SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2024 - 034441, UID # 53850
Status: Report Submitted
Maintainer Information
| Maintainer's Contact Information: |
|
| Code to use for this report: |
e2333a35910 |
| Date of Maintenance: |
07/01/2024 |
| 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 |
|---|
| | | 2102721420004 | 9564 ISLAY AVE S, CITY OF COTTAGE GROVE | 9564 | ISLAY | AVE | S | COTTAGE GROVE | CITY OF COTTAGE GROVE | 55016 | MCKENZIE TIMOTHY J | 5 | 31 | VILLAGE OF LANGDON | 1932 | |
1
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| 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: |
|
Maintenance Covers
| Were all covers securely replaced? |
No |
| : |
Pumped through pipe |
Tank Details
| Tank#1: |
No |
| Verification Method Used: |
Unsure:Pumped through pipe |
Evidence of Leaks or Damaged Covers
Septic/Holding Tank #1
- Leaking Out: |
No |
| - Leaking In: |
No |
| - Cover Damage: |
No |
Waste Disposal
| Waste Disposal Method: |
Treatment Plant |
| Location: |
Metro |
Approvals
| Approval | Signature | Options |
|---|
| Applicant | | |
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9564_Islay_Ave_S.pdf