SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 003647, UID # 6566
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

KEITH VALENTO

MPCA License #:

2428

Business Name:

SMILIE'S

Phone:

(651

) 433

- 2000

Email:

ab.sanitationservices@gmail.com

Address:

P.O. BOX 100

SCANDIA	MN	55073

Code to use for this report:

d1666k5319

Date of Maintenance:

11/14/2016

Reason for Maintenance:

Routine

System Location & Maintenance Performed

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
			0703020420003	12640 103RD ST N, TOWN OF STILLWATER	12640	103RD	ST	N	STILLWATER	TOWN OF STILLWATER	55082	FILIPEK JUDY A	3	1	SILVER LAKE ESTATES	1988

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Yes

Attach Copy of Report

Describe the method used to remove the septage:	SEE REPORT
Attach Maintenance Report:	File 1: 0703020420003-MAINTENANCE_REPORT-20161114.pdf

Maintenance Covers

Were all covers securely replaced?

Yes

Tank Details

Tank#1:

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1:

1000 Gallons

Waste Disposal

Waste Disposal Method:

Land Apply

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):