SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 003714, UID # 6657
Status: Report Submitted

Maintainer's Contact Information:

Name:

Ron Lindquist

MPCA License #:

L3070

Business Name:

R&M Septic Service

Phone:

(651

) 674

- 8520

Email:

noemail@noemail.com

Address:

Code to use for this report:

h7889g5767

Date of Maintenance:

10/19/2016

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
			1203221410002	10203 223RD ST N, CITY OF FOREST LAKE	10203	223RD	ST	N	FOREST LAKE	CITY OF FOREST LAKE	55025	REIN KEVIN M & GAIL M				1973

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

Approval	Signature	Options
Applicant		Status must be

Internal Notes

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