SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 003543, UID # 6451
Status: Report Submitted

Maintainer's Contact Information:

Name:

LARRY SCHLOMKA

MPCA License #:

2989

Business Name:

SCHLOMKA SVCS

Phone:

(651

) 459

- 3718

Email:

aj_schlomka@hotmail.com

Address:

Code to use for this report:

p7212p0897

Date of Maintenance:

05/19/2016

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
			2203221330003	20109 HARROW AVE N, CITY OF FOREST LAKE	20109	HARROW	AVE	N	FOREST LAKE	CITY OF FOREST LAKE	55025	PETERSON COLE A & RONGRONG LI				1975

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Yes

Describe the method used to remove the septage:	SEE REPORT
Attach Maintenance Report:	File 1: 2203221330003-MAINTENANCE_REPORT-20160519.pdf

Were all covers securely replaced?

Yes

Tank#1:

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

Tank #1:	1200 Gallons
Tank #2:	1000 Gallons

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):