reason for Maintenance:

Routine

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
			2303221240002	20555 INGERSOLL AVE N, CITY OF FOREST LAKE	20555	INGERSOLL	AVE	N	FOREST LAKE	CITY OF FOREST LAKE	55025	WINNICK BENJAMIN K & RIMMA F WINNICK				2005

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Describe the method used to remove the septage:	see report
Attach maintenance Report:	File 1: 2303221240002-Maintenance_Report-20151123.pdf

Were all covers securely replaced?

Yes

Tank#1:

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

Tank #1:	1500 Gallons
Tank #2:	1000 Gallons

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):