SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 003044, UID # 5631
Status: Report Submitted
Maintainer Information
| Maintainer's Contact Information: |
|
| Code to use for this report: |
f3686m4388 |
| Date of Maintenance: |
09/19/2016 |
| 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 |
|---|
| | | 3103119230001 | 12581 QUEENS WAY N, TOWN OF MAY | 12581 | QUEENS | WAY | N | STILLWATER | TOWN OF MAY | 55082 | CLARK JEFFREY D & LORRAINE I | 1 | 1 | RIDGEWOOD ACRES | 1987 | |
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 |
Evidence of Leaks or Damaged Covers
Septic/Holding Tank #1
- Leaking Out: |
No |
| - Leaking In: |
No |
| - Cover Damage: |
No |
Waste Disposal
| Waste Disposal Method: |
Land Apply |
| Location: |
Wash Co Land Apply |
Other Information
| Notes/Comments: |
See report |
Approvals
| Approval | Signature | Options |
|---|
| Applicant | | |
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12581-10172016101425.pdf