SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2024 - 035881, UID # 55954
Maintainer Information
Maintainer's Contact Information: Code to use for this report: d6508c37556 Date of Maintenance: 10/03/2024 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
3603221410002 18323 JULY AVE N, CITY OF FOREST LAKE 18323 JULY AVE N FOREST LAKE CITY OF FOREST LAKE 55025 MOORE JEFFREY L & LYNN F 2001
1
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: Visual Tank #2: No Verification Method Used: Visual Tank #3: No Verification Method Used: Visual
Evidence of Leaks or Damaged Covers
Septic/Holding Tank #1 No - Leaking In: No - Cover Damage: No Septic/Holding Tank #2
No - Leaking In: No - Cover Damage: No Septic/Holding Tank #3 No -Leaking In: No -Cover Damage: No
Septage Removed
Tank #1: 1200 GallonsTank #2: 1500 Gallons
Waste Disposal
Waste Disposal Method: Treatment Plant Location: St Paul Metro
Other Information
Notes/Comments: There are two system here, one for the home and one for the barn. We pulled out 1200 gallons from the house system and 1500 gallons from the barn system.
Approvals
Approval Signature Applicant
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18323JulyAveFLWashington.pdf