SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 001246, UID # 2888
Status: Report Submitted
Maintainer Information
| Maintainer's Contact Information: |
|
| Code to use for this report: |
f6720r2375 |
| Date of Maintenance: |
12/08/2015 |
| 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 |
|---|
| | | 1002721210120 | 9366 71ST ST S, CITY OF COTTAGE GROVE | 9366 | 71ST | ST | S | COTTAGE GROVE | CITY OF COTTAGE GROVE | 55016 | GIBNEY ROGER H & SHARON M | 3 | 4 | PINETREE POND EAST 6TH ADD | 1989 | |
1
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| 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: |
See Report |
| Attach maintenance Report: |
|
Maintenance Covers
| Were all covers securely replaced? |
Yes |
Evidence of Leaks or Damaged Covers
Septic/Holding Tank #1
- Leaking Out: |
No |
| - Leaking In: |
No |
| - Cover Damage: |
No |
Approvals
| Approval | Signature | Options |
|---|
| Applicant | | |
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1002721210120_maint_report_12_8_2015.pdf