SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 001266, UID # 2908
Status: Report Submitted
Maintainer Information
Maintainer's Contact Information: |
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Code to use for this report: |
q7443r2385 |
Date of Maintenance: |
12/04/2015 |
Reason for Maintenance: |
Routine |
System Location & Maintenance Performed
Property Maintenance Performed : |
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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 |
| | | 0102921230010 | 5531 LAKE ELMO AVE N, CITY OF LAKE ELMO | 5531 | LAKE ELMO | AVE | N | LAKE ELMO | CITY OF LAKE ELMO | 55042 | KARTARIK TREVOR A | | | | 1969 | |
1
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Maintenance Performed: |
Tank(s) Pumped
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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: |
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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 |
Septage Removed
Tank #1: |
1200 Gallons |
Tank #2: |
1200 Gallons |
Approvals
Approval | Signature | Options |
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Applicant | | |