SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 003538, UID # 6445
Status: Report Submitted

Maintainer's Contact Information:

Name:

Boss Pumping

MPCA License #:

L1945

Business Name:

Boss Pumping

Phone:

(651

) 466

- 0800

Email:

noemail@noemail.com

Address:

Code to use for this report:

p2903u2861

Date of Maintenance:

10/12/2016

Reason for Maintenance:

Routine

Property Maintenance Performed :

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
			0302921210006	9798 55TH ST N, CITY OF LAKE ELMO	9798	55TH	ST	N	LAKE ELMO	CITY OF LAKE ELMO	55042	SANDBERG ROCHELLE M	6	2	JUDITH MARY MANOR	1999

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Yes

Attach Maintenance Report:

Were all covers securely replaced?

Yes

Tank#1:

Septic/Holding Tank #1 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Tank #1:	1500 Gallons
Tank #2:	1500 Gallons

Approval	Signature	Options
Applicant		Status must be

Internal Notes

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