SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 002749, UID # 5201
Status: Report Submitted
Maintainer Information
| Maintainer's Contact Information: |
|
| Code to use for this report: |
r8229v3965 |
| Date of Maintenance: |
09/13/2016 |
| 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 |
|---|
| | | 1203220110004 | 22880 ST CROIX TRL N, CITY OF SCANDIA | 22880 | ST CROIX | TRL | N | SCANDIA | CITY OF SCANDIA | 55073 | COSGRIFF MATTHEW A & ELLARY H ASCHE | | | | 1917 | |
1
|
| Maintenance Performed: |
Tank(s) Pumped
|
Access to Tanks
| Did you use the maintenance hole to remove septage: |
No |
Attach Copy of Report
| Attach maintenance Report: |
|
| Attach Maintenance Report: |
|
Maintenance Covers
| Were all covers securely replaced? |
No |
| : |
NA |
Evidence of Leaks or Damaged Covers
Septic/Holding Tank #1
- Leaking Out: |
No |
| - Leaking In: |
No |
| - Cover Damage: |
No |
Other Information
| Notes/Comments: |
System Pre 1978 |
Approvals
| Approval | Signature | Options |
|---|
| Applicant | | |
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22880-09292016103223.pdf