SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 003005, UID # 5540
Status: Report Submitted
Maintainer Information
| Maintainer's Contact Information: |
|
| Code to use for this report: |
n2930s1329 |
| Date of Maintenance: |
05/09/2016 |
| Reason for Maintenance: |
Routine |
System Location & Maintenance Performed
| Property Maintenance Performed : |
Find:
| Sorry, could not retrieve advanced filters. |
| 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 |
|---|
| | | 0303221220016 | 23920 HAWTHORN AVE N, CITY OF FOREST LAKE | 23920 | HAWTHORN | AVE | N | FOREST LAKE | CITY OF FOREST LAKE | 55025 | HUDRLIK DAVID J & JENNIFER L BOOKS | 2 | 1 | MATHERN ADD | 1996 | |
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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 |
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: |
1516 Gallons |
| Tank #2: |
1100 Gallons |
Waste Disposal
| Waste Disposal Method: |
Land Apply |
| Location: |
Harris |
Approvals
| Approval | Signature | Options |
|---|
| Applicant | | |
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23920_Hawethorn_Ave.pdf