SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2022 - 025315, UID # 39866
Status: Report Submitted
Maintainer Information
Maintainer's Contact Information: |
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Code to use for this report: |
a1610z26236 |
Date of Maintenance: |
07/26/2021 |
Reason for Maintenance: |
Compliance inspection |
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 |
| | | 3302721240013 | 8462 113TH ST S, CITY OF COTTAGE GROVE | 8462 | 113TH | ST | S | COTTAGE GROVE | CITY OF COTTAGE GROVE | 55016 | WOLFGRAM JOHN A & ERICA E LOPEZ | 24 | | HOUSE'S ISLAND VIEW | 1981 | No |
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: |
Yes |
Maintenance Covers
Were all covers securely replaced? |
Yes |
Tank Details
Tank#1: |
No |
Verification Method Used: |
Visual |
Evidence of Leaks or Damaged Covers
Septic/Holding Tank #1 - Leaking Out: |
No |
- Leaking In: |
No |
- Cover Damage: |
No |
Waste Disposal
Waste Disposal Method: |
Land Apply |
Location: |
M-1 |
Other Information
Notes/Comments: |
Shelley-Compliance inspection |
Approvals
Approval | Signature | Options |
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Applicant | | |