SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 002763, UID # 5215
Status: Report Submitted

Maintainer Information

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:

23893 Pomroy Ave N

Scandia	MN	55073

Code to use for this report:

u2907g4107

Date of Maintenance:

09/16/2016

Reason for Maintenance:

Routine

System Location & Maintenance Performed

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
			2703221430002	7840 191ST ST N, CITY OF FOREST LAKE	7840	191ST	ST	N	FOREST LAKE	CITY OF FOREST LAKE	55025	SUMMER WILLIAM A				1968

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:

File 1: 7840-09292016103427.pdf

Maintenance Covers

Were all covers securely replaced?

Yes

Tank Details

Tank#1:

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:	1000 Gallons
Tank #2:	1000 Gallons

Waste Disposal

Waste Disposal Method:	Land Apply
Location:	Wash Co land Apply

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):