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SSTS Maintenance Report SSTS Maintenance Report UID # 54338
Status: In Progress
 

Maintainer Information

Maintainer's Contact Information:
Name:
Marc Meyer
MPCA License #:
L4007
Business Name:
Rons Sewer Service
Phone:Mobile:
(715) 749 - 0153
(651) 248 - 7277
Email:
ronssewerservice@gmail.com
Address:
1053 120th St.
Roberts WI 54023
Code to use for this report: k4127s35795
Date of Maintenance: 07/23/2024
Reason for Maintenance: Routine
If 'Other' then enter reasons here: 







	





	
System Location & Maintenance Performed

	


Property Maintenance Performed :















	
	
	
	





Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes


Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold




350292044001116775 3RD ST N, CITY OF LAKELAND SHORES167753RDSTNLAKELANDCITY OF LAKELAND SHORES55043LUNDSTROM PETER D & REGAN M21CEDAR GROVE1973
















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:

    		

    

    

    
	
    

    

    
	
    Maintenance Covers
    
	
    

    Were all covers securely replaced?
Yes

    

     :


    

    

    
	
    

    

    
	
    Tank Details
    
	
    

    Tank#1:
No

    

    Verification Method Used:


    

    Tank #2:
No

    

    Verification Method Used:


    

    Tank #3:
No

    

    Verification Method Used:


    

    Tank#4:


    

    Verification Method Used:


    

    

    
	
    

    

    
	
    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

    

    Septic/Holding Tank #3
    -Leaking Out:    		


    

    -Leaking In:


    

    -Cover Damage:


    

    Septic/Holding Tank #4
    -Leaking out:    		


    

    -Leaking In:


    

    -Cover Damage:


    

    Pretreatment Tank

    - Leaking Out:    		


    

    - Leaking In:


    

    - Cover Damage:


    

    Pump Tank

    - Leaking Out:    		
No

    

    - Leaking In:
No

    

    - Cover Damage:
No

    

    

    
	
    

    

    
	
    Septage Removed
    
	
    

    Tank #1:
1250 Gallons

    

    Tank #2:
1000 Gallons

    

    Tank #3:
 Gallons

    

    Tank #4:
 Gallons

    

    Pretreatment Tank:
 Gallons

    

    Pump Tank:
250 Gallons

    

    

    
	
    

    

    
	
    Waste Disposal
    
	
    

    Waste Disposal Method:


    

    Location:


    

    

    
	
    

    

    
	
    Other Information
    
	
    

    Notes/Comments:

    		

    

    

    
	
    

    

    

    


    

    Text:

    		

    

    File(s):

      		

      

      

      

      

      


      

		
      
		
		
      

      
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