SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 002751, UID # 5203
Status: Report Submitted

Maintainer's Contact Information:

Name:

Keith Valento

MPCA License #:

L2428

Business Name:

Smilie's Sewer Service

Phone:

(651

) 433

- 3934

Email:

ab.sanitationservices@gmail.com

Address:

Code to use for this report:

v5859c4132

Date of Maintenance:

09/09/2016

Reason for Maintenance:

Routine

Property Maintenance Performed :

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
			2003221410003	6150 202ND ST N, CITY OF FOREST LAKE	6150	202ND	ST	N	FOREST LAKE	CITY OF FOREST LAKE	55025	ELMCREST VISTAS LLC				1914	No

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Describe the method used to remove the septage:	System pre 1978
Attach maintenance Report:	File 1: 6150-09292016103239.pdf
Attach Maintenance Report:	File 1: 6150-09292016103239.pdf

Were all covers securely replaced?	No
:	NA

Tank#1:

Septic/Holding Tank #1 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Tank #1:

1250 Gallons

Waste Disposal Method:	Land Apply
Location:	Wash CO Land Apply

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):