SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 003015, UID # 5551
Status: Report Submitted
 

Maintainer Information

Maintainer's Contact Information:
Name:
Ross Sewer
MPCA License #:
L3448
Business Name:
Ross Sewer Service
Email:
noemail@noemail.com
Address:
9288 County Rd 5 NE
North Branch MN 55056
Code to use for this report: b5747u3168
Date of Maintenance: 09/29/2016
Reason for Maintenance: Routine

System Location & Maintenance Performed

Property Maintenance Performed :
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
240322132001020353 JEWEL AVE N, CITY OF FOREST LAKE20353JEWELAVENFOREST LAKECITY OF FOREST LAKE55025SUNDSMO ALICIA A & JOSEPH A32PRAIRIE HILL1981
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

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
Pump Tank
- Leaking Out:
No
- Leaking In: No
- Cover Damage: No

Septage Removed

Tank #1: 1000 Gallons
Tank #2: 1000 Gallons
Pump Tank: 1000 Gallons

Waste Disposal

Waste Disposal Method: Land Apply
Location: 29052 Dimaggio St NE North Branch MN

Other Information

Notes/Comments:
Everything looks good

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