SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2023 - 031238, UID # 37306
Status: In Progress
 

Maintainer Information

Maintainer's Contact Information:
Name:
Denise - Test
MPCA License #:
L4448
Business Name:
Test
Phone:
(111111 - 1111
Email:
noemail@noemail.com
Address:
14949 62nd St
Stillwater MN 55082
Code to use for this report: p2775t23911
Date of Maintenance: 10/17/2023
Reason for Maintenance: Routine
If 'Other' then enter reasons here:

System Location & Maintenance Performed

Property Maintenance Performed :
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
330302044000114949 62ND ST N, CITY OF STILLWATER1494962NDSTNSTILLWATERCITY OF STILLWATER55082WASHINGTON COUNTY11MC MILLAN AND COOLEY'S ADD
Maintenance Performed:
Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage: Yes

Attach Copy of Report

Attach Maintenance Report:

    Maintenance Covers

    Were all covers securely replaced? Yes
    :

    Tank Details

    Tank#1: Yes
    Verification Method Used: visual
    Tank #2:
    Verification Method Used:
    Tank #3:
    Verification Method Used:
    Tank#4:
    Verification Method Used:

    Evidence of Leaks or Damaged Covers

    Septic/Holding Tank #1
    - Leaking Out:
    Yes
    - Leaking In: Yes
    - Cover Damage: Yes
    Septic/Holding Tank #2
    - Leaking Out:
    - Leaking In:
    - Cover Damage:
    Septic/Holding Tank #3
    -Leaking Out:
    -Leaking In:
    -Cover Damage:
    Septic/Holding Tank #4
    -Leaking out:
    -Leaking In:
    -Cover Damage:
    Pretreatment Tank
    - Leaking Out:
    - Leaking In:
    - Cover Damage:
    Pump Tank
    - Leaking Out:
    - Leaking In:
    - Cover Damage:

    Septage Removed

    Tank #1: 1000 Gallons
    Tank #2:  Gallons
    Tank #3:  Gallons
    Tank #4:  Gallons
    Pretreatment Tank:  Gallons
    Pump Tank:  Gallons

    Waste Disposal

    Waste Disposal Method:
    Location:

    Other Information

    Notes/Comments:

    Internal Notes

    Text:
    File(s):
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