SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 001399, UID # 3054
Status: Report Submitted
Maintainer Information
| Maintainer's Contact Information: |
|
| Code to use for this report: |
w1786r3005 |
| Date of Maintenance: |
06/02/2016 |
| 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 |
|---|
| | | 0203221330003 | 23225 ITASCA AVE N, CITY OF FOREST LAKE | 23225 | ITASCA | AVE | N | FOREST LAKE | CITY OF FOREST LAKE | 55025 | GOERSS DOUGLAS E & BARBARA A | 4 | 2 | WATERS EDGE PRESERVE | 1999 | |
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| Maintenance Performed: |
Tank(s) Pumped
|
Access to Tanks
| Did you use the maintenance hole to remove septage: |
Yes |
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 |
Septic/Holding Tank #2
- Leaking Out: |
No |
| - Leaking In: |
No |
| - Cover Damage: |
No |
Septage Removed
| Tank #1: |
1000 Gallons |
| Tank #2: |
1072 Gallons |
Approvals
| Approval | Signature | Options |
|---|
| Applicant | | |
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0203221330003-maintenance_report-20160602.pdf