SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2023 - 028536, UID # 45104
Status: Report Submitted
Maintainer Information
| Maintainer's Contact Information: |
|
| Code to use for this report: |
i0231d29977 |
| Date of Maintenance: |
05/21/2022 |
| Reason for Maintenance: |
Other |
| If 'Other' then enter reasons here: |
Plugged line |
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 |
|---|
| | | 2902920140003 | 13920 17TH ST N, TOWN OF WEST LAKELAND | 13920 | 17TH | ST | N | STILLWATER | TOWN OF WEST LAKELAND | 55082 | LEACH DAVID A & JESSICA C | 2 | 1 | HORNING ESTATES | 1987 | |
1
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| Maintenance Performed: |
Tank(s) Pumped
|
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: |
W1 |
Approvals
| Approval | Signature | Options |
|---|
| Applicant | | |
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