SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2023 - 031378, UID # 49571 Status: Report Submitted
Maintainer Information
Maintainer's Contact Information:
Code to use for this report:
x0790f32885
Date of Maintenance:
10/26/2023
Reason for Maintenance:
Routine
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
2202920420015 2445 PERIWINKLE AVE N, TOWN OF WEST LAKELAND 2445 PERIWINKLE AVE N STILLWATER TOWN OF WEST LAKELAND 55082 HORNUNG JUSTIN & PATRICIA 3 2 SUMMERFIELD 1998
1
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:
No
Verification Method Used:
Visual
Tank #2:
No
Verification Method Used:
Visual
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:
1500 Gallons
Tank #2:
1000 Gallons
Waste Disposal
Waste Disposal Method:
Treatment Plant
Location:
St Paul Metro
Approvals
Approval Signature Options Applicant