SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2023 - 030246, UID # 47903
Status: Report Submitted
Maintainer Information
| Maintainer's Contact Information: |
|
| Code to use for this report: |
o5059o31497 |
| Date of Maintenance: |
05/04/2023 |
| 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 |
|---|
| | | 2402921420011 | 2415 LISBON AVE N, CITY OF LAKE ELMO | 2415 | LISBON | AVE | N | LAKE ELMO | CITY OF LAKE ELMO | 55042 | KLOETZKE MARVIN H & MARY ANN KLOETZKE | 4 | 2 | EDEN PARK | 1977 | |
1
|
| Maintenance Performed: |
Tank(s) Pumped
|
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: |
Standpipe |
| Attach maintenance Report: |
|
Maintenance Covers
| Were all covers securely replaced? |
No |
| : |
standpipe - no cover |
Evidence of Leaks or Damaged Covers
Septic/Holding Tank #1
- Leaking Out: |
No |
| - Leaking In: |
No |
| - Cover Damage: |
No |
Waste Disposal
| Waste Disposal Method: |
Treatment Plant |
| Location: |
St. Paul |
Approvals
| Approval | Signature | Options |
|---|
| Applicant | | |
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Kloetzke.pdf