SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 002785, UID # 5240
Status: Report Submitted
Maintainer Information
Maintainer's Contact Information: |
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Code to use for this report: |
a1091b0594 |
Date of Maintenance: |
04/29/2016 |
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 |
| | | 2702921230009 | 1543 15TH STREET CT N, CITY OF LAKE ELMO | 1543 | 15TH STREET | CT | N | LAKE ELMO | CITY OF LAKE ELMO | 55042 | WHITE ROBERT J & BETH A | 2 | 1 | CARDINAL VIEW | 2010 | |
1
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Maintenance Performed: |
Tank(s) Pumped
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Access to Tanks
Did you use the maintenance hole to remove septage: |
Yes |
Attach Copy of Report
Describe the method used to remove the septage: |
SEE REPORT |
Attach Maintenance Report: |
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Maintenance Covers
Were all covers securely replaced? |
Yes |
Evidence of Leaks or Damaged Covers
Septic/Holding Tank #1 - Leaking Out: |
No |
- Leaking In: |
No |
- Cover Damage: |
No |
Septage Removed
Tank #1: |
1250 Gallons |
Tank #2: |
1250 Gallons |
Approvals
Approval | Signature | Options |
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Applicant | | |